LymphedemaV1, France, Analysis, bibRecord, 000288

Efficacy of home-based lymphoedema management in reducing acute attacks in subjects with lymphatic filariasis in Burkina Faso.

Identifieur interne : 000288 ( France/Analysis ); précédent : 000287; suivant : 000289

Efficacy of home-based lymphoedema management in reducing acute attacks in subjects with lymphatic filariasis in Burkina Faso.

Auteurs : Patrick Jullien [France] ; Jeanne D'Arc Somé ; Pierre Brantus ; Roland W. Bougma ; Issouf Bamba ; Dominique Kyelem

Source :

Acta tropica [ 1873-6254 ] ; 2011.

RBID : pubmed:21470557

Descripteurs français

KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Animaux, Autosoins, Bains, Burkina (épidémiologie), Enfant, Femelle, Filariose lymphatique (), Filariose lymphatique (parasitologie), Filariose lymphatique (épidémiologie), Humains, Hygiène, Hygiène de la peau, Jeune adulte, Lymphoedème (), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Maladie aigüe, Mâle, Prise en charge de la maladie, Sujet âgé, Sujet âgé de 80 ans ou plus, Wuchereria bancrofti, Évaluation de programme.
MESH :
- parasitologie : Filariose lymphatique.
- épidémiologie : Burkina, Filariose lymphatique, Lymphoedème.
- étiologie : Lymphoedème.
- Adolescent, Adulte, Adulte d'âge moyen, Animaux, Autosoins, Bains, Enfant, Femelle, Filariose lymphatique, Humains, Hygiène, Hygiène de la peau, Jeune adulte, Lymphoedème, Maladie aigüe, Mâle, Prise en charge de la maladie, Sujet âgé, Sujet âgé de 80 ans ou plus, Wuchereria bancrofti, Évaluation de programme.
Wicri :
- geographic : Burkina Faso.

English descriptors

KwdEn :
- Acute Disease, Adolescent, Adult, Aged, Aged, 80 and over, Animals, Baths, Burkina Faso (epidemiology), Child, Disease Management, Elephantiasis, Filarial (complications), Elephantiasis, Filarial (epidemiology), Elephantiasis, Filarial (parasitology), Female, Humans, Hygiene, Lymphedema (epidemiology), Lymphedema (etiology), Lymphedema (therapy), Male, Middle Aged, Program Evaluation, Self Care, Skin Care, Wuchereria bancrofti, Young Adult.
MESH :
- geographic , epidemiology : Burkina Faso.
- complications : Elephantiasis, Filarial.
- epidemiology : Elephantiasis, Filarial, Lymphedema.
- etiology : Lymphedema.
- parasitology : Elephantiasis, Filarial.
- therapy : Lymphedema.
- Acute Disease, Adolescent, Adult, Aged, Aged, 80 and over, Animals, Baths, Child, Disease Management, Female, Humans, Hygiene, Male, Middle Aged, Program Evaluation, Self Care, Skin Care, Wuchereria bancrofti, Young Adult.

Abstract

One of the two main goals of the Global Programme to Eliminate Lymphatic Filariasis (LF) is to provide care for those suffering from the devastating clinical manifestations of this filarial infection. Among the 120 million infected people worldwide, up to 16 million have lymphoedema. The WHO strategy for managing lymphoedema is based on rigorous skin hygiene, exercise, antibiotics and antifungals when indicated. The aim is to reduce acute attacks of adenolymphangitis and cellulitis responsible for lymphoedema progression and disability. The objective of our study was to assess the effectiveness of home-based lymphoedema management implemented by the national health system of Burkina Faso. Any patient was eligible to participate in the study if suffering from LF-related lymphoedema of a lower limb at any stage, and receiving care as part of the health education and washing project between April 2005 and December 2007. The primary readout was the occurrence of an acute attack in the month preceding the consultation reported by the patient or observed by the care-giver. In all, 1089 patients were enrolled in the study. Before lymphoedema management intervention, 78.1% (95%CI: 75.5-80.5) of the patients had an acute attack in the month preceding the consultation; after four and half months of lymphoedema management, this was reduced to 39.1% (95%CI: 36.2-42.1). A reduction of acute attacks related to the number of consultations or related to the patients' age and gender was not observed. Our results suggest that the home-based lymphoedema management programme in the primary health care system of Burkina Faso is effective in reducing morbidity due to LF in the short-term (4.5 months). The lymphoedema management requires no additional human resources, but whether its effect can be sustained remains to be seen.

