Control of mucocutaneous leishmaniasis, a neglected disease: results of a control programme in Satipo Province, Peru.

Hdl Handle:
http://hdl.handle.net/10144/17265
Title:
Control of mucocutaneous leishmaniasis, a neglected disease: results of a control programme in Satipo Province, Peru.
Authors:
Guthmann, J P; Arlt, D; Garcia, L M L; Rosales, M; de Jesus Sanchez, J; Alvarez, E; Lonlas, S; Conte, M; Bertoletti, G; Fournier, C; Huari, R; Torreele, E; Llanos-Cuentas, A
Journal:
Tropical Medicine & International Health
Abstract:
Mucocutaneous leishmaniasis (MCL) is an important health problem in many rural areas of Latin America, but there are few data on the results of programmatic approaches to control the disease. We report the results of a control programme in San Martin de Pangoa District, which reports one of the highest prevalences of MCL in Peru. For 2 years (2001--2002), the technicians at the health post were trained in patient case management, received medical support and were supplied with antimonials. An evaluation after 2 years showed the following main achievements: better diagnosis of patients, who were confirmed by microscopy in 34% (82/240) of the cases in 2001 and 60% of the cases (153/254) in 2002; improved follow-up during treatment: 237 of 263 (90%) patients who initiated an antimonial therapy ended the full treatment course; improved follow-up after treatment: 143 of 237 (60%) patients who ended their full treatment were correctly monitored during the required period of 6 (cutaneous cases) or 12 (mucosal cases) months after the end of treatment. These achievements were largely due to the human and logistical resources made available, the constant availability of medications and the close collaboration between the Ministry of Health, a national research institute and an international non-governmental organization. At the end of this period, the health authorities decided to register a generic brand of sodium stibogluconate, which is now in use. This should allow the treatment of a significant number of additional patients, while saving money to invest in other facets of the case management.
Affiliation:
Epicentre, Paris, France. jguthmann@epicentre.msf.org
Publisher:
Wiley-Blackwell
Issue Date:
Sep-2005
URI:
http://hdl.handle.net/10144/17265
DOI:
10.1111/j.1365-3156.2005.01460.x
PubMed ID:
16135192
Language:
en
ISSN:
1360-2276
Appears in Collections:
Leishmaniasis/Kala Azar

Full metadata record

DC FieldValue Language
dc.contributor.authorGuthmann, J P-
dc.contributor.authorArlt, D-
dc.contributor.authorGarcia, L M L-
dc.contributor.authorRosales, M-
dc.contributor.authorde Jesus Sanchez, J-
dc.contributor.authorAlvarez, E-
dc.contributor.authorLonlas, S-
dc.contributor.authorConte, M-
dc.contributor.authorBertoletti, G-
dc.contributor.authorFournier, C-
dc.contributor.authorHuari, R-
dc.contributor.authorTorreele, E-
dc.contributor.authorLlanos-Cuentas, A-
dc.date.accessioned2008-01-31T16:06:39Z-
dc.date.available2008-01-31T16:06:39Z-
dc.date.issued2005-09-
dc.identifier.citationControl of mucocutaneous leishmaniasis, a neglected disease: results of a control programme in Satipo Province, Peru. 2005, 10 (9):856-62 Trop. Med. Int. Healthen
dc.identifier.issn1360-2276-
dc.identifier.pmid16135192-
dc.identifier.doi10.1111/j.1365-3156.2005.01460.x-
dc.identifier.urihttp://hdl.handle.net/10144/17265-
dc.description.abstractMucocutaneous leishmaniasis (MCL) is an important health problem in many rural areas of Latin America, but there are few data on the results of programmatic approaches to control the disease. We report the results of a control programme in San Martin de Pangoa District, which reports one of the highest prevalences of MCL in Peru. For 2 years (2001--2002), the technicians at the health post were trained in patient case management, received medical support and were supplied with antimonials. An evaluation after 2 years showed the following main achievements: better diagnosis of patients, who were confirmed by microscopy in 34% (82/240) of the cases in 2001 and 60% of the cases (153/254) in 2002; improved follow-up during treatment: 237 of 263 (90%) patients who initiated an antimonial therapy ended the full treatment course; improved follow-up after treatment: 143 of 237 (60%) patients who ended their full treatment were correctly monitored during the required period of 6 (cutaneous cases) or 12 (mucosal cases) months after the end of treatment. These achievements were largely due to the human and logistical resources made available, the constant availability of medications and the close collaboration between the Ministry of Health, a national research institute and an international non-governmental organization. At the end of this period, the health authorities decided to register a generic brand of sodium stibogluconate, which is now in use. This should allow the treatment of a significant number of additional patients, while saving money to invest in other facets of the case management.en
dc.language.isoenen
dc.publisherWiley-Blackwell-
dc.rightsArchived on this site with the kind permission of Wiley-Blackwellen
dc.subject.meshAntimonyen
dc.subject.meshAntiprotozoal Agentsen
dc.subject.meshHealth Care Costsen
dc.subject.meshHealth Services Accessibilityen
dc.subject.meshHumansen
dc.subject.meshLeishmaniasis, Mucocutaneousen
dc.subject.meshPeruen
dc.subject.meshPrevalenceen
dc.subject.meshProgram Evaluationen
dc.subject.meshRural Healthen
dc.subject.meshTreatment Outcomeen
dc.titleControl of mucocutaneous leishmaniasis, a neglected disease: results of a control programme in Satipo Province, Peru.en
dc.contributor.departmentEpicentre, Paris, France. jguthmann@epicentre.msf.orgen
dc.identifier.journalTropical Medicine & International Healthen

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