Management of adenolymphangitis and lymphoedema due to lymphatic filariasis in resource-limited North-eastern Nigeria.
Identifieur interne : 004D43 ( Main/Exploration ); précédent : 004D42; suivant : 004D44Management of adenolymphangitis and lymphoedema due to lymphatic filariasis in resource-limited North-eastern Nigeria.
Auteurs : O B Akogun [Nigeria] ; J A BadakiSource :
- Acta tropica [ 1873-6254 ] ; 2011.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Filariose lymphatique (), Filariose lymphatique (épidémiologie), Humains, Hygiène, Jeune adulte, Lymphadénite (), Lymphadénite (épidémiologie), Lymphangite (), Lymphangite (épidémiologie), Lymphoedème (), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Mâle, Nigeria (épidémiologie), Pauvreté, Prise en charge de la maladie, Ressources en santé, Services de santé communautaires, Soins aux patients, Établissements de soins ambulatoires.
- MESH :
- épidémiologie : Filariose lymphatique, Lymphadénite, Lymphangite, Lymphoedème, Nigeria.
- étiologie : Lymphoedème.
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Filariose lymphatique, Humains, Hygiène, Jeune adulte, Lymphadénite, Lymphangite, Lymphoedème, Mâle, Pauvreté, Prise en charge de la maladie, Ressources en santé, Services de santé communautaires, Soins aux patients, Établissements de soins ambulatoires.
- Wicri :
- geographic : Nigeria.
English descriptors
- KwdEn :
- Adolescent, Adult, Ambulatory Care Facilities, Community Health Services, Disease Management, Elephantiasis, Filarial (complications), Elephantiasis, Filarial (epidemiology), Female, Health Resources, Humans, Hygiene, Lymphadenitis (epidemiology), Lymphadenitis (therapy), Lymphangitis (epidemiology), Lymphangitis (therapy), Lymphedema (epidemiology), Lymphedema (etiology), Lymphedema (therapy), Male, Middle Aged, Nigeria (epidemiology), Patient Care, Poverty, Young Adult.
- MESH :
- geographic , epidemiology : Nigeria.
- complications : Elephantiasis, Filarial.
- epidemiology : Elephantiasis, Filarial, Lymphadenitis, Lymphangitis, Lymphedema.
- etiology : Lymphedema.
- therapy : Lymphadenitis, Lymphangitis, Lymphedema.
- Adolescent, Adult, Ambulatory Care Facilities, Community Health Services, Disease Management, Female, Health Resources, Humans, Hygiene, Male, Middle Aged, Patient Care, Poverty, Young Adult.
Abstract
Procedures for health facility-based management of lymphoedema and adenolymphangitis (ADL) have proved very effective in some countries. Unfortunately, in resource-poor communities of Africa where health facilities are few, overburdened and inaccessible, an alternative approach is required. Community-based care (CC), patient care (PC) and health facility care (HC) approaches were compared. In the CC arm, communities were required to select one of their members for care-giving to its affected members, while in the PC, participants were allocated to groups under a leader with responsibility for care giving to group members. In HC, care was given by the nearest health facility. Caregivers from the three arms were trained and supplies were kept at the local government health office. At the sixth month of intervention, 325 lymphoedema and adenolymphangitis patients had been recruited into the study as participants. Within 12 months, compliance with hygiene practices increased from 29.4% to 62.6% and ADL episodes declined from 43.1% to 4.4% in the community designs arm and the cost on the health system was minimal. However, in the patient and health care arms, compliance and accessibility to supplies was severely affected by poor coordination, delay in resource collection leading to very minimal effect on lesions, odour, ADL frequency and duration. Participants abandoned the health facilities after the second visit. Community care approach was more culturally acceptable and effective for the management lymphoedema and ADL than other approaches.
