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巴西淋巴丝虫病流行地区 COVID-19 大流行对淋巴水肿患者的影响。

The Impact of the COVID-19 Pandemic on People With Lymphedema in an Endemic Area for Lymphatic Filariasis in Brazil.

机构信息

Postgraduate Health Sciences, University of Pernambuco, Recife, Brazil.

National Filarial Reference Service, Department of Parasitology, Aggeu Magalhães Institute, Oswaldo Cruz Foundation, Recife, Brazil.

出版信息

Int J Public Health. 2023 Jan 12;68:1605317. doi: 10.3389/ijph.2023.1605317. eCollection 2023.

Abstract

To investigate the repercussions of the COVID-19 pandemic on lymphedema patients from an endemic area of lymphatic filariasis. The study descriptive compared sociodemographic and clinical aspects, risk of falling and quality of life, prior and during the COVID-19 pandemic in 28 lymphedema patients, older than 18 years old and under investigation of filarial infection. For the evaluation of functional mobility, the test and for quality of life, was used. An increase in interdigital and dermal lesions, a higher frequency of acute dermatolymphangioadenitis crises and risk of falling, worsening of quality of life in the domains of physical functioning, general health, vitality, and mental health during the pandemic was observed. Our findings of clinical worsening and quality of life of patients during the COVID-19 pandemic indicate the need to reinforce the goal of the Lymphatic Filariasis Program regarding the follow-up of these patients in the actions of the Global Program for the Elimination of Lymphatic Filariasis, due to the discontinuity in the care during the pandemic.

摘要

为了调查 COVID-19 大流行对来自淋巴丝虫病流行地区的淋巴水肿患者的影响。该研究通过描述性比较,在 28 例年龄大于 18 岁并接受丝虫感染调查的淋巴水肿患者中,比较了大流行前后的社会人口统计学和临床方面、跌倒风险和生活质量。为了评估功能性移动能力,使用了 和 测试。观察到指(趾)间和皮肤病变增加、急性皮肤淋巴管炎和淋巴结炎危机的频率更高、以及大流行期间生活质量在身体功能、一般健康、活力和心理健康等方面恶化。我们发现 COVID-19 大流行期间患者的临床恶化和生活质量下降,表明需要加强淋巴丝虫病规划的目标,即在全球消除淋巴丝虫病规划的行动中关注这些患者,因为大流行期间的医疗中断。

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