Abass Kabiru Mohammed, van der Werf Tjip S, Phillips Richard O, Sarfo Fred S, Abotsi Justice, Mireku Samuel Osei, Thompson William N, Asiedu Kingsley, Stienstra Ymkje, Klis Sandor-Adrian
Agogo Presbyterian Hospital, Agogo, Ghana; Department of Internal Medicine-Infectious Diseases, University of Groningen, University Medical Center, Groningen, The Netherlands; Department of Pulmonary Diseases and Tuberculosis, University of Groningen, University Medical Center, Groningen, The Netherlands; Komfo Anokye Teaching Hospital, Kumasi, Ghana; Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; World Health Organization, Geneva, Switzerland.
Agogo Presbyterian Hospital, Agogo, Ghana; Department of Internal Medicine-Infectious Diseases, University of Groningen, University Medical Center, Groningen, The Netherlands; Department of Pulmonary Diseases and Tuberculosis, University of Groningen, University Medical Center, Groningen, The Netherlands; Komfo Anokye Teaching Hospital, Kumasi, Ghana; Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; World Health Organization, Geneva, Switzerland
Am J Trop Med Hyg. 2015 Jan;92(1):115-7. doi: 10.4269/ajtmh.14-0405. Epub 2014 Oct 20.
Buruli ulcer (BU) is an infectious skin disease that occurs mainly in West and Central Africa. It can lead to severe disability and stigma because of scarring and contractures. Effective treatment with antibiotics is available, but patients often report to the hospital too late to prevent surgery and the disabling consequences of the disease. In a highly endemic district in Ghana, intensified public health efforts, mainly revolving around training and motivating community-based surveillance volunteers (CBSVs), were implemented. As a result, 70% of cases were reported in the earliest-World Health Organization category I-stage of the disease, potentially minimizing the need for surgery. CBSVs referred more cases in total and more cases in the early stages of the disease than any other source. CBSVs are an important resource in the early detection of BU.
布氏杆菌溃疡（BU）是一种主要发生在西非和中非的感染性皮肤病。由于瘢痕形成和挛缩，它可导致严重残疾和污名化。虽然有抗生素进行有效治疗，但患者往往就医过晚，无法避免手术及该疾病造成的致残后果。在加纳一个高度流行的地区，开展了强化公共卫生工作，主要围绕培训和激励社区监测志愿者（CBSV）展开。结果，70%的病例在世界卫生组织疾病分类的最早的I期被报告，这可能将手术需求降至最低。与任何其他来源相比，CBSV总共转诊的病例更多，且在疾病早期转诊的病例更多。CBSV是早期发现布氏杆菌溃疡的重要资源。