DOI: 10.1016/j.actatropica.2010.10.006
PubMed: 20974106
Affiliations:
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adenolymphangitis and lymphoedema due to lymphatic filariasis in resource-limited North-eastern Nigeria.</title><author><name sortKey="Akogun, O B" sort="Akogun, O B" uniqKey="Akogun O" first="O B" last="Akogun">O B Akogun</name><affiliation wicri:level="1"><nlm:affiliation>The Elephantiasis Project, Common Heritage Foundation, No 27 Shelter Road, Federal Housing Estate Phase 2, Bajabure, Box 5124, Yola, Nigeria. akoguno@yahoo.com</nlm:affiliation><country xml:lang="fr">Nigeria</country><wicri:regionArea>The Elephantiasis Project, Common Heritage Foundation, No 27 Shelter Road, Federal Housing Estate Phase 2, Bajabure, Box 5124, Yola</wicri:regionArea><wicri:noRegion>Yola</wicri:noRegion></affiliation></author><author><name sortKey="Badaki, J A" sort="Badaki, J A" uniqKey="Badaki J" first="J A" last="Badaki">J A Badaki</name></author></analytic><series><title level="j">Acta tropica</title><idno type="eISSN">1873-6254</idno><imprint><date when="2011" 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moyen</term><term>Femelle</term><term>Filariose lymphatique ()</term><term>Filariose lymphatique (épidémiologie)</term><term>Humains</term><term>Hygiène</term><term>Jeune adulte</term><term>Lymphadénite ()</term><term>Lymphadénite (épidémiologie)</term><term>Lymphangite ()</term><term>Lymphangite (épidémiologie)</term><term>Lymphoedème ()</term><term>Lymphoedème (épidémiologie)</term><term>Lymphoedème (étiologie)</term><term>Mâle</term><term>Nigeria (épidémiologie)</term><term>Pauvreté</term><term>Prise en charge de la maladie</term><term>Ressources en santé</term><term>Services de santé communautaires</term><term>Soins aux patients</term><term>Établissements de soins ambulatoires</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Nigeria</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Elephantiasis, Filarial</term><term>Lymphadenitis</term><term>Lymphangitis</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphadenitis</term><term>Lymphangitis</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Filariose lymphatique</term><term>Lymphadénite</term><term>Lymphangite</term><term>Lymphoedème</term><term>Nigeria</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Ambulatory Care Facilities</term><term>Community Health Services</term><term>Disease Management</term><term>Female</term><term>Health Resources</term><term>Humans</term><term>Hygiene</term><term>Male</term><term>Middle Aged</term><term>Patient Care</term><term>Poverty</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Filariose lymphatique</term><term>Humains</term><term>Hygiène</term><term>Jeune adulte</term><term>Lymphadénite</term><term>Lymphangite</term><term>Lymphoedème</term><term>Mâle</term><term>Pauvreté</term><term>Prise en charge de la maladie</term><term>Ressources en santé</term><term>Services de santé communautaires</term><term>Soins aux patients</term><term>Établissements de soins ambulatoires</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Nigeria</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Procedures for health facility-based management of lymphoedema and adenolymphangitis (ADL) have proved very effective in some countries. Unfortunately, in resource-poor communities of Africa where health facilities are few, overburdened and inaccessible, an alternative approach is required. Community-based care (CC), patient care (PC) and health facility care (HC) approaches were compared. In the CC arm, communities were required to select one of their members for care-giving to its affected members, while in the PC, participants were allocated to groups under a leader with responsibility for care giving to group members. In HC, care was given by the nearest health facility. Caregivers from the three arms were trained and supplies were kept at the local government health office. At the sixth month of intervention, 325 lymphoedema and adenolymphangitis patients had been recruited into the study as participants. Within 12 months, compliance with hygiene practices increased from 29.4% to 62.6% and ADL episodes declined from 43.1% to 4.4% in the community designs arm and the cost on the health system was minimal. However, in the patient and health care arms, compliance and accessibility to supplies was severely affected by poor coordination, delay in resource collection leading to very minimal effect on lesions, odour, ADL frequency and duration. Participants abandoned the health facilities after the second visit. Community care approach was more culturally acceptable and effective for the management lymphoedema and ADL than other approaches.</div></front></TEI><affiliations><list><country><li>Nigeria</li></country></list><tree><noCountry><name sortKey="Badaki, J A" sort="Badaki, J A" uniqKey="Badaki J" first="J A" last="Badaki">J A Badaki</name></noCountry><country name="Nigeria"><noRegion><name sortKey="Akogun, O B" sort="Akogun, O B" uniqKey="Akogun O" first="O B" last="Akogun">O B Akogun</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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