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    Apr 22, 2021
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    Risk factors for buruli ulcer: a case control study in Cameroon

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    Authors
    Pouillot, Régis
    Matias, Gonçalo
    Wondje, Christelle Mbondji
    Portaels, Françoise
    Valin, Nadia
    Ngos, François
    Njikap, Adelaïde
    Marsollier, Laurent
    Fontanet, Arnaud
    Eyangoh, Sara
    Affiliation
    Laboratoire d'Epidémiologie et de Santé Publique, Centre Pasteur du Cameroun, Yaoundé, Cameroon; Unite´ d’Epide´miologie des Maladies Emergentes, Institut Pasteur, Paris, France; Laboratoire des Mycobacte´ ries, Centre Pasteur du Cameroun, Yaounde , Cameroon; Mycobacterium Unit, Institute of Tropical Medecine, Antwerp, Belgium; Hopital de District d’Akonolinga, Ministere de la Sante Publique, Yaounde, Cameroon; Medecins Sans Frontieres-Suisse, Yaounde, Cameroon; Groupe d’Etude des Interactions Hotes Parasites, Universite d Angers, Angers, France; Equipe Avenir Institut National de la Sante´ et de la Recherche Me´ dicale, Institut Pasteur Korea, Seongbuk-gu, Seoul, Korea
    Issue Date
    2007-12-19
    
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    Journal
    PLoS Neglected Tropical Diseases
    Abstract
    BACKGROUND: Buruli ulcer is an infectious disease involving the skin, caused by Mycobacterium ulcerans. This disease is associated with areas where the water is slow-flowing or stagnant. However, the exact mechanism of transmission of the bacillus and the development of the disease through human activities is unknown. METHODOLOGY/PRINCIPAL FINDINGS: A case-control study to identify Buruli ulcer risk factors in Cameroon compared case-patients with community-matched controls on one hand and family-matched controls on the other hand. Risk factors identified by the community-matched study (including 163 pairs) were: having a low level of education, swamp wading, wearing short, lower-body clothing while farming, living near a cocoa plantation or woods, using adhesive bandages when hurt, and using mosquito coils. Protective factors were: using bed nets, washing clothes, and using leaves as traditional treatment or rubbing alcohol when hurt. The family-matched study (including 118 pairs) corroborated the significance of education level, use of bed nets, and treatment with leaves. CONCLUSIONS/SIGNIFICANCE: Covering limbs during farming activities is confirmed as a protective factor guarding against Buruli ulcer disease, but newly identified factors including wound treatment and use of bed nets may provide new insight into the unknown mode of transmission of M. ulcerans or the development of the disease.
    URI
    http://hdl.handle.net/10144/116351
    DOI
    10.1371/journal.pntd.0000101
    PubMed ID
    18160977
    Additional Links
    http://www.plosntds.org/article/info%3Adoi%2F10.1371%2Fjournal.pntd.0000101
    Type
    Article
    Language
    en
    ISSN
    1935-2735
    ae974a485f413a2113503eed53cd6c53
    10.1371/journal.pntd.0000101
    Scopus Count
    Collections
    Other Diseases

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