A Cross-Sectional Study of ‘Yaws’ in Districts of Ghana Which Have Previously Undertaken Azithromycin Mass Drug Administration for Trachoma Control
Identifieur interne : 000406 ( Main/Exploration ); précédent : 000405; suivant : 000407A Cross-Sectional Study of ‘Yaws’ in Districts of Ghana Which Have Previously Undertaken Azithromycin Mass Drug Administration for Trachoma Control
Auteurs : Rosanna Ghinai [Royaume-Uni] ; Philip El-Duah [Ghana] ; Kai-Hua Chi [États-Unis] ; Allan Pillay [États-Unis] ; Anthony W. Solomon [Royaume-Uni] ; Robin L. Bailey [Royaume-Uni] ; Nsiire Agana [Ghana] ; David C. W. Mabey [Royaume-Uni] ; Cheng-Yen Chen [États-Unis] ; Yaw Adu-Sarkodie [Ghana] ; Michael Marks [Royaume-Uni]Source :
- PLoS Neglected Tropical Diseases [ 1935-2727 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- usage thérapeutique : Antibactériens, Azithromycine.
- Adolescent, Enfant, Enfant d'âge préscolaire, Femelle, Ghana, Humains, Mâle, Pian, Trachome, Études transversales.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Anti-Bacterial Agents, Azithromycin.
- geographic : Ghana.
- prevention & control : Trachoma, Yaws.
- Adolescent, Child, Child, Preschool, Cross-Sectional Studies, Female, Humans, Male.
Abstract
Yaws, caused by
Url:
DOI: 10.1371/journal.pntd.0003496
PubMed: 25632942
PubMed Central: 4310597
Affiliations:
- Ghana, Royaume-Uni, États-Unis
- Angleterre, Grand Londres, Géorgie (États-Unis), Région du Grand Accra
- Accra, Londres
Links toward previous steps (curation, corpus...)
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Le document en format XML
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<term>Azithromycin (therapeutic use)</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Ghana</term>
<term>Humans</term>
<term>Male</term>
<term>Trachoma (prevention & control)</term>
<term>Yaws (prevention & control)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Antibactériens (usage thérapeutique)</term>
<term>Azithromycine (usage thérapeutique)</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Ghana</term>
<term>Humains</term>
<term>Mâle</term>
<term>Pian ()</term>
<term>Trachome ()</term>
<term>Études transversales</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Bacterial Agents</term>
<term>Azithromycin</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ghana</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Trachoma</term>
<term>Yaws</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antibactériens</term>
<term>Azithromycine</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Ghana</term>
<term>Humains</term>
<term>Mâle</term>
<term>Pian</term>
<term>Trachome</term>
<term>Études transversales</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p>Yaws, caused by <italic>Treponema pallidum</italic>
ssp. <italic>pertenue</italic>
, is reportedly endemic in Ghana. Mass distribution of azithromycin is now the cornerstone of the WHO yaws eradication campaign. Mass distribution of azithromycin at a lower target dose was previously undertaken in two regions of Ghana for the control of trachoma. Ongoing reporting of yaws raises the possibility that resistance may have emerged in <italic>T. pallidum</italic>
pertenue, or that alternative infections may be responsible for some of the reported cases. We conducted a cross-sectional survey in thirty communities in two districts of Ghana where MDA for trachoma had previously been conducted. Children aged 5–17 years with ulcerative lesions compatible with yaws were enrolled. Samples for treponemal serology and lesion PCR were collected from all children. 90 children with 98 lesions were enrolled. Syphilis serology was negative in all of them. PCR for <italic>T. pallidum</italic>
ssp <italic>pertenue</italic>
was negative in all children, but <italic>Haemophilus ducreyi</italic>
DNA was detected in 9 lesions. In these communities, previously treated for trachoma, we found no evidence of ongoing transmission of yaws. <italic>H. ducreyi</italic>
was associated with a proportion of skin lesions, but the majority of lesions remain unexplained. Integration of diagnostic testing into both pre and post-MDA surveillance systems is required to better inform yaws control programmes.</p>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Marks, M" uniqKey="Marks M">M Marks</name>
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</author>
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</author>
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<author><name sortKey="Danavall, D" uniqKey="Danavall D">D Danavall</name>
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<biblStruct></biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<affiliations><list><country><li>Ghana</li>
<li>Royaume-Uni</li>
<li>États-Unis</li>
</country>
<region><li>Angleterre</li>
<li>Grand Londres</li>
<li>Géorgie (États-Unis)</li>
<li>Région du Grand Accra</li>
</region>
<settlement><li>Accra</li>
<li>Londres</li>
</settlement>
</list>
<tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Ghinai, Rosanna" sort="Ghinai, Rosanna" uniqKey="Ghinai R" first="Rosanna" last="Ghinai">Rosanna Ghinai</name>
</region>
<name sortKey="Bailey, Robin L" sort="Bailey, Robin L" uniqKey="Bailey R" first="Robin L." last="Bailey">Robin L. Bailey</name>
<name sortKey="Bailey, Robin L" sort="Bailey, Robin L" uniqKey="Bailey R" first="Robin L." last="Bailey">Robin L. Bailey</name>
<name sortKey="Mabey, David C W" sort="Mabey, David C W" uniqKey="Mabey D" first="David C. W." last="Mabey">David C. W. Mabey</name>
<name sortKey="Mabey, David C W" sort="Mabey, David C W" uniqKey="Mabey D" first="David C. W." last="Mabey">David C. W. Mabey</name>
<name sortKey="Marks, Michael" sort="Marks, Michael" uniqKey="Marks M" first="Michael" last="Marks">Michael Marks</name>
<name sortKey="Marks, Michael" sort="Marks, Michael" uniqKey="Marks M" first="Michael" last="Marks">Michael Marks</name>
<name sortKey="Solomon, Anthony W" sort="Solomon, Anthony W" uniqKey="Solomon A" first="Anthony W." last="Solomon">Anthony W. Solomon</name>
<name sortKey="Solomon, Anthony W" sort="Solomon, Anthony W" uniqKey="Solomon A" first="Anthony W." last="Solomon">Anthony W. Solomon</name>
</country>
<country name="Ghana"><noRegion><name sortKey="El Duah, Philip" sort="El Duah, Philip" uniqKey="El Duah P" first="Philip" last="El-Duah">Philip El-Duah</name>
</noRegion>
<name sortKey="Adu Sarkodie, Yaw" sort="Adu Sarkodie, Yaw" uniqKey="Adu Sarkodie Y" first="Yaw" last="Adu-Sarkodie">Yaw Adu-Sarkodie</name>
<name sortKey="Agana, Nsiire" sort="Agana, Nsiire" uniqKey="Agana N" first="Nsiire" last="Agana">Nsiire Agana</name>
</country>
<country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Chi, Kai Hua" sort="Chi, Kai Hua" uniqKey="Chi K" first="Kai-Hua" last="Chi">Kai-Hua Chi</name>
</region>
<name sortKey="Chen, Cheng Yen" sort="Chen, Cheng Yen" uniqKey="Chen C" first="Cheng-Yen" last="Chen">Cheng-Yen Chen</name>
<name sortKey="Pillay, Allan" sort="Pillay, Allan" uniqKey="Pillay A" first="Allan" last="Pillay">Allan Pillay</name>
</country>
</tree>
</affiliations>
</record>
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