Treatment-seeking behavior and treatment practices of lymphatic filariasis patients with lymphoedema in the Colombo district, Sri Lanka.
Identifieur interne : 003017 ( PubMed/Corpus ); précédent : 003016; suivant : 003018Treatment-seeking behavior and treatment practices of lymphatic filariasis patients with lymphoedema in the Colombo district, Sri Lanka.
Auteurs : Rushika Shalindri Wijesinghe ; Ananda Rajitha Wickremasinghe ; Sriyani Ekanayake ; Marian Shanthy Antoinette PereraSource :
- Asia-Pacific journal of public health [ 1941-2479 ] ; 2008.
English descriptors
- KwdEn :
- Acute Disease, Adolescent, Adult, Aged, Aged, 80 and over, Child, Cross-Sectional Studies, Diethylcarbamazine (administration & dosage), Elephantiasis, Filarial (complications), Elephantiasis, Filarial (diagnosis), Elephantiasis, Filarial (therapy), Female, Humans, Interviews as Topic, Lymphangitis (etiology), Lymphedema (etiology), Lymphedema (therapy), Male, Middle Aged, Patient Acceptance of Health Care (statistics & numerical data), Patient Compliance (statistics & numerical data), Sri Lanka, Surveys and Questionnaires, Time Factors, Young Adult.
- MESH :
- chemical , administration & dosage : Diethylcarbamazine.
- geographic : Sri Lanka.
- complications : Elephantiasis, Filarial.
- diagnosis : Elephantiasis, Filarial.
- etiology : Lymphangitis, Lymphedema.
- statistics & numerical data : Patient Acceptance of Health Care, Patient Compliance.
- therapy : Elephantiasis, Filarial, Lymphedema.
- Acute Disease, Adolescent, Adult, Aged, Aged, 80 and over, Child, Cross-Sectional Studies, Female, Humans, Interviews as Topic, Male, Middle Aged, Surveys and Questionnaires, Time Factors, Young Adult.
Abstract
This cross-sectional, descriptive study describes the treatment-seeking behavior of 413 lymphoedema patients attending 2 filariasis clinics in the Colombo district, Sri Lanka. A pretested, interviewer-administered questionnaire obtained information regarding sources and types of treatment taken, time taken for diagnosis, and details regarding diethylcarbamazine citrate (DEC) treatment. There was a mean delay of 2.37 years (SD 1.37) in diagnosing filariasis after the first appearance of limb swelling. General practitioners were the most frequent first-contact health care providers and the most visited source overall, followed by government hospitals and Ayurvedic practitioners. Approximately 95% of patients were on DEC treatment ranging from 10 days to 43 years (mean 2.5 years SD +/- 1.1). Sixty-one percent of patients reported always having taken the recommended DEC course. Nonsteroidal anti-inflammatory drugs, diuretics, and antibiotics were liberally prescribed. Approximately 97% had sought treatment from a medical practitioner for an acute adenolymphangitis attack. Despite the area being endemic for filariasis, there was a delay in treatment and inappropriate use of DEC in patients with chronic filarial lymphoedema.
DOI: 10.1177/1010539507311257
PubMed: 19124306
Links to Exploration step
pubmed:19124306Le document en format XML
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Shanthy Antoinette" sort="Perera, Marian Shanthy Antoinette" uniqKey="Perera M" first="Marian Shanthy Antoinette" last="Perera">Marian Shanthy Antoinette Perera</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="RBID">pubmed:19124306</idno><idno type="pmid">19124306</idno><idno type="doi">10.1177/1010539507311257</idno><idno type="wicri:Area/PubMed/Corpus">003017</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003017</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Treatment-seeking behavior and treatment practices of lymphatic filariasis patients with lymphoedema in the Colombo district, Sri Lanka.</title><author><name sortKey="Wijesinghe, Rushika Shalindri" sort="Wijesinghe, Rushika Shalindri" uniqKey="Wijesinghe R" first="Rushika Shalindri" last="Wijesinghe">Rushika Shalindri 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scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Diethylcarbamazine</term></keywords><keywords scheme="MESH" type="geographic" 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="diagnosis" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphangitis</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Patient Acceptance of Health Care</term><term>Patient Compliance</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Elephantiasis, Filarial</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Interviews as Topic</term><term>Male</term><term>Middle Aged</term><term>Surveys and Questionnaires</term><term>Time Factors</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This cross-sectional, descriptive study describes the treatment-seeking behavior of 413 lymphoedema patients attending 2 filariasis clinics in the Colombo district, Sri Lanka. A pretested, interviewer-administered questionnaire obtained information regarding sources and types of treatment taken, time taken for diagnosis, and details regarding diethylcarbamazine citrate (DEC) treatment. There was a mean delay of 2.37 years (SD 1.37) in diagnosing filariasis after the first appearance of limb swelling. General practitioners were the most frequent first-contact health care providers and the most visited source overall, followed by government hospitals and Ayurvedic practitioners. Approximately 95% of patients were on DEC treatment ranging from 10 days to 43 years (mean 2.5 years SD +/- 1.1). Sixty-one percent of patients reported always having taken the recommended DEC course. Nonsteroidal anti-inflammatory drugs, diuretics, and antibiotics were liberally prescribed. Approximately 97% had sought treatment from a medical practitioner for an acute adenolymphangitis attack. Despite the area being endemic for filariasis, there was a delay in treatment and inappropriate use of DEC in patients with chronic filarial lymphoedema.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19124306</PMID><DateCreated><Year>2009</Year><Month>01</Month><Day>06</Day></DateCreated><DateCompleted><Year>2009</Year><Month>09</Month><Day>01</Day></DateCompleted><DateRevised><Year>2016</Year><Month>10</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1941-2479</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>2</Issue><PubDate><Year>2008</Year></PubDate></JournalIssue><Title>Asia-Pacific journal of public health</Title><ISOAbbreviation>Asia Pac J Public Health</ISOAbbreviation></Journal><ArticleTitle>Treatment-seeking behavior and treatment practices of lymphatic filariasis patients with lymphoedema in the Colombo district, Sri Lanka.</ArticleTitle><Pagination><MedlinePgn>129-38</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/1010539507311257</ELocationID><Abstract><AbstractText>This cross-sectional, descriptive study describes the treatment-seeking behavior of 413 lymphoedema patients attending 2 filariasis clinics in the Colombo district, Sri Lanka. A pretested, interviewer-administered questionnaire obtained information regarding sources and types of treatment taken, time taken for diagnosis, and details regarding diethylcarbamazine citrate (DEC) treatment. There was a mean delay of 2.37 years (SD 1.37) in diagnosing filariasis after the first appearance of limb swelling. General practitioners were the most frequent first-contact health care providers and the most visited source overall, followed by government hospitals and Ayurvedic practitioners. Approximately 95% of patients were on DEC treatment ranging from 10 days to 43 years (mean 2.5 years SD +/- 1.1). Sixty-one percent of patients reported always having taken the recommended DEC course. Nonsteroidal anti-inflammatory drugs, diuretics, and antibiotics were liberally prescribed. Approximately 97% had sought treatment from a medical practitioner for an acute adenolymphangitis attack. 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UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>China</Country><MedlineTA>Asia Pac J Public Health</MedlineTA><NlmUniqueID>8708538</NlmUniqueID><ISSNLinking>1010-5395</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>V867Q8X3ZD</RegistryNumber><NameOfSubstance UI="D004049">Diethylcarbamazine</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000208" MajorTopicYN="N">Acute Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and 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