Lymphoedema and its management in cases of lymphatic filariasis : the current situation in three suburbs of Matara, Sri Lanka, before the in7troduction of a morbidity-control programme
Identifieur interne : 008627 ( Main/Exploration ); précédent : 008626; suivant : 008628Lymphoedema and its management in cases of lymphatic filariasis : the current situation in three suburbs of Matara, Sri Lanka, before the in7troduction of a morbidity-control programme
Auteurs : T. C. Yahathugoda [Sri Lanka] ; D. Wickramasinghe [Sri Lanka] ; M. V. Weerasooriya [Sri Lanka] ; W. A. Samarawickrema [Sri Lanka]Source :
- Annals of tropical medicine and parasitology [ 0003-4983 ] ; 2005.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient (psychologie), Adolescent, Adulte, Adulte d'âge moyen, Connaissances, attitudes et pratiques en santé, Douleur (épidémiologie), Douleur (étiologie), Enfant, Facteurs socioéconomiques, Femelle, Filaricides (usage thérapeutique), Filariose lymphatique (), Filariose lymphatique (épidémiologie), Fièvre (épidémiologie), Fièvre (étiologie), Humains, Hygiène, Lymphoedème (), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Mâle, Répartition par sexe, Répartition par âge, Sri Lanka (épidémiologie).
- MESH :
- psychologie : Acceptation des soins par le patient.
- usage thérapeutique : Filaricides.
- épidémiologie : Douleur, Filariose lymphatique, Fièvre, Lymphoedème, Sri Lanka.
- étiologie : Douleur, Fièvre, Lymphoedème.
- Pascal (Inist)
- Adolescent, Adulte, Adulte d'âge moyen, Connaissances, attitudes et pratiques en santé, Enfant, Facteurs socioéconomiques, Femelle, Filariose lymphatique, Humains, Hygiène, Lymphoedème, Filariose lymphatique, Mâle, Répartition par sexe, Répartition par âge, Traitement, Sri Lanka, Epidémiologie, Morbidité, Programme sanitaire, Lutte sanitaire, Médecine tropicale.
- Wicri :
- geographic : Sri Lanka.
English descriptors
- KwdEn :
- Adolescent, Adult, Age Distribution, Child, Elephantiasis, Filarial (complications), Elephantiasis, Filarial (epidemiology), Elephantiasis, Filarial (therapy), Epidemiology, Female, Fever (epidemiology), Fever (etiology), Filaricides (therapeutic use), Health Knowledge, Attitudes, Practice, Humans, Hygiene, Lymphatic filariasis, Lymphedema, Lymphedema (epidemiology), Lymphedema (etiology), Lymphedema (therapy), Male, Middle Aged, Morbidity, Pain (epidemiology), Pain (etiology), Patient Acceptance of Health Care (psychology), Sanitary control, Sanitary program, Sex Distribution, Socioeconomic Factors, Sri Lanka, Sri Lanka (epidemiology), Treatment, Tropical medicine.
- MESH :
- chemical , therapeutic use : Filaricides.
- geographic , epidemiology : Sri Lanka.
- complications : Elephantiasis, Filarial.
- epidemiology : Elephantiasis, Filarial, Fever, Lymphedema, Pain.
- etiology : Fever, Lymphedema, Pain.
- psychology : Patient Acceptance of Health Care.
- therapy : Elephantiasis, Filarial, Lymphedema.
- Adolescent, Adult, Age Distribution, Child, Female, Health Knowledge, Attitudes, Practice, Humans, Hygiene, Male, Middle Aged, Sex Distribution, Socioeconomic Factors.
Abstract
Using in-depth interviews, information on the current state of lymphoedema management was collected from 101 cases of lymphatic filariasis with lymphoedema in three suburbs of Matara. The interviews were conducted prior to the introduction of a programme of community home-based care (CHBC) that incorporates modern lymphoedema-management strategies. Thirty-two of the interviewees had severe lymphoedema (of grade III or above). The male interviewees had significantly more entry lesions than the female. Most of the subjects had suffered from episodes of limb pain with fever, although the incidence of these episodes appeared unrelated to the severity of the lymphoedema. The frequency of the episodes of limb-pain/fever in the 12 months prior to the interviews appeared unrelated either to the level of daily hygiene, which was generally poor, or to the frequency of bathing. Many (65%) of the subjects paid no attention to limb care when bathing, and 44% did not use footwear. Over 80% made no effort to keep their afflicted limbs elevated, and 95% did not exercise. Most of the female interviewees felt shameful of their condition and were, in consequence, less likely to attend government clinics, for treatment, than the male interviewees. The drug treatment that the interviewees had received was often inadequate, and most had stopped seeking treatment because they had not perceived any significant treatment-attributable improvement in their condition. Modem lymphoedema-management strategies (based on regular washing, careful drying, and treatment, with antifungal, antibiotic or emollient creams, of the affected limbs, limb elevation, exercise, and use of footwear) had not reached the study communities and the local physicians were not aware of them. When dermatology life-quality indexes (DLQI) were calculated for the interviewees, the 26 most impaired subjects gave scores of 5-15 (mean=8.6). The DLQI for these subjects will be regularly re-evaluated, as a measure of the effectiveness of the CHBC programme that has now begun.
