Physicians' management of filarial lymphoedema and hydrocele in Pondicherry, India
Identifieur interne : 008068 ( Main/Exploration ); précédent : 008067; suivant : 008069Physicians' management of filarial lymphoedema and hydrocele in Pondicherry, India
Auteurs : Suzanne M. Schellekens [Pays-Bas] ; Shanthi Ananthakrishnan [Inde] ; Wilma A. Stolk [Pays-Bas] ; J. Dik F. Habbema [Pays-Bas] ; R. Ravi [Inde]Source :
- Transactions of The Royal Society of Tropical Medicine and Hygiene [ 0035-9203 ] ; 2005-01.
Descripteurs français
- KwdFr :
- Diéthylcarbamazine (usage thérapeutique), Filaricides (usage thérapeutique), Filariose lymphatique (), Filariose lymphatique (traitement médicamenteux), Filariose lymphatique (épidémiologie), Humains, Hydrocèle (), Hydrocèle (traitement médicamenteux), Hydrocèle (épidémiologie), Hygiène, Inde (épidémiologie), Maladie aigüe, Maladie chronique, Morbidité, Mâle, Pronostic.
- Wicri :
- geographic : Inde.
- MESH :
- traitement médicamenteux : Filariose lymphatique, Hydrocèle.
- usage thérapeutique : Diéthylcarbamazine, Filaricides.
- épidémiologie : Filariose lymphatique, Hydrocèle, Inde.
- Filariose lymphatique, Humains, Hydrocèle, Hygiène, Maladie aigüe, Maladie chronique, Morbidité, Mâle, Pronostic.
English descriptors
- KwdEn :
- Acute Disease, Chronic Disease, Diethylcarbamazine (therapeutic use), Elephantiasis, Filarial (drug therapy), Elephantiasis, Filarial (epidemiology), Elephantiasis, Filarial (surgery), Filaricides (therapeutic use), Humans, Hydrocele, Hygiene, India, India (epidemiology), Lymphatic filariasis, Lymphoedema, Male, Morbidity, Morbidity management, Prognosis, Testicular Hydrocele (drug therapy), Testicular Hydrocele (epidemiology), Testicular Hydrocele (surgery).
- MESH :
- chemical , therapeutic use : Diethylcarbamazine, Filaricides.
- geographic , epidemiology : India.
- drug therapy : Elephantiasis, Filarial, Testicular Hydrocele.
- epidemiology : Elephantiasis, Filarial, Testicular Hydrocele.
- surgery : Elephantiasis, Filarial, Testicular Hydrocele.
- Acute Disease, Chronic Disease, Humans, Hygiene, Male, Morbidity, Prognosis.
Abstract
Many countries have implemented mass drug administration programmes to eliminate lymphatic filariasis, but few have also implemented morbidity management programmes to help patients with chronic lymphoedema or hydrocele due to the infection. A study was carried out to assess current morbidity management by physicians in Pondicherry, India. Fifty-two physicians were interviewed, using a semi-structured questionnaire. For the management of hydrocele, all physicians referred hydrocele patients for surgery and 83% prescribed diethylcarbamazine (DEC). For the management of chronic lymphoedema patients, most doctors (75%) prescribed DEC and 56% mentioned the possibility of surgery. Only 10% of the physicians gave advice about limb hygiene, although recent research has shown the importance of hygiene measures to prevent further progression of lymphoedema. For the management of lymphoedema patients presenting with acute attacks, all physicians prescribed DEC and antibiotics and only 15% gave advice about limb hygiene. We conclude that limb hygiene instruction for home care should be more strongly emphasised to optimize management of lymphoedema patients in Pondicherry.
Url:
DOI: 10.1016/j.trstmh.2004.05.001
Affiliations:
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Stolk</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 1738, 3000 DR Rotterdam</wicri:regionArea><wicri:noRegion>3000 DR Rotterdam</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Pays-Bas</country></affiliation></author><author><name sortKey="Habbema, J Dik F" sort="Habbema, J Dik F" uniqKey="Habbema J" first="J. Dik F." last="Habbema">J. Dik F. Habbema</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 1738, 3000 DR Rotterdam</wicri:regionArea><wicri:noRegion>3000 DR Rotterdam</wicri:noRegion></affiliation></author><author><name sortKey="Ravi, R" sort="Ravi, R" uniqKey="Ravi R" first="R." last="Ravi">R. 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A study was carried out to assess current morbidity management by physicians in Pondicherry, India. Fifty-two physicians were interviewed, using a semi-structured questionnaire. For the management of hydrocele, all physicians referred hydrocele patients for surgery and 83% prescribed diethylcarbamazine (DEC). For the management of chronic lymphoedema patients, most doctors (75%) prescribed DEC and 56% mentioned the possibility of surgery. Only 10% of the physicians gave advice about limb hygiene, although recent research has shown the importance of hygiene measures to prevent further progression of lymphoedema. For the management of lymphoedema patients presenting with acute attacks, all physicians prescribed DEC and antibiotics and only 15% gave advice about limb hygiene. We conclude that limb hygiene instruction for home care should be more strongly emphasised to optimize management of lymphoedema patients in Pondicherry.</div></front></TEI><affiliations><list><country><li>Inde</li><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Schellekens, Suzanne M" sort="Schellekens, Suzanne M" uniqKey="Schellekens S" first="Suzanne M." last="Schellekens">Suzanne M. Schellekens</name></noRegion><name sortKey="Habbema, J Dik F" sort="Habbema, J Dik F" uniqKey="Habbema J" first="J. Dik F." last="Habbema">J. Dik F. Habbema</name><name sortKey="Stolk, Wilma A" sort="Stolk, Wilma A" uniqKey="Stolk W" first="Wilma A." last="Stolk">Wilma A. Stolk</name><name sortKey="Stolk, Wilma A" sort="Stolk, Wilma A" uniqKey="Stolk W" first="Wilma A." last="Stolk">Wilma A. Stolk</name></country><country name="Inde"><noRegion><name sortKey="Ananthakrishnan, Shanthi" sort="Ananthakrishnan, Shanthi" uniqKey="Ananthakrishnan S" first="Shanthi" last="Ananthakrishnan">Shanthi Ananthakrishnan</name></noRegion><name sortKey="Ravi, R" sort="Ravi, R" uniqKey="Ravi R" first="R." last="Ravi">R. Ravi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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