LymphedemaV1, PubMed, Curation, bibRecord, 002816

Effectiveness of a simple lymphoedema treatment regimen in podoconiosis management in southern ethiopia: one year follow-up.

Identifieur interne : 002816 ( PubMed/Curation ); précédent : 002815; suivant : 002817

Effectiveness of a simple lymphoedema treatment regimen in podoconiosis management in southern ethiopia: one year follow-up.

Auteurs : Catherine Sikorski [Royaume-Uni] ; Meskele Ashine ; Zewdie Zeleke ; Gail Davey

Source :

PLoS neglected tropical diseases [ 1935-2735 ] ; 2010.

RBID : pubmed:21152059

Descripteurs français

KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Filariose lymphatique (), Filariose lymphatique (traitement médicamenteux), Filariose lymphatique (économie), Humains, Hygiène, Jeune adulte, Lymphoedème (), Lymphoedème (traitement médicamenteux), Lymphoedème (économie), Mâle, Prise en charge de la maladie, Santé en zone rurale, Émollient (usage thérapeutique), Émollient (économie), Éthiopie, Études de suivi.
MESH :
- traitement médicamenteux : Filariose lymphatique, Lymphoedème.
- usage thérapeutique : Émollient.
- économie : Filariose lymphatique, Lymphoedème, Émollient.
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Filariose lymphatique, Humains, Hygiène, Jeune adulte, Lymphoedème, Mâle, Prise en charge de la maladie, Santé en zone rurale, Éthiopie, Études de suivi.
Wicri :
- geographic : Éthiopie.

English descriptors

KwdEn :
- Adolescent, Adult, Disease Management, Elephantiasis, Filarial (drug therapy), Elephantiasis, Filarial (economics), Elephantiasis, Filarial (therapy), Emollients (economics), Emollients (therapeutic use), Ethiopia, Female, Follow-Up Studies, Humans, Hygiene, Lymphedema (drug therapy), Lymphedema (economics), Lymphedema (therapy), Male, Middle Aged, Rural Health, Young Adult.
MESH :
- chemical , economics : Emollients.
- geographic : Ethiopia.
- drug therapy : Elephantiasis, Filarial, Lymphedema.
- economics : Elephantiasis, Filarial, Lymphedema.
- chemical , therapeutic use : Emollients.
- therapy : Elephantiasis, Filarial, Lymphedema.
- Adolescent, Adult, Disease Management, Female, Follow-Up Studies, Humans, Hygiene, Male, Middle Aged, Rural Health, Young Adult.

Abstract

Podoconiosis is a non-filarial elephantiasis caused by long-term barefoot exposure to volcanic soils in endemic areas. Irritant silicate particles penetrate the skin, causing a progressive, debilitating lymphoedema of the lower leg, often starting in the second decade of life. A simple patient-led treatment approach appropriate for resource poor settings has been developed, comprising (1) education on aetiology and prevention of podoconiosis, (2) foot hygiene (daily washing with soap, water and an antiseptic), (3) the regular use of emollient, (4) elevation of the limb at night, and (5) emphasis on the consistent use of shoes and socks.