Affiliations:
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Wickramasinghe</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Filariasis Research Unit, Faculty of Medicine, University of Ruhuna, P.O. Box 70</s1><s2>Galle</s2><s3>LKA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Sri Lanka</country><wicri:noRegion>Galle</wicri:noRegion></affiliation></author><author><name sortKey="Weerasooriya, M V" sort="Weerasooriya, M V" uniqKey="Weerasooriya M" first="M. V." last="Weerasooriya">M. V. Weerasooriya</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Filariasis Research Unit, Faculty of Medicine, University of Ruhuna, P.O. Box 70</s1><s2>Galle</s2><s3>LKA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Sri Lanka</country><wicri:noRegion>Galle</wicri:noRegion></affiliation></author><author><name sortKey="Samarawickrema, W A" sort="Samarawickrema, W A" uniqKey="Samarawickrema W" first="W. A." last="Samarawickrema">W. A. 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C." last="Yahathugoda">T. C. Yahathugoda</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Filariasis Research Unit, Faculty of Medicine, University of Ruhuna, P.O. Box 70</s1><s2>Galle</s2><s3>LKA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Sri Lanka</country><wicri:noRegion>Galle</wicri:noRegion></affiliation></author><author><name sortKey="Wickramasinghe, D" sort="Wickramasinghe, D" uniqKey="Wickramasinghe D" first="D." last="Wickramasinghe">D. Wickramasinghe</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Filariasis Research Unit, Faculty of Medicine, University of Ruhuna, P.O. Box 70</s1><s2>Galle</s2><s3>LKA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Sri Lanka</country><wicri:noRegion>Galle</wicri:noRegion></affiliation></author><author><name sortKey="Weerasooriya, M V" sort="Weerasooriya, M V" uniqKey="Weerasooriya M" first="M. V." last="Weerasooriya">M. V. Weerasooriya</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Filariasis Research Unit, Faculty of Medicine, University of Ruhuna, P.O. Box 70</s1><s2>Galle</s2><s3>LKA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Sri Lanka</country><wicri:noRegion>Galle</wicri:noRegion></affiliation></author><author><name sortKey="Samarawickrema, W A" sort="Samarawickrema, W A" uniqKey="Samarawickrema W" first="W. A." last="Samarawickrema">W. A. Samarawickrema</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Filariasis Research Unit, Faculty of Medicine, University of Ruhuna, P.O. Box 70</s1><s2>Galle</s2><s3>LKA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Sri Lanka</country><wicri:noRegion>Galle</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Annals of tropical medicine and parasitology</title><title level="j" type="abbreviated">Ann. trop. med. parasitol.</title><idno type="ISSN">0003-4983</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Annals of tropical medicine and parasitology</title><title level="j" type="abbreviated">Ann. trop. med. parasitol.</title><idno type="ISSN">0003-4983</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Distribution</term><term>Child</term><term>Elephantiasis, Filarial (complications)</term><term>Elephantiasis, Filarial (epidemiology)</term><term>Elephantiasis, Filarial (therapy)</term><term>Epidemiology</term><term>Female</term><term>Fever (epidemiology)</term><term>Fever (etiology)</term><term>Filaricides (therapeutic use)</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Hygiene</term><term>Lymphatic filariasis</term><term>Lymphedema</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (etiology)</term><term>Lymphedema (therapy)</term><term>Male</term><term>Middle Aged</term><term>Morbidity</term><term>Pain (epidemiology)</term><term>Pain (etiology)</term><term>Patient Acceptance of Health Care (psychology)</term><term>Sanitary control</term><term>Sanitary program</term><term>Sex Distribution</term><term>Socioeconomic Factors</term><term>Sri Lanka</term><term>Sri Lanka (epidemiology)</term><term>Treatment</term><term>Tropical medicine</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par le patient (psychologie)</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Connaissances, attitudes et pratiques en santé</term><term>Douleur (épidémiologie)</term><term>Douleur (étiologie)</term><term>Enfant</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Filaricides (usage thérapeutique)</term><term>Filariose lymphatique ()</term><term>Filariose lymphatique (épidémiologie)</term><term>Fièvre (épidémiologie)</term><term>Fièvre (étiologie)</term><term>Humains</term><term>Hygiène</term><term>Lymphoedème ()</term><term>Lymphoedème (épidémiologie)</term><term>Lymphoedème (étiologie)</term><term>Mâle</term><term>Répartition