乌干达的足癣:发病率、地理分布和风险因素。

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ivan Masete, Hope Simpson, Gabriel Matwale, Francis Mutebi, Marlene Thielecke, Fred Nuwaha, George Mukone, Kebede Deribe, Gail Davey
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引用次数: 0

摘要

背景:足癣是一种被忽视的致残性疾病,但可以预防。尽管足癣对公共卫生具有重要意义,但它经常被误诊并与淋巴丝虫病混淆。由于没有适当的诊断检测方法,导致该病的发病率被低估,并且缺乏控制干预措施:在有疑似或报告足癣病例或海拔高度在 1200 米以上的 7 个地区进行了基于人口的横断面调查。调查于 2023 年 1 月 30 日至 3 月 19 日进行,采用多层次分层抽样法对符合条件的家庭成员进行调查:在抽样的 10 023 名参与者中,有 187 人(置信区间为 1.25 至 2.78)具有足癣的临床特征。发病率最高的地区是纳卡皮里皮里特(7.2% [58/809])和西隆科(2.8 [44/1564]),最低的地区是卡塞塞(0.3% [5/1537]),但在宗博、鲁孔吉里、贡巴和霍伊马等地区,发病率在1.1%至1.8%之间。与足癣发生有关的因素包括高龄、真菌感染、家庭清洁和个人卫生。睡在床上、每天洗澡、使用肥皂和使用至少中等状况的鞋类对足癣有保护作用:所有抽样地区都发生了足癣,并与个人卫生有关。长期病例表明缺乏治疗。采用整体护理模式对这种疾病进行早期干预是有潜力的。紧急行动和利益相关者的参与对于有效管理足尘病至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Podoconiosis in Uganda: prevalence, geographical distribution and risk factors.

Background: Podoconiosis is a neglected debilitating yet preventable disease. Despite its public health significance, podoconiosis is often misdiagnosed and confused with lymphatic filariasis. No appropriate diagnostic tests exist, contributing to underestimation and the absence of control interventions.

Methods: A population-based cross-sectional survey was conducted in seven districts with suspected or reported cases of podoconiosis or an altitude of 1200 m above sea level. Conducted from 30 January to 19 March 2023, the survey employed multilevel stratified sampling to reach eligible household members.

Results: Of the 10 023 participants sampled, 187 (confidence interval 1.25 to 2.78) had clinical features of podoconiosis. The highest prevalence was recorded in Nakapiripirit (7.2% [58/809]) and Sironko (2.8 [44/1564]) and the lowest in Kasese (0.3% [5/1537]), but ranged from 1.1 to 1.8% in Zombo, Rukungiri, Gomba and Hoima districts. The duration of podoconiosis was reported to range from 1 to 57 y. Factors associated with podoconiosis occurrence included advanced age, tungiasis, household cleanliness and personal hygiene. Sleeping on a bed, bathing daily, use of soap and use of footwear in at least moderate condition were protective against podoconiosis.

Conclusions: Podoconiosis occurred in all the sampled districts and was linked to personal hygiene. Long-standing cases suggest an absence of treatment. There is potential for early intervention using a holistic care model in managing this condition. Urgent action and stakeholder engagement are essential for effective podoconiosis management.

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来源期刊
Transactions of The Royal Society of Tropical Medicine and Hygiene
Transactions of The Royal Society of Tropical Medicine and Hygiene 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.00
自引率
9.10%
发文量
115
审稿时长
4-8 weeks
期刊介绍: Transactions of the Royal Society of Tropical Medicine and Hygiene publishes authoritative and impactful original, peer-reviewed articles and reviews on all aspects of tropical medicine.
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