[1999年至2017年科特迪瓦奥克罗卫生区的麻风病流行病学]

[Leprosy epidemiology in Daoukro health district (Côte d'Ivoire) from 1999 to 2017].

作者信息

Tetchi Ekissi Or Sot, Konan Yao Eugène, Kpebo Denise, Djoman Mangou Christiane, Ekou Franck Kokora, Sable Parfait Stéphane, Yapi Apolinaire, Tano-Ake Odile

机构信息

Département de santé publique et spécialités, UFR Sciences médicales, Université Félix Houphouët Boigny, Abidjan, Côte d'Ivoire.

Institut national de santé publique, Abidjan, Côte d'Ivoire.

出版信息

Med Trop Sante Int. 2023 Oct 9;3(4). doi: 10.48327/mtsi.v3i4.2023.294. eCollection 2023 Dec 31.

DOI:10.48327/mtsi.v3i4.2023.294

PMID:38390019

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10879886/

Abstract

INTRODUCTION

Leprosy is a real problem in the Daoukro health district despite the actions of the National programme for elimination.

OBJECTIVE

To describe the epidemiological and clinical profile of new leprosy cases in the Daoukro health district from 1999 to 2017.

METHOD

Descriptive survey including leprosy patients admitted to the dermato-leprology department from 1999 to 2017.

RESULTS

From 1999 to 2017, the incidence of leprosy fluctuated from 4.4 to 0 per 100,000 with a peak of 14.2 in 2003. In 2016 and 2017 no cases of leprosy were reported. The mean age was 36.8 years (SD=20). A majority of cases were uneducated and living in rural areas. Females and children under 15 years of age accounted for 53% and 16% of cases respectively. Clinically, cutaneous signs were predominant in the patients. The multibacillary form accounted for 82%. Nearly 1 out of 4 patients had a grade 2 disability (24%). All patients received treatment (multidrug therapy). Among them, 83.8% were cured, while 0.5% were not cured. In addition, regarding 29 patients (15.7%) details of how their disease progressed were not available. Among the patients declared cured, 26% had sequels.

CONCLUSION

Leprosy control activities must be strengthened in order to maintain the achievements in this non-endemic district.

摘要

引言

尽管国家消除麻风病规划已采取行动，但在道克鲁卫生区，麻风病仍是一个实际问题。

目的

描述1999年至2017年道克鲁卫生区新麻风病病例的流行病学和临床特征。

方法

描述性调查，包括1999年至2017年收治于皮肤麻风病科的麻风病患者。

结果

1999年至2017年，麻风病发病率在每10万人4.4至0之间波动，2003年达到峰值14.2。2016年和2017年未报告麻风病病例。平均年龄为36.8岁（标准差=20）。大多数病例未受过教育，居住在农村地区。女性和15岁以下儿童分别占病例的53%和16%。临床上，患者以皮肤症状为主。多菌型占82%。近四分之一的患者有二级残疾（24%）。所有患者均接受了治疗（联合化疗）。其中，83.8%治愈，0.5%未治愈。此外，关于29名患者（15.7%），其疾病进展细节不详。在宣布治愈的患者中，26%有后遗症。