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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.

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

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