학술논문

Buruli Ulcer Recurrence, Benin.
Document Type
Article
Source
Emerging Infectious Diseases. Apr2005, Vol. 11 Issue 4, p584-589. 6p. 4 Charts.
Subject
*ULCERS
*SUPPURATION
*PUBLIC health
*DISEASE relapse
Language
ISSN
1080-6040
Abstract
Buruli ulcer is a recognized public health problem in West Africa. In Benin, from 1989 to 2001, the Centre Sanitaire et Nutritionnel Gbemoten (CSNG) treated <2,500 Buruli ulcer patients. From March 2000 to February 2001, field trips were conducted in the Zou and Atlantique regions. The choice of the 2 regions was based on the distance from CSNG and on villages with the highest number of patients treated at CSNG. A total of 66 (44.0%) of 150 former patients treated at CSNG were located in the visited villages. The recurrence rate of CSNG-treated patients after a follow-up period of up to 7 years was low (6.1%, 95% confidence interval [CI] 2.0-15.6). We attribute this low rate to the high quality of Buruli ulcer treatment at an accessible regional center (CSNG). The World Health Organization definition of a Buruli ulcer recurrent case should be revised to include a follow-up period >1 year. [ABSTRACT FROM AUTHOR]