Yizengaw Endalew, Nibret Endalkachew, Yismaw Gizachew, Gashaw Bizuayehu, Tamiru Dessalegn, Munshea Abaineh, Takele Yegnasew, Müller Ingrid, Chapman Lloyd, Weller Richard, Cotton James A, Kropf Pascale
Department of Medical Laboratory Science College of Medicine and Health Science Bahir Dar University Bahir Dar Ethiopia.
Institute of Biotechnology Bahir Dar University Bahir Dar Ethiopia.
Skin Health Dis. 2023 Mar 17;3(4):e229. doi: 10.1002/ski2.229. eCollection 2023 Aug.
BACKGROUND: Cutaneous leishmaniasis (CL) is a neglected tropical disease that primarily affects the most vulnerable populations. In Ethiopia, where this study took place, CL is an important health problem, however, the incidence of CL is poorly monitored. OBJECTIVES: This study took place in a recently established CL treatment centre, at Nefas Mewcha Hospital, Lay Gayint. This area was considered to be endemic for CL, however, no cases of CL from Lay Gayint had previously been officially reported to the Amhara Regional Health Bureau. METHODS: Following a CL awareness campaign, a retrospective data review was performed of patients presenting to this centre between July 2019 and March 2021. Basic demographic and clinical data were collected by a nurse and recorded in the logbook of the CL treatment centre. RESULTS: Two hundred and one patients presented for diagnosis and treatment. The age of the patients ranged from 2 to 75 years and 63.2% were males. Most patients were between 10- and 19-years-old. The majority (79.1%) of the patients presented with localised cutaneous leishmaniasis and 20.9% with mucocutaneous leishmaniasis. 98% of the patients tested positive for parasites by microscopy. CONCLUSIONS: This work underpinned how CL is a major public health problem in the Lay Gayint district. It also shows that raising awareness about CL in the community and providing diagnosis and treatment encouraged patients to travel to seek diagnosis and treatment.
背景:皮肤利什曼病(CL)是一种被忽视的热带疾病,主要影响最脆弱的人群。在本研究开展的埃塞俄比亚,CL是一个重要的健康问题,然而,CL的发病率监测不足。 目的:本研究在莱盖因特内法斯·梅乌查医院一个新设立的CL治疗中心进行。该地区被认为是CL的流行区,然而,此前没有来自莱盖因特的CL病例正式报告给阿姆哈拉地区卫生局。 方法:在开展CL宣传活动后,对2019年7月至2021年3月期间到该中心就诊的患者进行了回顾性数据审查。基本人口统计学和临床数据由一名护士收集,并记录在CL治疗中心的日志中。 结果:201名患者前来诊断和治疗。患者年龄在2至75岁之间,63.2%为男性。大多数患者年龄在10至19岁之间。大多数(79.1%)患者表现为局限性皮肤利什曼病,20.9%表现为黏膜皮肤利什曼病。98%的患者通过显微镜检查寄生虫呈阳性。 结论:这项工作证实了CL在莱盖因特地区是一个主要的公共卫生问题。它还表明,在社区提高对CL的认识并提供诊断和治疗鼓励了患者前来寻求诊断和治疗。
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