RESUMO
Leprosy is endemic in Madagascar and the diagnosis of leprosy is still done lately. Thus, many patients suffer from multiple and/or severe disabilities. Since a long time, many leprologists argue that surgery is necessary and useful in the treatment of these disabilities. We report the results of a retrospective study done in 25 patients reevaluated 2 to 7 years after surgery. Of these patients: 17 patients (68%) have success, 7 patients (28%) have a partial improvement and only 1 case (4%) had no benefit. These results are encouraging and suggest that surgery must be proposed more often to treat in leprosy disabilities.
Assuntos
Hanseníase/cirurgia , Adolescente , Adulto , Desbridamento/estatística & dados numéricos , Denervação/estatística & dados numéricos , Pessoas com Deficiência/estatística & dados numéricos , Doenças Endêmicas/prevenção & controle , Doenças Endêmicas/estatística & dados numéricos , Feminino , Humanos , Hanseníase/diagnóstico , Hanseníase/epidemiologia , Madagáscar/epidemiologia , Masculino , Programas de Rastreamento , Pessoa de Meia-Idade , Cuidados Paliativos/estatística & dados numéricos , Seleção de Pacientes , Estudos Retrospectivos , Resultado do TratamentoRESUMO
Leprosy is endemic in Madagascar. The authors report the results of an epidemiologic study performed between 1996 and 1998 in Farafanguna, localized in the South-Eastern of the country. During this period, 217 new cases have been diagnosed. Of the 130 cases included in the study, 69.23% were children aged lower than 15 years and 76.91% suffered from a multibacillary form. More than 50% of the cases belonged to a large family (6 persons or more) and at least one family case was found in more than 60% of cases. These results enhance the severity of the disease in the country and show the presence of multiple risk factors (promiscuity, family cases and multibacillary forms).
