Pareek Sumit, Ranjan Nishit, Patidar Vipin, Mudgal Shiv Kumar, Gupta Pratima
MBBS Students, All India Institute of Medical Sciences, Deoghar, Jharkhand, India.
Department of General Surgery, All India Institute of Medical Sciences, Deoghar, Jharkhand, India.
J Family Med Prim Care. 2025 Jul;14(7):2902-2907. doi: 10.4103/jfmpc.jfmpc_2056_24. Epub 2025 Jul 21.
Lymphatic filariasis (LF), a tropical illness caused by mosquito-borne parasites, is a serious public health concern in endemic areas such as Jharkhand, India. The illness continues despite efforts by the World Health Organization and the Mass Drug Administration (MDA). This study aims to investigates the clinical and demographic profiles of patients with LF and assesses coverage of MDA.
This cross-sectional study included 100 patients with LF who presented to the General Surgery Outpatient Department. Interviews, clinical exams, and semi-structured questionnaires were used to obtain information about sociodemographic profile, clinical symptoms and MDA coverage. Descriptive statistics and Chi-square tests were used to find the association between clinical profile, drug consumption, and sociodemographic profiles.
The study revealed that participants were mostly middle-aged, married (55%), from low-income families (86%), and had varied degrees of hydrocele and lymphedema, with nearly 70% experiencing scrotal enlargement. Furthermore, 44% of patients reported insufficient MDA coverage. There were significant connections found between the size of the hydrocele ( < 0.01) and actual drug consumption ( < 0.01) with socioeconomic status.
The study highlights important clinical, sociodemographic patterns, and reveal MDA coverage gaps among patients with LF. There is a need of targeted education and enhanced treatment access to improve MDA effectiveness and achieving LF eradication by 2030.
淋巴丝虫病（LF）是一种由蚊媒寄生虫引起的热带疾病，在印度贾坎德邦等流行地区是严重的公共卫生问题。尽管世界卫生组织和大规模药物管理（MDA）做出了努力，但这种疾病仍在持续。本研究旨在调查LF患者的临床和人口统计学特征，并评估MDA的覆盖情况。
这项横断面研究纳入了100名到普通外科门诊就诊的LF患者。通过访谈、临床检查和半结构化问卷来获取有关社会人口统计学特征、临床症状和MDA覆盖情况的信息。使用描述性统计和卡方检验来找出临床特征、药物消费和社会人口统计学特征之间的关联。
研究显示，参与者大多为中年、已婚（55%）、来自低收入家庭（86%），并有不同程度的鞘膜积液和淋巴水肿，近70%的人阴囊肿大。此外，44%的患者报告MDA覆盖不足。鞘膜积液大小（<0.01）和实际药物消费（<0.01）与社会经济地位之间存在显著关联。
该研究突出了重要的临床、社会人口统计学模式，并揭示了LF患者中MDA覆盖的差距。需要有针对性的教育并增加治疗机会，以提高MDA的有效性并在2030年实现LF的消除。
