Efficacy of home-based lymphoedema management in reducing acute attacks in subjects with lymphatic filariasis in Burkina Faso
Identifieur interne : 000316 ( France/Analysis ); précédent : 000315; suivant : 000317Efficacy of home-based lymphoedema management in reducing acute attacks in subjects with lymphatic filariasis in Burkina Faso
Auteurs : Patrick Jullien [France] ; Jeanne D'Arc Some [Burkina Faso] ; Pierre Brantus [Suisse] ; Roland W. Bougma [Burkina Faso] ; Issouf Bamba [Burkina Faso] ; Dominique Kyelem [Burkina Faso]Source :
- Acta tropica [ 0001-706X ] ; 2011.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
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.
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: 000139
- to stream PascalFrancis, to step Curation: 000819
- to stream PascalFrancis, to step Checkpoint: 000179
- to stream Main, to step Merge: 005501
- to stream Main, to step Curation: 005457
- to stream Main, to step Exploration: 005457
- to stream France, to step Extraction: 000316
Links to Exploration step
Pascal:11-0504543Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Efficacy of home-based lymphoedema management in reducing acute attacks in subjects with lymphatic filariasis in Burkina Faso</title><author><name sortKey="Jullien, Patrick" sort="Jullien, Patrick" uniqKey="Jullien P" first="Patrick" last="Jullien">Patrick Jullien</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Handicap International, 14 Avenue Berthelot</s1><s2>69007 Lyon</s2><s3>FRA</s3><sZ>1 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>69007 Lyon</wicri:noRegion><placeName><settlement type="city">Lyon</settlement><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region></placeName></affiliation></author><author><name sortKey="Some, Jeanne D Arc" sort="Some, Jeanne D Arc" uniqKey="Some J" first="Jeanne D'Arc" last="Some">Jeanne D'Arc Some</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Handicap International, 13 - 41 Quartier SOCOGIM, BP 541</s1><s2>CP 01 Ouagadougou</s2><s3>BFA</s3><sZ>2 aut.</sZ></inist:fA14><country>Burkina Faso</country><wicri:noRegion>CP 01 Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Brantus, Pierre" sort="Brantus, Pierre" uniqKey="Brantus P" first="Pierre" last="Brantus">Pierre Brantus</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>World Health Organization</s1><s2>Geneva</s2><s3>CHE</s3><sZ>3 aut.</sZ></inist:fA14><country>Suisse</country><wicri:noRegion>World Health Organization</wicri:noRegion></affiliation></author><author><name sortKey="Bougma, Roland W" sort="Bougma, Roland W" uniqKey="Bougma R" first="Roland W." last="Bougma">Roland W. Bougma</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>National Programme to Eliminate Lymphatic Filariasis, Ministry of Health, 03 B.P. 7009</s1><s2>Ouagadougou</s2><s3>BFA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Burkina Faso</country><wicri:noRegion>Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Bamba, Issouf" sort="Bamba, Issouf" uniqKey="Bamba I" first="Issouf" last="Bamba">Issouf Bamba</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>National Programme to Eliminate Lymphatic Filariasis, Ministry of Health, 03 B.P. 7009</s1><s2>Ouagadougou</s2><s3>BFA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Burkina Faso</country><wicri:noRegion>Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Kyelem, Dominique" sort="Kyelem, Dominique" uniqKey="Kyelem D" first="Dominique" last="Kyelem">Dominique Kyelem</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>National Programme to Eliminate Lymphatic Filariasis, Ministry of Health, 03 B.P. 7009</s1><s2>Ouagadougou</s2><s3>BFA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Burkina Faso</country><wicri:noRegion>Ouagadougou</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">11-0504543</idno><date when="2011">2011</date><idno type="stanalyst">PASCAL 11-0504543 INIST</idno><idno type="RBID">Pascal:11-0504543</idno><idno type="wicri:Area/PascalFrancis/Corpus">000139</idno><idno type="wicri:Area/PascalFrancis/Curation">000819</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000179</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000179</idno><idno type="wicri:doubleKey">0001-706X:2011:Jullien P:efficacy:of:home</idno><idno type="wicri:Area/Main/Merge">005501</idno><idno type="wicri:Area/Main/Curation">005457</idno><idno type="wicri:Area/Main/Exploration">005457</idno><idno type="wicri:Area/France/Extraction">000316</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Efficacy of home-based lymphoedema management in reducing acute attacks in subjects with lymphatic filariasis in Burkina Faso</title><author><name sortKey="Jullien, Patrick" sort="Jullien, Patrick" uniqKey="Jullien P" first="Patrick" last="Jullien">Patrick Jullien</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Handicap International, 14 Avenue Berthelot</s1><s2>69007 Lyon</s2><s3>FRA</s3><sZ>1 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Some, Jeanne D Arc" sort="Some, Jeanne D Arc" uniqKey="Some J" first="Jeanne D'Arc" last="Some">Jeanne D'Arc Some</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Handicap International, 13 - 41 Quartier SOCOGIM, BP 541</s1><s2>CP 01 Ouagadougou</s2><s3>BFA</s3><sZ>2 aut.