儿童麻风病：一项来自德里的回顾性描述性研究。
Childhood Leprosy: A Retrospective Descriptive Study from Delhi.
作者信息
Ghunawat Sneha, Relhan Vineet, Mittal Shankila, Sandhu Jaspriya, Garg Vijay Kumar
机构信息
Department of Dermatology, Venereology and Leprology, Maulana Azad Medical College, New Delhi, India.
出版信息
Indian J Dermatol. 2018 Nov-Dec;63(6):455-458. doi: 10.4103/ijd.IJD_99_17.
BACKGROUND
Childhood leprosy is an important marker of the status of the ongoing leprosy control programme, as it is an indicator of active disease transmission in the community. Despite achievement of elimination status of leprosy in 2005, the reported prevalence of childhood cases continue to be high.
METHOD
A retrospective analysis of 11 year records of leprosy patients aged less than 15 years in a tertiary care hospital of central Delhi was carried out from 2005-2015. Data were analysed using SPSS 22.0 system.
RESULT
A total of 113 (7.6%) cases of childhood leprosy were reported during the 11 year period from 2005-2015. Multibacillary cases constituted a total of 57 (50.4%), while paucibacillary constituted 56 (49.6%) cases. The M:F ratio noted was 2.5:1. Signs of reaction were found in 15% cases, while deformity was noted in 24.7% cases.
CONCLUSION
The rate of childhood leprosy continues to be high. Lack of proper access to health facilities, ignorance among the general population, high susceptibility due to immature immune system etc make this population highly vulnerable.
LIMITATIONS
Limited data of 11 years from an urban center were analyzed.
背景
儿童麻风病是当前麻风病控制项目状况的一个重要指标，因为它是社区中疾病活跃传播的一个指标。尽管在2005年实现了麻风病消除状态，但报告的儿童病例患病率仍然很高。
方法
对2005年至2015年德里中部一家三级护理医院15岁以下麻风病患者的11年记录进行回顾性分析。使用SPSS 22.0系统对数据进行分析。
结果
在2005年至2015年的11年期间，共报告了113例（7.6%）儿童麻风病病例。多菌型病例共有57例（50.4%），少菌型病例有56例（49.6%）。记录的男女比例为2.5:1。15%的病例出现了反应迹象，24.7%的病例出现了畸形。
结论
儿童麻风病的发病率仍然很高。缺乏获得适当医疗设施的机会、普通人群的无知、免疫系统不成熟导致的易感性高等因素使这一人群极易患病。
局限性
分析了来自城市中心的11年有限数据。
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