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2012年至2021年几内亚马森塔专科医院麻风病联合化疗出院患者内科-外科并发症相关趋势及因素

Trend and Factors Associated with Medical-Surgical Complications in Patients Discharged from Leprosy Multidrug Therapy at the Specialized Regional Hospital in Macenta, Guinea, from 2012 to 2021.

作者信息

Hébélamou Jean, Grovogui Fassou Mathias, Manet Hawa, Povogui Lavilé, Béavogui Ismael, Kourouma Karifa, Sow Abdoulaye, Delamou Alexandre

机构信息

Centre Hospitalier Régional Spécialisé (CHRS) de Macenta, Macenta GGRH+69Q, Guinea.

Centre National de Formation et de Recherche en Santé Rurale de Mafèrinyah, Forécariah GPW7+V9G, Guinea.

出版信息

Trop Med Infect Dis. 2024 Nov 28;9(12):290. doi: 10.3390/tropicalmed9120290.

DOI:10.3390/tropicalmed9120290
PMID:39728817
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11679088/
Abstract

This study analyzed the trend and factors associated with medical-surgical complications in patients discharged from leprosy multidrug therapy at the Centre Hospitalier Régional Spécialisé (CHRS), in Macenta, Republic of Guinea. This was a retro 2012 ( = 54) and 2013 ( = 35) and then a slight decrease between 2014 ( = 34) and 2017 ( = 26). From 2019 ( = 18) to 2021 ( = 1), a significant d spective study using routine secondary data from 2012 to 2021. The most represented age group ranged from 25 to 59 years (73.8%), with a male predominance of 72.6%. Farmers represented 60.7% of the patients, 74.5% of the patients had plantar wounds, and 48.8% resided in the N'zerekore region. A trend analysis showed an overall significant decrease in the number of patients with complications between ecline was found. In the patients with leprosy reactions, there was a reduction in numbers from 48 in 2012 to 2 in 2014, with a predominance in men. There were significant associations between region, plantar perforation disease ( = 0.013), and physical disability ( = 0.029) and between year and leprosy reaction after the cure ( < 0.001). In summary, there was a high proportion of patients with plantar ulcers, which predominantly affected farmers, and a significant proportion with leprosy reactions and physical disabilities. Community awareness around leprosy and capacity building of the providers in terms of appropriate management may contribute to improving patients' quality of life.

摘要

本研究分析了几内亚共和国马森塔地区中心医院麻风病联合化疗出院患者的外科并发症趋势及相关因素。这是一项回顾性研究,使用了2012年至2021年的常规二级数据。最具代表性的年龄组为25至59岁(73.8%),男性占主导地位,为72.6%。农民占患者的60.7%,74.5%的患者有足底伤口,48.8%的患者居住在恩泽雷科雷地区。趋势分析显示,并发症患者数量总体显著下降,2012年(n = 54)和2013年(n = 35)有所下降,然后在2014年(n = 34)至2017年(n = 26)之间略有下降。从2019年(n = 18)到2021年(n = 1),发现有显著下降。在麻风反应患者中,数量从2012年的48例减少到2014年的2例,男性占主导。地区、足底穿孔疾病(p = 0.013)和身体残疾(p = 0.029)之间以及年份与治愈后麻风反应之间存在显著关联(p < 0.001)。总之,足底溃疡患者比例较高,主要影响农民,还有相当比例的患者有麻风反应和身体残疾。围绕麻风病的社区意识以及提供者在适当管理方面的能力建设可能有助于改善患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d61/11679088/5ec851aa1c88/tropicalmed-09-00290-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d61/11679088/5ec851aa1c88/tropicalmed-09-00290-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d61/11679088/5ec851aa1c88/tropicalmed-09-00290-g001.jpg

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本文引用的文献

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Time-to-Disability Determinants Among Leprosy Patients Enrolled for Treatment at ALERT Center, Addis Ababa, Ethiopia: A Survival Analysis.埃塞俄比亚亚的斯亚贝巴ALERT中心接受治疗的麻风病患者致残时间的决定因素:一项生存分析
Infect Drug Resist. 2022 May 30;15:2729-2741. doi: 10.2147/IDR.S361799. eCollection 2022.
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[Epidemiology of leprosy in Chad from 2015 to 2019].2015年至2019年乍得麻风病流行病学
Pan Afr Med J. 2022 Feb 10;41:120. doi: 10.11604/pamj.2022.41.120.32283. eCollection 2022.
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Type 2 leprosy reaction presenting as a monoarthritis post multidrug therapy.
多药治疗后出现单关节炎的2型麻风反应。
IDCases. 2022 Jan 6;27:e01386. doi: 10.1016/j.idcr.2022.e01386. eCollection 2022.
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Late leprosy reaction presenting as erythema multiforme-like erythema nodosum leprosum with underlying rifampicin resistance and its potential implications.晚期麻风反应表现为红斑狼疮样结节性红斑麻风,伴有潜在的利福平耐药及其潜在影响。
Int J Mycobacteriol. 2020 Apr-Jun;9(2):226-228. doi: 10.4103/ijmy.ijmy_26_20.
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Physical disabilities due to leprosy in Alagoas State, Northeast Brazil: a temporal and spatial modeling.巴西东北部阿拉戈斯州麻风病所致身体残疾:时空建模
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Plantar ulcer occurrence among leprosy patients in Northern Nigeria: A study of contributing factors.尼日利亚北部麻风病患者足底溃疡的发生情况:影响因素研究
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[Malignant transformation of plantar ulcers in leprosy: experience of National Leprosy Center in Casablanca].[麻风足底溃疡的恶性转化:卡萨布兰卡国家麻风病中心的经验]
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