par sexe</term><term>Répartition par âge</term><term>Sri Lanka (épidémiologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Filaricides</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Sri Lanka</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>Fever</term><term>Lymphedema</term><term>Pain</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Fever</term><term>Lymphedema</term><term>Pain</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Acceptation des soins par le patient</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Patient Acceptance of Health Care</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Elephantiasis, Filarial</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Filaricides</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Douleur</term><term>Filariose lymphatique</term><term>Fièvre</term><term>Lymphoedème</term><term>Sri Lanka</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Douleur</term><term>Fièvre</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Distribution</term><term>Child</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Hygiene</term><term>Male</term><term>Middle Aged</term><term>Sex Distribution</term><term>Socioeconomic Factors</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enfant</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Filariose lymphatique</term><term>Humains</term><term>Hygiène</term><term>Lymphoedème</term><term>Filariose lymphatique</term><term>Mâle</term><term>Répartition par sexe</term><term>Répartition par âge</term><term>Traitement</term><term>Sri Lanka</term><term>Epidémiologie</term><term>Morbidité</term><term>Programme sanitaire</term><term>Lutte sanitaire</term><term>Médecine tropicale</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Sri Lanka</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Using in-depth interviews, information on the current state of lymphoedema management was collected from 101 cases of lymphatic filariasis with lymphoedema in three suburbs of Matara. The interviews were conducted prior to the introduction of a programme of community home-based care (CHBC) that incorporates modern lymphoedema-management strategies. Thirty-two of the interviewees had severe lymphoedema (of grade III or above). The male interviewees had significantly more entry lesions than the female. Most of the subjects had suffered from episodes of limb pain with fever, although the incidence of these episodes appeared unrelated to the severity of the lymphoedema. The frequency of the episodes of limb-pain/fever in the 12 months prior to the interviews appeared unrelated either to the level of daily hygiene, which was generally poor, or to the frequency of bathing. Many (65%) of the subjects paid no attention to limb care when bathing, and 44% did not use footwear. Over 80% made no effort to keep their afflicted limbs elevated, and 95% did not exercise. Most of the female interviewees felt shameful of their condition and were, in consequence, less likely to attend government clinics, for treatment, than the male interviewees. The drug treatment that the interviewees had received was often inadequate, and most had stopped seeking treatment because they had not perceived any significant treatment-attributable improvement in their condition. Modem lymphoedema-management strategies (based on regular washing, careful drying, and treatment, with antifungal, antibiotic or emollient creams, of the affected limbs, limb elevation, exercise, and use of footwear) had not reached the study communities and the local physicians were not aware of them. When dermatology life-quality indexes (DLQI) were calculated for the interviewees, the 26 most impaired subjects gave scores of 5-15 (mean=8.6). The DLQI for these subjects will be regularly re-evaluated, as a measure of the effectiveness of the CHBC programme that has now begun.</div></front></TEI><affiliations><list><country><li>Sri Lanka</li></country></list><tree><country name="Sri Lanka"><noRegion><name sortKey="Yahathugoda, T C" sort="Yahathugoda, T C" uniqKey="Yahathugoda T" first="T. C." last="Yahathugoda">T. C. Yahathugoda</name></noRegion><name sortKey="Samarawickrema, W A" sort="Samarawickrema, W A" uniqKey="Samarawickrema W" first="W. A." last="Samarawickrema">W. A. Samarawickrema</name><name sortKey="Weerasooriya, M V" sort="Weerasooriya, M V" uniqKey="Weerasooriya M" first="M. V." last="Weerasooriya">M. V. Weerasooriya</name><name sortKey="Wickramasinghe, D" sort="Wickramasinghe, D" uniqKey="Wickramasinghe D" first="D." last="Wickramasinghe">D. Wickramasinghe</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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