DOI: 10.1371/journal.pntd.0000902
PubMed: 21152059

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Le document en format XML

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<wicri:regionArea>University College London Medical School, London</wicri:regionArea>
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<author><name sortKey="Ashine, Meskele" sort="Ashine, Meskele" uniqKey="Ashine M" first="Meskele" last="Ashine">Meskele Ashine</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Disease Management</term>
<term>Elephantiasis, Filarial (drug therapy)</term>
<term>Elephantiasis, Filarial (economics)</term>
<term>Elephantiasis, Filarial (therapy)</term>
<term>Emollients (economics)</term>
<term>Emollients (therapeutic use)</term>
<term>Ethiopia</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Hygiene</term>
<term>Lymphedema (drug therapy)</term>
<term>Lymphedema (economics)</term>
<term>Lymphedema (therapy)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Rural Health</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Filariose lymphatique ()</term>
<term>Filariose lymphatique (traitement médicamenteux)</term>
<term>Filariose lymphatique (économie)</term>
<term>Humains</term>
<term>Hygiène</term>
<term>Jeune adulte</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (traitement médicamenteux)</term>
<term>Lymphoedème (économie)</term>
<term>Mâle</term>
<term>Prise en charge de la maladie</term>
<term>Santé en zone rurale</term>
<term>Émollient (usage thérapeutique)</term>
<term>Émollient (économie)</term>
<term>Éthiopie</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="economics" xml:lang="en"><term>Emollients</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ethiopia</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Elephantiasis, Filarial</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Elephantiasis, Filarial</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Emollients</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Elephantiasis, Filarial</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Filariose lymphatique</term>
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Émollient</term>
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<keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Filariose lymphatique</term>
<term>Lymphoedème</term>
<term>Émollient</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Disease Management</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Hygiene</term>
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<term>Middle Aged</term>
<term>Rural Health</term>
<term>Young Adult</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Filariose lymphatique</term>
<term>Humains</term>
<term>Hygiène</term>
<term>Jeune adulte</term>
<term>Lymphoedème</term>
<term>Mâle</term>
<term>Prise en charge de la maladie</term>
<term>Santé en zone rurale</term>
<term>Éthiopie</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Éthiopie</term>
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<front><div type="abstract" xml:lang="en">Podoconiosis is a non-filarial elephantiasis caused by long-term barefoot exposure to volcanic soils in endemic areas. Irritant silicate particles penetrate the skin, causing a progressive, debilitating lymphoedema of the lower leg, often starting in the second decade of life. A simple patient-led treatment approach appropriate for resource poor settings has been developed, comprising (1) education on aetiology and prevention of podoconiosis, (2) foot hygiene (daily washing with soap, water and an antiseptic), (3) the regular use of emollient, (4) elevation of the limb at night, and (5) emphasis on the consistent use of shoes and socks.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21152059</PMID>
<DateCreated><Year>2010</Year>
<Month>12</Month>
<Day>14</Day>
</DateCreated>
<DateCompleted><Year>2011</Year>
<Month>04</Month>
<Day>12</Day>
</DateCompleted>
<DateRevised><Year>2017</Year>
<Month>02</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1935-2735</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>4</Volume>
<Issue>11</Issue>
<PubDate><Year>2010</Year>
<Month>Nov</Month>
<Day>30</Day>
</PubDate>
</JournalIssue>
<Title>PLoS neglected tropical diseases</Title>
<ISOAbbreviation>PLoS Negl Trop Dis</ISOAbbreviation>
</Journal>
<ArticleTitle>Effectiveness of a simple lymphoedema treatment regimen in podoconiosis management in southern ethiopia: one year follow-up.</ArticleTitle>
<Pagination><MedlinePgn>e902</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1371/journal.pntd.0000902</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Podoconiosis is a non-filarial elephantiasis caused by long-term barefoot exposure to volcanic soils in endemic areas. Irritant silicate particles penetrate the skin, causing a progressive, debilitating lymphoedema of the lower leg, often starting in the second decade of life. A simple patient-led treatment approach appropriate for resource poor settings has been developed, comprising (1) education on aetiology and prevention of podoconiosis, (2) foot hygiene (daily washing with soap, water and an antiseptic), (3) the regular use of emollient, (4) elevation of the limb at night, and (5) emphasis on the consistent use of shoes and socks.</AbstractText>
<AbstractText Label="METHODOLOGY/PRINCIPAL FINDINGS" NlmCategory="RESULTS">We did a 12-month, non-comparative, longitudinal evaluation of 33 patients newly presenting to one clinic site of a non-government organization (the Mossy Foot Treatment & Prevention Association, MFTPA) in southern Ethiopia. Outcome measures used for the monitoring of disease progress were (1) the clinical staging system for podoconiosis, and (2) the Amharic Dermatology Life Quality Index (DLQI), both of which have been recently validated for use in this setting. Digital photographs were also taken at each visit. Twenty-seven patients completed follow up. Characteristics of patients completing follow-up were not significantly different to those not. Mean clinical stage and lower leg circumference decreased significantly (mean difference -0.67 (95% CI -0.38 to -0.96) and -2.00 (95% CI -1.26 to -2.74), respectively, p<0.001 for both changes). Mean DLQI diminished from 21 (out of a maximum of 30) to 6 (p<0.001). There was a non-significant change in proportion of patients with mossy lesions (p = 0.375).</AbstractText>
<AbstractText Label="CONCLUSIONS/SIGNIFICANCE" NlmCategory="CONCLUSIONS">This simple, resource-appropriate regimen has a considerable impact both on clinical progression and self-reported quality of life of affected individuals. The regimen appears ideal for scaling up to other endemic regions in Ethiopia and internationally. We recommend that further research in the area include analysis of cost-effectiveness of the regimen.</AbstractText>
</Abstract>
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<Language>eng</Language>
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<CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Clin Exp Dermatol. 1994 May;19(3):210-6</RefSource>
<PMID Version="1">8033378</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>PLoS Negl Trop Dis. 2009;3(5):e424</RefSource>
<PMID Version="1">19479039</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Trop Med Int Health. 2006 Jul;11(7):1136-44</RefSource>
<PMID Version="1">16827714</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Curr Opin Infect Dis. 2005 Apr;18(2):119-22</RefSource>
<PMID Version="1">15735414</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Trans R Soc Trop Med Hyg. 2007 Dec;101(12):1175-80</RefSource>
<PMID Version="1">17976670</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Br J Dermatol. 2008 Sep;159(4):903-6</RefSource>
<PMID Version="1">18671781</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Trans R Soc Trop Med Hyg. 2007 Jun;101(6):621-3</RefSource>
<PMID Version="1">17316723</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Trans R Soc Trop Med Hyg. 2008 May;102(5):439-44</RefSource>
<PMID Version="1">18339411</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Ethiop Med J. 1988 Jul;26(3):151-3</RefSource>
<PMID Version="1">2843362</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Trans R Soc Trop Med Hyg. 2010 Jan;104(1):42-7</RefSource>
<PMID Version="1">19717176</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Trop Med Int Health. 2008 Oct;13(10):1277-83</RefSource>
<PMID Version="1">18721188</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Emerg Infect Dis. 2004 Nov;10(11):1938-46</RefSource>
<PMID Version="1">15550203</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Trop Doct. 2003 Oct;33(4):217-20</RefSource>
<PMID Version="1">14620426</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Trans R Soc Trop Med Hyg. 2007 Mar;101(3):245-9</RefSource>
<PMID Version="1">17098268</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Filaria J. 2003 Jan 24;2(1):1</RefSource>
<PMID Version="1">12605723</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Filaria J. 2007 Feb 15;6:2</RefSource>
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Effectiveness of a simple lymphoedema treatment regimen in podoconiosis management in southern ethiopia: one year follow-up.

Effectiveness of a simple lymphoedema treatment regimen in podoconiosis management in southern ethiopia: one year follow-up.

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Abstract

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