Efficacy of a limb-care regime in preventing acute adenolymphangitis in patients with lymphoedema caused by bancroftian filariasis, in Colombo, Sri Lanka
Identifieur interne : 000513 ( PascalFrancis/Curation ); précédent : 000512; suivant : 000514Efficacy 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 [Sri Lanka] ; A. R. Wickremasinghe [Sri Lanka] ; S. Ekanayake [Sri Lanka] ; M. S. A. Perera [Sri Lanka]Source :
- Annals of tropical medicine and parasitology [ 0003-4983 ] ; 2007.
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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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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Efficacy of a limb-care regime in preventing acute adenolymphangitis in patients with lymphoedema caused by bancroftian filariasis, in Colombo, Sri Lanka</title><author><name sortKey="Wijesinghe, R S" sort="Wijesinghe, R S" uniqKey="Wijesinghe R" first="R. S." last="Wijesinghe">R. S. Wijesinghe</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Parasitology, Faculty of Medical Sciences, University of Sri Jayewardenepura</s1><s2>Gangodawila, Nugegoda</s2><s3>LKA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Sri Lanka</country></affiliation></author><author><name sortKey="Wickremasinghe, A R" sort="Wickremasinghe, A R" uniqKey="Wickremasinghe A" first="A. R." last="Wickremasinghe">A. R. Wickremasinghe</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Community Medicine, Faculty of Medicine, University of Kelaniya, P.O. Box 6</s1><s2>Thalagolla Road, Ragama</s2><s3>LKA</s3><sZ>2 aut.</sZ></inist:fA14><country>Sri Lanka</country></affiliation></author><author><name sortKey="Ekanayake, S" sort="Ekanayake, S" uniqKey="Ekanayake S" first="S." last="Ekanayake">S. Ekanayake</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Parasitology, Faculty of Medical Sciences, University of Sri Jayewardenepura</s1><s2>Gangodawila, Nugegoda</s2><s3>LKA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Sri Lanka</country></affiliation></author><author><name sortKey="Perera, M S A" sort="Perera, M S A" uniqKey="Perera M" first="M. S. A." last="Perera">M. S. A. Perera</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Family Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura</s1><s2>Gangodawila, Nugegoda</s2><s3>LKA</s3><sZ>4 aut.</sZ></inist:fA14><country>Sri Lanka</country></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">07-0402497</idno><date when="2007">2007</date><idno type="stanalyst">PASCAL 07-0402497 INIST</idno><idno type="RBID">Pascal:07-0402497</idno><idno type="wicri:Area/PascalFrancis/Corpus">000447</idno><idno type="wicri:Area/PascalFrancis/Curation">000513</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Efficacy of a limb-care regime in preventing acute adenolymphangitis in patients with lymphoedema caused by bancroftian filariasis, in Colombo, Sri Lanka</title><author><name sortKey="Wijesinghe, R S" sort="Wijesinghe, R S" uniqKey="Wijesinghe R" first="R. S." last="Wijesinghe">R. S. Wijesinghe</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Parasitology, Faculty of Medical Sciences, University of Sri Jayewardenepura</s1><s2>Gangodawila, Nugegoda</s2><s3>LKA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Sri Lanka</country></affiliation></author><author><name sortKey="Wickremasinghe, A R" sort="Wickremasinghe, A R" uniqKey="Wickremasinghe A" first="A. R." last="Wickremasinghe">A. R. Wickremasinghe</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Community Medicine, Faculty of Medicine, University of Kelaniya, P.O. Box 6</s1><s2>Thalagolla Road, Ragama</s2><s3>LKA</s3><sZ>2 aut.</sZ></inist:fA14><country>Sri Lanka</country></affiliation></author><author><name sortKey="Ekanayake, S" sort="Ekanayake, S" uniqKey="Ekanayake S" first="S." last="Ekanayake">S. Ekanayake</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Parasitology, Faculty of Medical Sciences, University of Sri Jayewardenepura</s1><s2>Gangodawila, Nugegoda</s2><s3>LKA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Sri Lanka</country></affiliation></author><author><name sortKey="Perera, M S A" sort="Perera, M S A" uniqKey="Perera M" first="M. S. A." last="Perera">M. S. A. Perera</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Family Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura</s1><s2>Gangodawila, Nugegoda</s2><s3>LKA</s3><sZ>4 aut.</sZ></inist:fA14><country>Sri Lanka</country></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="2007">2007</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>Acute</term><term>Adenopathy</term><term>Care</term><term>Human</term><term>Limb</term><term>Lymphangitis</term><term>Lymphatic filariasis</term><term>Lymphedema</term><term>Patient</term><term>Prevention</term><term>Sri Lanka</term><term>Tropical medicine</term><term>Wuchereria bancrofti</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lymphangite</term><term>Adénopathie</term><term>Lymphoedème</term><term>Filariose lymphatique</term><term>Membre</term><term>Soin</term><term>Prévention</term><term>Aigu</term><term>Homme</term><term>Malade</term><term>Wuchereria bancrofti</term><term>Sri Lanka</term><term>Médecine tropicale</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Sri Lanka</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><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></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0003-4983</s0></fA01><fA02 i1="01"><s0>ATMPA2</s0></fA02><fA03 i2="1"><s0>Ann. trop. med. parasitol.</s0></fA03><fA05><s2>101</s2></fA05><fA06><s2>6</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Efficacy of a limb-care regime in preventing acute adenolymphangitis in patients with lymphoedema caused by bancroftian filariasis, in Colombo, Sri Lanka</s1></fA08><fA11 i1="01" i2="1"><s1>WIJESINGHE (R. S.)</s1></fA11><fA11 i1="02" i2="1"><s1>WICKREMASINGHE (A. R.)</s1></fA11><fA11 i1="03" i2="1"><s1>EKANAYAKE (S.)</s1></fA11><fA11 i1="04" i2="1"><s1>PERERA (M. S. A.)</s1></fA11><fA14 i1="01"><s1>Department of Parasitology, Faculty of Medical Sciences, University of Sri Jayewardenepura</s1><s2>Gangodawila, Nugegoda</s2><s3>LKA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Community Medicine, Faculty of Medicine, University of Kelaniya, P.O. Box 6</s1><s2>Thalagolla Road, Ragama</s2><s3>LKA</s3><sZ>2 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Family Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura</s1><s2>Gangodawila, Nugegoda</s2><s3>LKA</s3><sZ>4 aut.</sZ></fA14><fA20><s1>487-497</s1></fA20><fA21><s1>2007</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>2075</s2><s5>354000150061000030</s5></fA43><fA44><s0>0000</s0><s1>© 2007 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>1 p.</s0></fA45><fA47 i1="01" i2="1"><s0>07-0402497</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Annals of tropical medicine and parasitology</s0></fA64><fA66 i1="01"><s0>GBR</s0></fA66><fC01 i1="01" l="ENG"><s0>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. 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