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苏丹北部流离失所人群中皮肤利什曼病的暴发:病例回顾

An outbreak of cutaneous leishmaniasis among a displaced population in North Sudan: Review of cases.

作者信息

Sulaiman Amel Abdalrhim, Elmadhoun Wadie Mohammed, Noor Sufian Khalid, Bushara Sarra Osman, Almobarak Ahmed O, Awadalla Heitham, Farag Elmoubashar, Ahmed Mohamed H

机构信息

Community Medicine Specialist, Department of Public Health - MOH, Qassim Region-Saudi Arabia.

Department of Pathology and Microbiology, College of Medicine- Nile Valley University, Khartoum, Sudan.

出版信息

J Family Med Prim Care. 2019 Feb;8(2):556-563. doi: 10.4103/jfmpc.jfmpc_432_18.

Abstract

BACKGROUND

Human cutaneous leishmaniasis (CL) is an endemic disease in many parts of Sudan.

OBJECTIVE

To document an outbreak of CL among internally displaced people (IDP) in north Sudan.

METHODS

A household survey was conducted in the rural region of New Manasir, at El Damer Locality in north Sudan during the year 2013. All villagers were screened for recent and old skin lesions in addition to other urgent medical problems. Written consent was obtained from each participant before data collection. A pretested, interviewer-administered questionnaire was used to collect the socio-demographic and clinical characteristics of participants. The diagnosis of CL was based on clinical findings and/or identification of the amastigotes on skin smears.

RESULTS

Out of the 1,236 individuals enrolled in this survey, 688 were diagnosed as cases of CL, giving an infection rate of 55.7%. Children constituted 244 (35.5%) of infected cases. Majority of skin lesions were found in the Extremities 524 (76.2%). The average duration of skin lesions was 3.6 months (±1.6).

CONCLUSION

This outbreak among IDPs affected a large proportion of inhabitants of the newly established villages in north Sudan. Preventive measures might have help control such outbreaks.

摘要

背景

人类皮肤利什曼病(CL)在苏丹许多地区是一种地方病。

目的

记录苏丹北部境内流离失所者(IDP)中CL的一次暴发。

方法

2013年在苏丹北部达默尔地区新马纳西尔的农村地区进行了一项家庭调查。除了其他紧急医疗问题外,对所有村民进行了近期和陈旧性皮肤病变筛查。在数据收集前,获得了每位参与者的书面同意。使用预先测试过的、由访谈员管理的问卷收集参与者的社会人口统计学和临床特征。CL的诊断基于临床发现和/或皮肤涂片上无鞭毛体的鉴定。

结果

在本次调查纳入的1236人中,688人被诊断为CL病例,感染率为55.7%。儿童占感染病例的244例(35.5%)。大多数皮肤病变位于四肢,共524例(76.2%)。皮肤病变的平均持续时间为3.6个月(±1.6)。

结论

这次境内流离失所者中的暴发影响了苏丹北部新建立村庄的很大一部分居民。预防措施可能有助于控制此类暴发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09e7/6436281/92187d92a286/JFMPC-8-556-g001.jpg

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