Treatment-Seeking Behavior and Treatment Practices of Lymphatic Filariasis Patients With Lymphoedema in the Colombo District, Sri Lanka
Identifieur interne : 006D09 ( Main/Exploration ); précédent : 006D08; suivant : 006D10Treatment-Seeking Behavior and Treatment Practices of Lymphatic Filariasis Patients With Lymphoedema in the Colombo District, Sri Lanka
Auteurs : Rushika Shalindri Wijesinghe ; Ananda Rajitha Wickremasinghe [Sri Lanka] ; Sriyani Ekanayake ; Marian Shanthy Antoinette Perera [Sri Lanka]Source :
- Asia-Pacific Journal of Public Health [ 1010-5395 ] ; 2008-04.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient (), Adolescent, Adulte, Adulte d'âge moyen, Diéthylcarbamazine (administration et posologie), Enfant, Enquêtes et questionnaires, Entretiens comme sujet, Facteurs temps, Femelle, Filariose lymphatique (), Filariose lymphatique (diagnostic), Humains, Jeune adulte, Lymphangite (étiologie), Lymphoedème (), Lymphoedème (étiologie), Maladie aigüe, Mâle, Observance thérapeutique (), Sri Lanka, Sujet âgé, Sujet âgé de 80 ans ou plus, Études transversales.
- MESH :
- administration et posologie : Diéthylcarbamazine.
- diagnostic : Filariose lymphatique.
- étiologie : Lymphangite, Lymphoedème.
- Acceptation des soins par le patient, Adolescent, Adulte, Adulte d'âge moyen, Enfant, Enquêtes et questionnaires, Entretiens comme sujet, Facteurs temps, Femelle, Filariose lymphatique, Humains, Jeune adulte, Lymphoedème, Maladie aigüe, Mâle, Observance thérapeutique, Sri Lanka, Sujet âgé, Sujet âgé de 80 ans ou plus, Études transversales.
- Wicri :
- geographic : Sri Lanka.
English descriptors
- KwdEn :
- Acute Disease, Adolescent, Adult, Aged, Aged, 80 and over, Child, Cross-Sectional Studies, Diethylcarbamazine (administration & dosage), Elephantiasis, Filarial (complications), Elephantiasis, Filarial (diagnosis), Elephantiasis, Filarial (therapy), Female, Humans, Interviews as Topic, Lymphangitis (etiology), Lymphedema (etiology), Lymphedema (therapy), Male, Middle Aged, Patient Acceptance of Health Care (statistics & numerical data), Patient Compliance (statistics & numerical data), Sri Lanka, Surveys and Questionnaires, Time Factors, Young Adult.
- MESH :
- chemical , administration & dosage : Diethylcarbamazine.
- geographic : Sri Lanka.
- complications : Elephantiasis, Filarial.
- diagnosis : Elephantiasis, Filarial.
- etiology : Lymphangitis, Lymphedema.
- statistics & numerical data : Patient Acceptance of Health Care, Patient Compliance.
- therapy : Elephantiasis, Filarial, Lymphedema.
- Acute Disease, Adolescent, Adult, Aged, Aged, 80 and over, Child, Cross-Sectional Studies, Female, Humans, Interviews as Topic, Male, Middle Aged, Surveys and Questionnaires, Time Factors, Young Adult.
Abstract
This cross-sectional, descriptive study describes the treatment-seeking behavior of 413 lymphoedema patients attending 2 filariasis clinics in the Colombo district, Sri Lanka. A pretested, interviewer-administered questionnaire obtained information regarding sources and types of treatment taken, time taken for diagnosis, and details regarding diethylcarbamazine citrate (DEC) treatment. There was a mean delay of 2.37 years (SD 1.37) in diagnosing filariasis after the first appearance of limb swelling. General practitioners were the most frequent first-contact health care providers and the most visited source overall, followed by government hospitals and Ayurvedic practitioners. Approximately 95% of patients were on DEC treatment ranging from 10 days to 43 years (mean 2.5 years SD ± 1.1). Sixty-one percent of patients reported always having taken the recommended DEC course. Nonsteroidal anti-inflammatory drugs, diuretics, and antibiotics were liberally prescribed. Approximately 97% had sought treatment from a medical practitioner for an acute adenolymphangitis attack. Despite the area being endemic for filariasis, there was a delay in treatment and inappropriate use of DEC in patients with chronic filarial lymphoedema.
