This study aims to evaluate the role of frailty as a predictor of adverse health outcomes in elderly users of Primary Health Care services in Rio de Janeiro, Brazil. Between 2013 and 2015, a study was conducted with 958 individuals aged ≥60 years users of the Family Health Strategy in the city of Rio de Janeiro, to assess the predictive validity of the Brazilian version of the Tilburg Frailty Indicator (TFI) to fall, fracture, hospitalization, functional dependence and death, in a follow-up period of six months. The characteristics of the study population were described and the incidences of the outcomes were estimated. The risk of each adverse outcome was calculated according frailty status. The follow-up was performed for 635 individuals (66.3% of total sample). The study population was predominantly female (65.1%), mean age=70.5 (SD=8.1). At the end of the follow-up, 35 (5.7%) lost functional capacity in basic activities of daily living (ADL) and 157 (25.9%) in instrumental activities of daily living (IADL), 67 (10.9%) experienced hospitalization, 60 (9.8%) suffered fall and 9 (1.5%) fracture, and 18 (2.9%) died. There was a higher risk of functional dependence in ADL (OR= 3.01 CI95% 1.45–6.27) and in IADL (OR= 1.50 CI95% 1.04–2.16), fall (OR= 2.08 CI95% 1.21–3.58) and death (OR= 3.35 CI95% 1.18–9.53) for frail when compared to non-frail elderly. Frailty assessed by the TFI is a good predictor of adverse health outcomes among elderly users of primary care services in Brazil, and would be an alternative tool for monitoring the health conditions.

This study describes the epidemiological, clinical and mycological aspects of feline sporotrichosis cases attending the Laboratory of Clinical Research on Dermatozoonosis in Domestic Animals Evandro Chagas Clinical Research Institute (LAPCLIN-DERMZOO/IPEC/FIOCRUZ), from 1998 to 2005. It was possible to get in contact with 147 (19.2%) cat owners. One hundred and thirteen (76.9%) cats were male, 117 (79.6%) had no defined race and 87 (59.2%) were sexually intact. The age ranged from 72 to 216months (median = 108months). Nineteen cats were reassessed: eleven (57.8%) were male, thirteen (36.8%) were breed and fifteen (47.3%) castrated. Fourteen (52.6%) animals lived at home and did not roamed the streets. Seven (36.8%) had normal clinical findings and negative mycological examination. Twelve (63.1%) cats had skin lesions compatible with sporotrichosis. Thirty-one (21%, n=147) cats disappeared after abandoning treatment, 36 (24.5%, n=147) were alive and 80 (54.4%, n=147) had died. Causes of death informed by the owners were: sporotrichosis in 35 (43.7%, n=80), accidental death in 27 (33.7%, n=80) and other diseases in 18 (22.5%, n=80). Withdrawal of treatment occurred mainly at the time of clinical improvement and may represent a serious obstacle to the control of sporotrichosis.