Leprosy tertiary prevention: Difference between revisions
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==Tertiary Prevention== | ==Tertiary Prevention== | ||
Once | Once multidrug treatment has been started, significant [[nerve damage]] may still occur, particularly in ''multibacillary cases''. This damage commonly declines throughout the following 3 years. 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: |
Revision as of 21:41, 8 July 2014
Leprosy Microchapters |
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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. This damage commonly declines throughout the following 3 years. 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:
- 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, such as:
- Assistance of patients with acute eye problems
- Debridement of infected areas
- Surgery in required cases