Url:
DOI: 10.1177/1010539507311257
Affiliations:
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xml:lang="en"><term>Acute Disease</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Cross-Sectional Studies</term><term>Diethylcarbamazine (administration & dosage)</term><term>Elephantiasis, Filarial (complications)</term><term>Elephantiasis, Filarial (diagnosis)</term><term>Elephantiasis, Filarial (therapy)</term><term>Female</term><term>Humans</term><term>Interviews as Topic</term><term>Lymphangitis (etiology)</term><term>Lymphedema (etiology)</term><term>Lymphedema (therapy)</term><term>Male</term><term>Middle Aged</term><term>Patient Acceptance of Health Care (statistics & numerical data)</term><term>Patient Compliance (statistics & numerical data)</term><term>Sri Lanka</term><term>Surveys and Questionnaires</term><term>Time Factors</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par le patient ()</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Diéthylcarbamazine (administration et posologie)</term><term>Enfant</term><term>Enquêtes et questionnaires</term><term>Entretiens comme sujet</term><term>Facteurs temps</term><term>Femelle</term><term>Filariose lymphatique ()</term><term>Filariose lymphatique (diagnostic)</term><term>Humains</term><term>Jeune adulte</term><term>Lymphangite (étiologie)</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Maladie aigüe</term><term>Mâle</term><term>Observance thérapeutique ()</term><term>Sri Lanka</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Diethylcarbamazine</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Sri Lanka</term></keywords><keywords scheme="MESH" qualifier="administration et 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Disease</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Interviews as Topic</term><term>Male</term><term>Middle Aged</term><term>Surveys and Questionnaires</term><term>Time Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Acceptation des soins par le patient</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enfant</term><term>Enquêtes et questionnaires</term><term>Entretiens comme sujet</term><term>Facteurs temps</term><term>Femelle</term><term>Filariose lymphatique</term><term>Humains</term><term>Jeune adulte</term><term>Lymphoedème</term><term>Maladie aigüe</term><term>Mâle</term><term>Observance thérapeutique</term><term>Sri Lanka</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Sri Lanka</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This cross-sectional, descriptive study describes the treatment-seeking behavior of 413 lymphoedema patients attending 2 filariasis clinics in the Colombo district, Sri Lanka. A pretested, interviewer-administered questionnaire obtained information regarding sources and types of treatment taken, time taken for diagnosis, and details regarding diethylcarbamazine citrate (DEC) treatment. There was a mean delay of 2.37 years (SD 1.37) in diagnosing filariasis after the first appearance of limb swelling. General practitioners were the most frequent first-contact health care providers and the most visited source overall, followed by government hospitals and Ayurvedic practitioners. Approximately 95% of patients were on DEC treatment ranging from 10 days to 43 years (mean 2.5 years SD ± 1.1). Sixty-one percent of patients reported always having taken the recommended DEC course. Nonsteroidal anti-inflammatory drugs, diuretics, and antibiotics were liberally prescribed. Approximately 97% had sought treatment from a medical practitioner for an acute adenolymphangitis attack. Despite the area being endemic for filariasis, there was a delay in treatment and inappropriate use of DEC in patients with chronic filarial lymphoedema.</div></front></TEI><affiliations><list><country><li>Sri Lanka</li></country></list><tree><noCountry><name sortKey="Ekanayake, Sriyani" sort="Ekanayake, Sriyani" uniqKey="Ekanayake S" first="Sriyani" last="Ekanayake">Sriyani Ekanayake</name><name sortKey="Wijesinghe, Rushika Shalindri" sort="Wijesinghe, Rushika Shalindri" uniqKey="Wijesinghe R" first="Rushika Shalindri" last="Wijesinghe">Rushika Shalindri Wijesinghe</name></noCountry><country name="Sri Lanka"><noRegion><name sortKey="Wickremasinghe, Ananda Rajitha" sort="Wickremasinghe, Ananda Rajitha" uniqKey="Wickremasinghe A" first="Ananda Rajitha" last="Wickremasinghe">Ananda Rajitha Wickremasinghe</name></noRegion><name sortKey="Antoinette Perera, Marian Shanthy" sort="Antoinette Perera, Marian Shanthy" uniqKey="Antoinette Perera M" first="Marian Shanthy" last="Antoinette Perera">Marian Shanthy Antoinette Perera</name><name sortKey="Antoinette Perera, Marian Shanthy" sort="Antoinette Perera, Marian Shanthy" uniqKey="Antoinette Perera M" first="Marian Shanthy" last="Antoinette Perera">Marian Shanthy Antoinette Perera</name><name sortKey="Wickremasinghe, Ananda Rajitha" sort="Wickremasinghe, Ananda Rajitha" uniqKey="Wickremasinghe A" first="Ananda Rajitha" last="Wickremasinghe">Ananda Rajitha Wickremasinghe</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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