Sy Savané Ibrahima Sory, Sidibe Sidikiba, Kolié Delphin, Camara Mamadou, Sakho Fatoumata, Sidibé Sadan, Chérif Mahamoud Sama, Doumbouya Sékou, Nabé Abdoul Karim, Delamou Alexandre
National Programme for the Control of Neglected Tropical Diseases, Ministry of Health, Conakry BP 585, Guinea.
Centre of Excellence in the Prevention and Control of Communicable Diseases, University of Conakry, Conakry BP 1147, Guinea.
Trop Med Infect Dis. 2024 Oct 11;9(10):237. doi: 10.3390/tropicalmed9100237.
This study aims to estimate the prevalence and analyze the factors associated with leprosy-related disabilities at the Kindia Disability Prevention and Physical Rehabilitation Centre (PIRP) in Guinea. It is a cross-sectional study using routine data from the centre from 2017 to 2021. Of 115 patients, 76% had a disability, 49% of which were grade II and 27% grade I. The age range of 15 to 30 years was the most represented (43.5%), with the average age (standard deviation) being 38 (16.5) years. Children under 14 years of age represented 3.5% of the total. Most (89%) patients had newly diagnosed leprosy. The majority (66.1%) had never come in contact with people with leprosy symptoms. Almost all (99.1%) patients had type 1 reactions on admission. Patients with multibacillary leprosy were in the majority (83.5%), and those with symptoms lasting 7-12 months represented 56.5% of the sample. In total, 79.1% of the patients received corticosteroid therapy, and 92.1% were reported cured at discharge. This neglected tropical disease continues to be a challenge in Guinea, even though leprosy care is free.
本研究旨在估算几内亚金迪亚残疾预防与身体康复中心（PIRP）与麻风病相关残疾的患病率，并分析相关因素。这是一项横断面研究，使用了该中心2017年至2021年的常规数据。在115名患者中，76%有残疾，其中49%为二级残疾，27%为一级残疾。15至30岁年龄组的人数最多（43.5%），平均年龄（标准差）为38（16.5）岁。14岁以下儿童占总数的3.5%。大多数（89%）患者为新诊断的麻风病。大多数（66.1%）患者从未接触过有麻风病症状的人。几乎所有（99.1%）患者入院时都有1型反应。多菌型麻风病患者占多数（83.5%），症状持续7至12个月的患者占样本的56.5%。总体而言，79.1%的患者接受了皮质类固醇治疗，92.1%的患者在出院时报告已治愈。尽管麻风病护理是免费的，但这种被忽视的热带病在几内亚仍然是一项挑战。
