Physicians' management of filarial lymphoedema and hydrocele in Pondicherry, India
Identifieur interne : 008623 ( Main/Exploration ); précédent : 008622; suivant : 008624Physicians' management of filarial lymphoedema and hydrocele in Pondicherry, India
Auteurs : Suzanne M. Schellekensa [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.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
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.
Affiliations:
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Schellekensa</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 1738</s1><s2>3000 DR Rotterdam</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>3000 DR Rotterdam</wicri:noRegion></affiliation></author><author><name sortKey="Ananthakrishnan, Shanthi" sort="Ananthakrishnan, Shanthi" uniqKey="Ananthakrishnan S" first="Shanthi" last="Ananthakrishnan">Shanthi Ananthakrishnan</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Vector Control Research Center, (Indian Council of Medical Research), Medical Complex</s1><s2>Indira Nagar, Pondicherry 605 006</s2><s3>IND</s3><sZ>2 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Inde</country><wicri:noRegion>Indira Nagar, Pondicherry 605 006</wicri:noRegion></affiliation></author><author><name sortKey="Stolk, Wilma A" sort="Stolk, Wilma A" uniqKey="Stolk W" first="Wilma A." last="Stolk">Wilma A. Stolk</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 1738</s1><s2>3000 DR Rotterdam</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>3000 DR Rotterdam</wicri:noRegion></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"><inist:fA14 i1="01"><s1>Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 1738</s1><s2>3000 DR Rotterdam</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><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. Ravi</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Vector Control Research Center, (Indian Council of Medical Research), Medical Complex</s1><s2>Indira Nagar, Pondicherry 605 006</s2><s3>IND</s3><sZ>2 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Inde</country><wicri:noRegion>Indira Nagar, Pondicherry 605 006</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Transactions of the Royal Society of Tropical Medicine and Hygiene</title><title level="j" type="abbreviated">Trans. r. soc. trop. med. hyg.</title><idno type="ISSN">0035-9203</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Transactions of the Royal Society of Tropical Medicine and Hygiene</title><title level="j" type="abbreviated">Trans. r. soc. trop. med. hyg.</title><idno type="ISSN">0035-9203</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Effusion</term><term>Epidemiology</term><term>Hydrocele</term><term>Lymphatic filariasis</term><term>Lymphedema</term><term>Morbidity</term><term>Pondicherry</term><term>Treatment</term><term>Tropical medicine</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term><term>Traitement</term><term>Hydrocèle</term><term>Pondichéry</term><term>Filariose lymphatique</term><term>Epidémiologie</term><term>Morbidité</term><term>Médecine tropicale</term><term>Epanchement</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><affiliations><list><country><li>Inde</li><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Schellekensa, Suzanne M" sort="Schellekensa, Suzanne M" uniqKey="Schellekensa S" first="Suzanne M." last="Schellekensa">Suzanne M. Schellekensa</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></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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