Leprosy tertiary prevention: Difference between revisions

Jump to navigation Jump to search
m (Changes made per Mahshid's request)
 
(8 intermediate revisions by one other user not shown)
Line 3: Line 3:
{{CMG}}; {{AE}} {{JS}}
{{CMG}}; {{AE}} {{JS}}
==Overview==
==Overview==
After leprosy has been [[diagnosis|diagnosed]] and [[Therapy|treatment]] has been initiated, other measures may be taken, in order to minimize further damage to the patient. These include: education of the patient and family members to monitor and treat [[skin]] [[ulcers]] and other lesions, primary care facilities to provide help to the populations and to direct patients to a specialist, whenever needed.<ref name=WHO>{{cite web | title = Enhanced global strategy for further reducing the disease burden due to leprosy (2011-2015) | url = http://www.searo.who.int/entity/global_leprosy_programme/documents/enhanced_global_strategy_2011_2015_operational_guidelines.pdf }}</ref>
After [[Therapy|treatment]] has been initiated, other measures to minimize further damage to the patient include: education of the individual and family members to monitor and treat [[skin]] [[ulcers]] and other lesions, primary care facilities to provide help to the populations and to direct patients to a specialist, whenever necessary.<ref name=WHO>{{cite web | title = Enhanced global strategy for further reducing the disease burden due to leprosy (2011-2015) | url = http://www.searo.who.int/entity/global_leprosy_programme/documents/enhanced_global_strategy_2011_2015_operational_guidelines.pdf }}</ref>


==Tertiary Prevention==
==Tertiary Prevention==
Once an individual is [[infected]] with leprosy and [[symptoms]] start to develop, the longer the period taken to establish a correct [[diagnosis]] and until [[Therapy|treatment]] is started, greater the chance of developing lifelong damage. It is important to emphasize this time frame because, even after the [[diagnosis]] has been reached and adequate [[therapy]] has been started, significant [[nerve damage]] will continue to develop, particularly in ''multibacillary cases''. This damage will then decline throughout the following 3 years. Education of the population to prevent further damage, monitor and provide basic [[Therapy|treatment]] should be emphasized.
Once multidrug treatment has been started, significant [[nerve damage]] may still occur, particularly in ''multibacillary cases''. Education of the population to prevent further damage, monitor and provide basic [[Therapy|treatment]] should be emphasized. Once the damage has been established, it is important to minimize its impact on the lives of the populations. For this, important measures may be applied, including:<ref name=WHO>{{cite web | title = Enhanced global strategy for further reducing the disease burden due to leprosy (2011-2015) | url = http://www.searo.who.int/entity/global_leprosy_programme/documents/enhanced_global_strategy_2011_2015_operational_guidelines.pdf }}</ref>
Once the damage has been established, it is important to minimize its impact on the lives of the populations. For this, important measures may be applied, including:<ref name=WHO>{{cite web | title = Enhanced global strategy for further reducing the disease burden due to leprosy (2011-2015) | url = http://www.searo.who.int/entity/global_leprosy_programme/documents/enhanced_global_strategy_2011_2015_operational_guidelines.pdf }}</ref>
===Home self-care===
* Home self-care - the activities that individuals may perform at their homes, individually or with assistance of family members, such as [[wound]] dressing of the [[hands]] or [[feet]], thereby minimizing further damage.
* Activities that individuals may perform at their homes, individually or with assistance of family members, such as [[wound]] dressing of the [[hands]] or [[feet]], minimizing further damage
* Interventions and education at the local clinic.
* Performing self-examination to detect unknown areas of lesion
:* Direct education of patients to treat their [[lesions]], prevent further damages and identify early [[symptoms]], that should direct them to seek medical attention.
 
:* Educate about protective footwear and [[orthotics]].
===Interventions and education at the local clinic===
:* Identify problems that may need specialist intervention.
* Direct education of patients to treat their [[lesions]], prevent further damages and identify early [[symptoms]], that should direct them to seek medical attention
:* Provide basic care and monitoring of [[skin]] [[ulcers]] and [[sequelae]] of the disease.
* Educate about protective footwear and [[orthotics]]
* Specialist intervention, such as:
* Identify problems that may need specialist intervention
:* Assist patients with acute [[eye]] problems.
* Provide basic care and monitoring of [[skin]] [[ulcers]] and [[sequelae]] of the disease
:* [[Debridement]] of [[infected]] areas.
===Specialist intervention===
:* [[Surgery]] in required cases.
* Assistance of patients with acute [[eye]] problems
* [[Debridement]] of [[infected]] areas
* [[Surgery]] in required cases


==References==
==References==
Line 27: Line 29:
[[Category:Disease]]
[[Category:Disease]]
[[Category:Dermatology]]
[[Category:Dermatology]]
[[Category:Infectious disease]]
 
[[Category:Tropical disease]]
[[Category:Tropical disease]]
[[Category:Leprosy]]
[[Category:Leprosy]]

Latest revision as of 18:10, 18 September 2017

Leprosy Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Leprosy from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Tertiary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Leprosy tertiary prevention On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Leprosy tertiary prevention

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Leprosy tertiary prevention

CDC on Leprosy tertiary prevention

Leprosy tertiary prevention in the news

Blogs on Leprosy tertiary prevention

Directions to Hospitals Treating Leprosy

Risk calculators and risk factors for Leprosy tertiary prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]

Overview

After treatment has been initiated, other measures to minimize further damage to the patient include: education of the individual and family members to monitor and treat skin ulcers and other lesions, primary care facilities to provide help to the populations and to direct patients to a specialist, whenever necessary.[1]

Tertiary Prevention

Once multidrug treatment has been started, significant nerve damage may still occur, particularly in multibacillary cases. Education of the population to prevent further damage, monitor and provide basic treatment should be emphasized. Once the damage has been established, it is important to minimize its impact on the lives of the populations. For this, important measures may be applied, including:[1]

Home self-care

  • Activities that individuals may perform at their homes, individually or with assistance of family members, such as wound dressing of the hands or feet, minimizing further damage
  • Performing self-examination to detect unknown areas of lesion

Interventions and education at the local clinic

  • Direct education of patients to treat their lesions, prevent further damages and identify early symptoms, that should direct them to seek medical attention
  • Educate about protective footwear and orthotics
  • Identify problems that may need specialist intervention
  • Provide basic care and monitoring of skin ulcers and sequelae of the disease

Specialist intervention

References

  1. 1.0 1.1 "Enhanced global strategy for further reducing the disease burden due to leprosy (2011-2015)" (PDF).


Template:WikiDoc Sources