Dioussé Pauline, Dione Haby, Bammo Mariama, Gueye Ndiaga, Diallo Thierno Abdoul Aziz, Seck Fatou, Gueye Ramatoulaye Diagne, Dieng Mame Thierno, Fall Fatma Sarr, Diop Moustapha, Diop Bernard Marcel, Ka Mamadou Mourtalla
UFR des sciences de la Santé, Université de Thiès, Sénégal.
Service de Dermatologie-Vénérologie, Hôpital Régional de Thiès, Sénégal.
Pan Afr Med J. 2017 Jul 5;27:174. doi: 10.11604/pamj.2017.27.174.12150. eCollection 2017.
Leprosy is an infectious and transmissible disease. According to the WHO, the number of new cases of leprosy in children in Senegal has risen moderately since 2013. This study aimed to analyze the epidemiological, clinical, therapeutic and evolutionary features of leprosy in children in the geographical areas of two social rehabilitation villages in the region of Thiès. We conducted a retrospective study over a period of 3 years (2013-2015). All new cases of Hansen's disease aged 0 -15 years were included. Over the three year period, 39 children were included in the study, with a boy predominance (n=23, 59%). Among these children, 27 (66.7%) came from a social rehabilitation village for leprosy patients. One family member was affected by leprosy in 27 cases (69.2%). More than half of the children (23 cases, 58.9%) had multibacillary leprosy (lepromatous-lepromatous). All children underwent a 12-month treatment, at the end of which thirty-six (92.3%) children were healed. Leprosy is still present in Senegal despite the efforts made by the national programme to combat leprosy. In the light of these results, it is important to emphasize the role of active screening strategy targeted to children, which seems to have shown its effectiveness in the region. Early detection, contact tracing and early treatment are important factors in the reduction of the contagiousity of leprosy.
麻风病是一种具有传染性和可传播性的疾病。据世界卫生组织称，自2013年以来，塞内加尔儿童麻风病新发病例数量呈适度上升趋势。本研究旨在分析在捷斯地区两个社会康复村所在地理区域内儿童麻风病的流行病学、临床、治疗及演变特征。我们进行了一项为期3年（2013 - 2015年）的回顾性研究。纳入所有0至15岁的新确诊汉森病病例。在这三年期间，39名儿童被纳入研究，其中男孩占多数（n = 23，59%）。在这些儿童中，27名（66.7%）来自麻风病患者社会康复村。27例（69.2%）中有一名家庭成员患有麻风病。超过半数的儿童（23例，58.9%）患有多菌型麻风病（瘤型 - 瘤型）。所有儿童均接受了为期12个月的治疗，治疗结束时，三十六名（92.3%）儿童痊愈。尽管国家麻风病防治计划做出了努力，但麻风病在塞内加尔仍然存在。鉴于这些结果，必须强调针对儿童的主动筛查策略的作用，该策略在该地区似乎已显示出其有效性。早期发现、接触者追踪和早期治疗是降低麻风病传染性的重要因素。