DOI: 10.1016/j.actatropica.2011.03.007
PubMed: 21470557

Affiliations:

Links to Exploration step

pubmed:21470557

Le document en format XML

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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Animals</term>
<term>Baths</term>
<term>Burkina Faso (epidemiology)</term>
<term>Child</term>
<term>Disease Management</term>
<term>Elephantiasis, Filarial (complications)</term>
<term>Elephantiasis, Filarial (epidemiology)</term>
<term>Elephantiasis, Filarial (parasitology)</term>
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<term>Middle Aged</term>
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<term>Self Care</term>
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<term>Bains</term>
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<term>Femelle</term>
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<term>Filariose lymphatique (parasitologie)</term>
<term>Filariose lymphatique (épidémiologie)</term>
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<term>Hygiène</term>
<term>Hygiène de la peau</term>
<term>Jeune adulte</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (épidémiologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Maladie aigüe</term>
<term>Mâle</term>
<term>Prise en charge de la maladie</term>
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<term>Sujet âgé de 80 ans ou plus</term>
<term>Wuchereria bancrofti</term>
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</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Elephantiasis, Filarial</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="parasitologie" xml:lang="fr"><term>Filariose lymphatique</term>
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<term>Filariose lymphatique</term>
<term>Lymphoedème</term>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
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<term>Humans</term>
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<term>Program Evaluation</term>
<term>Self Care</term>
<term>Skin Care</term>
<term>Wuchereria bancrofti</term>
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<term>Animaux</term>
<term>Autosoins</term>
<term>Bains</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Filariose lymphatique</term>
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<front><div type="abstract" xml:lang="en">One of the two main goals of the Global Programme to Eliminate Lymphatic Filariasis (LF) is to provide care for those suffering from the devastating clinical manifestations of this filarial infection. Among the 120 million infected people worldwide, up to 16 million have lymphoedema. The WHO strategy for managing lymphoedema is based on rigorous skin hygiene, exercise, antibiotics and antifungals when indicated. The aim is to reduce acute attacks of adenolymphangitis and cellulitis responsible for lymphoedema progression and disability. The objective of our study was to assess the effectiveness of home-based lymphoedema management implemented by the national health system of Burkina Faso. Any patient was eligible to participate in the study if suffering from LF-related lymphoedema of a lower limb at any stage, and receiving care as part of the health education and washing project between April 2005 and December 2007. The primary readout was the occurrence of an acute attack in the month preceding the consultation reported by the patient or observed by the care-giver. In all, 1089 patients were enrolled in the study. Before lymphoedema management intervention, 78.1% (95%CI: 75.5-80.5) of the patients had an acute attack in the month preceding the consultation; after four and half months of lymphoedema management, this was reduced to 39.1% (95%CI: 36.2-42.1). A reduction of acute attacks related to the number of consultations or related to the patients' age and gender was not observed. Our results suggest that the home-based lymphoedema management programme in the primary health care system of Burkina Faso is effective in reducing morbidity due to LF in the short-term (4.5 months). The lymphoedema management requires no additional human resources, but whether its effect can be sustained remains to be seen.</div>
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<name sortKey="Brantus, Pierre" sort="Brantus, Pierre" uniqKey="Brantus P" first="Pierre" last="Brantus">Pierre Brantus</name>
<name sortKey="Kyelem, Dominique" sort="Kyelem, Dominique" uniqKey="Kyelem D" first="Dominique" last="Kyelem">Dominique Kyelem</name>
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Serveur d'exploration sur le lymphœdème

Efficacy of home-based lymphoedema management in reducing acute attacks in subjects with lymphatic filariasis in Burkina Faso.

Efficacy of home-based lymphoedema management in reducing acute attacks in subjects with lymphatic filariasis in Burkina Faso.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Serveur d'exploration sur le lymphœdème
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