Efficacy of a limb-care regime in preventing acute adenolymphangitis in patients with lymphoedema caused by bancroftian filariasis, in Colombo, Sri Lanka
Identifieur interne : 000447 ( PascalFrancis/Corpus ); précédent : 000446; suivant : 000448Efficacy of a limb-care regime in preventing acute adenolymphangitis in patients with lymphoedema caused by bancroftian filariasis, in Colombo, Sri Lanka
Auteurs : R. S. Wijesinghe ; A. R. Wickremasinghe ; S. Ekanayake ; M. S. A. PereraSource :
- Annals of tropical medicine and parasitology [ 0003-4983 ] ; 2007.
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- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
The efficacy of a programme of community home-based care (CHBC) for lymphoedematous limbs was evaluated among 163 lymphoedema patients attending two filariasis clinics in Colombo. Each patient was interviewed and examined and his or her lymphoedema was graded during a baseline assessment, before the CHBC programme, and again, during a post-intervention assessment, after the patient had been in the programme for 1 year. The number of patients having entry lesions was 24% lower at the post-intervention assessment than at the baseline (P<0.001), with a reduction in the frequency of each type of entry lesion investigated. In the year the patients were in the CHBC programme, 30% fewer of them experienced at least one attack of adenolymphangitis (ADL; P<0.001), the mean number of ADL attacks/patient was lower (P<0.001), and the mean duration of each ADL attack suffered was slightly shorter (5.70 v. 5.84 days; P>0.05) than in the year before the baseline assessment. The reduction in the incidence of ADL attacks was greatest in the patients with the higher grades of lymphoedema. Approximately 66% of the patients perceived an improvement in their swollen limb post-intervention. Eleven patients had grade-II lymphoedema at baseline but only grade-I lymphoedema after being on the CHBC programme for a year (P=0.012). The programme appeared to increase the frequencies with which patients followed each of the limb-care measures considered and most of the measures for the home management of ADL attacks that were investigated. It is recommended that the CHBC programme be implemented as a national programme in Sri Lanka.
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Format Inist (serveur)
NO : | PASCAL 07-0402497 INIST |
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ET : | Efficacy of a limb-care regime in preventing acute adenolymphangitis in patients with lymphoedema caused by bancroftian filariasis, in Colombo, Sri Lanka |
AU : | WIJESINGHE (R. S.); WICKREMASINGHE (A. R.); EKANAYAKE (S.); PERERA (M. S. A.) |
AF : | Department of Parasitology, Faculty of Medical Sciences, University of Sri Jayewardenepura/Gangodawila, Nugegoda/Sri Lanka (1 aut., 3 aut.); Department of Community Medicine, Faculty of Medicine, University of Kelaniya, P.O. Box 6/Thalagolla Road, Ragama/Sri Lanka (2 aut.); Department of Family Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura/Gangodawila, Nugegoda/Sri Lanka (4 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Annals of tropical medicine and parasitology; ISSN 0003-4983; Coden ATMPA2; Royaume-Uni; Da. 2007; Vol. 101; No. 6; Pp. 487-497; Bibl. 1 p. |
LA : | Anglais |
EA : | The efficacy of a programme of community home-based care (CHBC) for lymphoedematous limbs was evaluated among 163 lymphoedema patients attending two filariasis clinics in Colombo. Each patient was interviewed and examined and his or her lymphoedema was graded during a baseline assessment, before the CHBC programme, and again, during a post-intervention assessment, after the patient had been in the programme for 1 year. The number of patients having entry lesions was 24% lower at the post-intervention assessment than at the baseline (P<0.001), with a reduction in the frequency of each type of entry lesion investigated. In the year the patients were in the CHBC programme, 30% fewer of them experienced at least one attack of adenolymphangitis (ADL; P<0.001), the mean number of ADL attacks/patient was lower (P<0.001), and the mean duration of each ADL attack suffered was slightly shorter (5.70 v. 5.84 days; P>0.05) than in the year before the baseline assessment. The reduction in the incidence of ADL attacks was greatest in the patients with the higher grades of lymphoedema. Approximately 66% of the patients perceived an improvement in their swollen limb post-intervention. Eleven patients had grade-II lymphoedema at baseline but only grade-I lymphoedema after being on the CHBC programme for a year (P=0.012). The programme appeared to increase the frequencies with which patients followed each of the limb-care measures considered and most of the measures for the home management of ADL attacks that were investigated. It is recommended that the CHBC programme be implemented as a national programme in Sri Lanka. |
