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Multicenter Study of Buruli Ulcer Disabilities in the Head and Neck Region

机译:头颈部地区布鲁氏溃疡性残疾的多中心研究

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Objective. To identify disabilities caused by Buruli Ulcer Disease (BUD) when it affects the Head and Neck Region (HNR) of patients in endemic areas and suggest possible ways to overcome the complications involved.Methods. Data for the study was collected from six different hospitals in the central part of Ghana from 2004–2009. Diagnosis of BUD was based on clinical findings and confirmed by positive result of Ziehl-Neelson Test for Acid Fast Bacilli, Polymerase Chain Reaction, or Histopathology. Treatment of BUD involved a combination of surgical interventions and antimycobacterial chemotherapy for 8 weeks.Results. The age of the 38 patients ranged from 0–56 years (mean age of 14.3 years), with males outnumbering females. Most (55.3%,N  =  21) of the patients reported to the facilities with developed BUD deformities. Patients who lost their eyeball (N  =  5) recorded the highest in terms of functional disability. A mean total hospital stay of 52 days and follow-up period of 2.3 years were recorded for the study.Conclusion. Visual impairment was the commonest form of disability recorded in the HNR. Management difficulties and BUD disabilities could be avoided by early detection of the disease and training of health professionals at district levels.
机译:目的。识别由Buruli溃疡病(BUD)引起的残疾,当它影响流行地区患者的头部和颈部区域(HNR)时,并提出可能的方法来克服所涉及的并发症。该研究的数据收集自2004-2009年加纳中部的六家不同医院。 BUD的诊断基于临床发现,并通过Ziehl-Neelson耐酸快速杆菌,聚合酶链反应或组织病理学试验的阳性结果得到证实。 BUD的治疗需要外科干预和抗分枝杆菌化学疗法相结合,共进行8周。 38名患者的年龄为0-56岁(平均年龄为14.3岁),男性多于女性。大部分(55.3%,N = 21)患者报告患有严重BUD畸形的设施。失去眼球的患者(N = 5)在功能障碍方面最高。该研究记录了平均总住院天数52天和随访期2.3年。视觉障碍是HNR中记录的最常见的残疾形式。通过尽早发现该疾病并在地区一级培训卫生专业人员,可以避免管理困难和BUD残疾。

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