</sZ></inist:fA14><country>Burkina Faso</country><wicri:noRegion>CP 01 Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Brantus, Pierre" sort="Brantus, Pierre" uniqKey="Brantus P" first="Pierre" last="Brantus">Pierre Brantus</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>World Health Organization</s1><s2>Geneva</s2><s3>CHE</s3><sZ>3 aut.</sZ></inist:fA14><country>Suisse</country><wicri:noRegion>World Health Organization</wicri:noRegion></affiliation></author><author><name sortKey="Bougma, Roland W" sort="Bougma, Roland W" uniqKey="Bougma R" first="Roland W." last="Bougma">Roland W. Bougma</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>National Programme to Eliminate Lymphatic Filariasis, Ministry of Health, 03 B.P. 7009</s1><s2>Ouagadougou</s2><s3>BFA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Burkina Faso</country><wicri:noRegion>Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Bamba, Issouf" sort="Bamba, Issouf" uniqKey="Bamba I" first="Issouf" last="Bamba">Issouf Bamba</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>National Programme to Eliminate Lymphatic Filariasis, Ministry of Health, 03 B.P. 7009</s1><s2>Ouagadougou</s2><s3>BFA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Burkina Faso</country><wicri:noRegion>Ouagadougou</wicri:noRegion></affiliation></author><author><name sortKey="Kyelem, Dominique" sort="Kyelem, Dominique" uniqKey="Kyelem D" first="Dominique" last="Kyelem">Dominique Kyelem</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>National Programme to Eliminate Lymphatic Filariasis, Ministry of Health, 03 B.P. 7009</s1><s2>Ouagadougou</s2><s3>BFA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Burkina Faso</country><wicri:noRegion>Ouagadougou</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Acta tropica</title><title level="j" type="abbreviated">Acta trop.</title><idno type="ISSN">0001-706X</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Acta tropica</title><title level="j" type="abbreviated">Acta trop.</title><idno type="ISSN">0001-706X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute</term><term>Burkina Faso</term><term>Clinical management</term><term>Human</term><term>Lymphatic filariasis</term><term>Lymphedema</term><term>Treatment</term><term>Tropical medicine</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term><term>Filariose lymphatique</term><term>Conduite à tenir</term><term>Traitement</term><term>Aigu</term><term>Homme</term><term>Burkina</term><term>Médecine tropicale</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><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></front></TEI><affiliations><list><country><li>Burkina Faso</li><li>France</li><li>Suisse</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Rhône-Alpes</li></region><settlement><li>Lyon</li></settlement></list><tree><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Jullien, Patrick" sort="Jullien, Patrick" uniqKey="Jullien P" first="Patrick" last="Jullien">Patrick Jullien</name></region></country><country name="Burkina Faso"><noRegion><name sortKey="Some, Jeanne D Arc" sort="Some, Jeanne D Arc" uniqKey="Some J" first="Jeanne D'Arc" last="Some">Jeanne D'Arc Some</name></noRegion><name sortKey="Bamba, Issouf" sort="Bamba, Issouf" uniqKey="Bamba I" first="Issouf" last="Bamba">Issouf Bamba</name><name sortKey="Bougma, Roland W" sort="Bougma, Roland W" uniqKey="Bougma R" first="Roland W." last="Bougma">Roland W. Bougma</name><name sortKey="Kyelem, Dominique" sort="Kyelem, Dominique" uniqKey="Kyelem D" first="Dominique" last="Kyelem">Dominique Kyelem</name></country><country name="Suisse"><noRegion><name sortKey="Brantus, Pierre" sort="Brantus, Pierre" uniqKey="Brantus P" first="Pierre" last="Brantus">Pierre Brantus</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/France/Analysis
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000316 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/France/Analysis/biblio.hfd -nk 000316 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= France
|étape= Analysis
|type= RBID
|clé= Pascal:11-0504543
|texte= Efficacy of home-based lymphoedema management in reducing acute attacks in subjects with lymphatic filariasis in Burkina Faso
}}
| This area was generated with Dilib version V0.6.31. |  |