CC : | 002B01; 002B12B04; 002B05E03B4D |
FD : | Lymphangite; Adénopathie; Lymphoedème; Filariose lymphatique; Membre; Soin; Prévention; Aigu; Homme; Malade; Wuchereria bancrofti; Sri Lanka; Médecine tropicale |
FG : | Nématodose; Helminthiase; Parasitose; Infection; Nematoda; Nemathelminthia; Helmintha; Invertebrata; Asie; Lymphatique pathologie; Appareil circulatoire pathologie |
ED : | Lymphangitis; Adenopathy; Lymphedema; Lymphatic filariasis; Limb; Care; Prevention; Acute; Human; Patient; Wuchereria bancrofti; Sri Lanka; Tropical medicine |
EG : | Nematode disease; Helminthiasis; Parasitosis; Infection; Nematoda; Nemathelminthia; Helmintha; Invertebrata; Asia; Lymphatic vessel disease; Cardiovascular disease |
SD : | Linfangitis; Adenopatía; Linfedema; Filariasis linfática; Miembro; Cuidado; Prevención; Agudo; Hombre; Enfermo; Wuchereria bancrofti; Sri Lanka; Medicina tropical |
LO : | INIST-2075.354000150061000030 |
ID : | 07-0402497 |
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Pascal:07-0402497Le document en format XML
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<term>Lymphangitis</term>
<term>Lymphatic filariasis</term>
<term>Lymphedema</term>
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<front><div type="abstract" xml:lang="en">The efficacy of a programme of community home-based care (CHBC) for lymphoedematous limbs was evaluated among 163 lymphoedema patients attending two filariasis clinics in Colombo. Each patient was interviewed and examined and his or her lymphoedema was graded during a baseline assessment, before the CHBC programme, and again, during a post-intervention assessment, after the patient had been in the programme for 1 year. The number of patients having entry lesions was 24% lower at the post-intervention assessment than at the baseline (P<0.001), with a reduction in the frequency of each type of entry lesion investigated. In the year the patients were in the CHBC programme, 30% fewer of them experienced at least one attack of adenolymphangitis (ADL; P<0.001), the mean number of ADL attacks/patient was lower (P<0.001), and the mean duration of each ADL attack suffered was slightly shorter (5.70 v. 5.84 days; P>0.05) than in the year before the baseline assessment. The reduction in the incidence of ADL attacks was greatest in the patients with the higher grades of lymphoedema. Approximately 66% of the patients perceived an improvement in their swollen limb post-intervention. Eleven patients had grade-II lymphoedema at baseline but only grade-I lymphoedema after being on the CHBC programme for a year (P=0.012). The programme appeared to increase the frequencies with which patients followed each of the limb-care measures considered and most of the measures for the home management of ADL attacks that were investigated. It is recommended that the CHBC programme be implemented as a national programme in Sri Lanka.</div>
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<fC07 i1="04" i2="X" l="ENG"><s0>Infection</s0>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Infección</s0>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Nematoda</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Nematoda</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Nematoda</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Nemathelminthia</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Nemathelminthia</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Nemathelminthia</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Helmintha</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Helmintha</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Helmintha</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="08" i2="X" l="FRE"><s0>Invertebrata</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="08" i2="X" l="ENG"><s0>Invertebrata</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="08" i2="X" l="SPA"><s0>Invertebrata</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="09" i2="X" l="FRE"><s0>Asie</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="09" i2="X" l="ENG"><s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="09" i2="X" l="SPA"><s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="10" i2="X" l="FRE"><s0>Lymphatique pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="10" i2="X" l="ENG"><s0>Lymphatic vessel disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="10" i2="X" l="SPA"><s0>Linfático patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="11" i2="X" l="FRE"><s0>Appareil circulatoire pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="11" i2="X" l="ENG"><s0>Cardiovascular disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="11" i2="X" l="SPA"><s0>Aparato circulatorio patología</s0>
<s5>38</s5>
</fC07>
<fN21><s1>260</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
<server><NO>PASCAL 07-0402497 INIST</NO>
<ET>Efficacy of a limb-care regime in preventing acute adenolymphangitis in patients with lymphoedema caused by bancroftian filariasis, in Colombo, Sri Lanka</ET>
<AU>WIJESINGHE (R. S.); WICKREMASINGHE (A. R.); EKANAYAKE (S.); PERERA (M. S. A.)</AU>
<AF>Department of Parasitology, Faculty of Medical Sciences, University of Sri Jayewardenepura/Gangodawila, Nugegoda/Sri Lanka (1 aut., 3 aut.); Department of Community Medicine, Faculty of Medicine, University of Kelaniya, P.O. Box 6/Thalagolla Road, Ragama/Sri Lanka (2 aut.); Department of Family Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura/Gangodawila, Nugegoda/Sri Lanka (4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Annals of tropical medicine and parasitology; ISSN 0003-4983; Coden ATMPA2; Royaume-Uni; Da. 2007; Vol. 101; No. 6; Pp. 487-497; Bibl. 1 p.</SO>
<LA>Anglais</LA>
<EA>The efficacy of a programme of community home-based care (CHBC) for lymphoedematous limbs was evaluated among 163 lymphoedema patients attending two filariasis clinics in Colombo. Each patient was interviewed and examined and his or her lymphoedema was graded during a baseline assessment, before the CHBC programme, and again, during a post-intervention assessment, after the patient had been in the programme for 1 year. The number of patients having entry lesions was 24% lower at the post-intervention assessment than at the baseline (P<0.001), with a reduction in the frequency of each type of entry lesion investigated. In the year the patients were in the CHBC programme, 30% fewer of them experienced at least one attack of adenolymphangitis (ADL; P<0.001), the mean number of ADL attacks/patient was lower (P<0.001), and the mean duration of each ADL attack suffered was slightly shorter (5.70 v. 5.84 days; P>0.05) than in the year before the baseline assessment. The reduction in the incidence of ADL attacks was greatest in the patients with the higher grades of lymphoedema. Approximately 66% of the patients perceived an improvement in their swollen limb post-intervention. Eleven patients had grade-II lymphoedema at baseline but only grade-I lymphoedema after being on the CHBC programme for a year (P=0.012). The programme appeared to increase the frequencies with which patients followed each of the limb-care measures considered and most of the measures for the home management of ADL attacks that were investigated. It is recommended that the CHBC programme be implemented as a national programme in Sri Lanka.</EA>
<CC>002B01; 002B12B04; 002B05E03B4D</CC>
<FD>Lymphangite; Adénopathie; Lymphoedème; Filariose lymphatique; Membre; Soin; Prévention; Aigu; Homme; Malade; Wuchereria bancrofti; Sri Lanka; Médecine tropicale</FD>
<FG>Nématodose; Helminthiase; Parasitose; Infection; Nematoda; Nemathelminthia; Helmintha; Invertebrata; Asie; Lymphatique pathologie; Appareil circulatoire pathologie</FG>
<ED>Lymphangitis; Adenopathy; Lymphedema; Lymphatic filariasis; Limb; Care; Prevention; Acute; Human; Patient; Wuchereria bancrofti; Sri Lanka; Tropical medicine</ED>
<EG>Nematode disease; Helminthiasis; Parasitosis; Infection; Nematoda; Nemathelminthia; Helmintha; Invertebrata; Asia; Lymphatic vessel disease; Cardiovascular disease</EG>
<SD>Linfangitis; Adenopatía; Linfedema; Filariasis linfática; Miembro; Cuidado; Prevención; Agudo; Hombre; Enfermo; Wuchereria bancrofti; Sri Lanka; Medicina tropical</SD>
<LO>INIST-2075.354000150061000030</LO>
<ID>07-0402497</ID>
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