Leprosy reactions after release from multidrug therapy in an endemic cluster in Brazil: patient awareness of symptoms and self-perceived changes in life
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos Saúde Coletiva (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2013000400014 |
Resumo: | We assessed diagnosis and consequences of leprosy reactions as perceived by affected individuals. A cross-sectional study was performed in five municipalities in an endemic disease cluster in Brazil. Structured interviews included 280 leprosy-affected individuals who had experienced reactions after release from treatment (RFT), 2007-2009. Open questions included information on diagnostic features of leprosy reactions, sensory loss and self-perceived changes in life after experiencing leprosy reactions. In this study, 43.2% were diagnosed with reaction during multi-drug therapy. In the majority of cases, the patient himself/herself perceived disease symptoms first (n=240; 85.8%). Primary Health Care Centres were the first entry point into the health system for 95/150 (63.3%). In 72.6% of these, leprosy diagnosis was made within the primary care setting. Patientperceived signs and symptoms of reactions included skin lesions (42%) and neurological symptoms (39%). In total, 216/280 (77.1%) stated that they had perceived changes in life. Physical impairments limiting possibilities to work and reduced income were mentioned commonly (n=118; 54.6%). Discrimination and social isolation were also experienced. Our study indicates an inadequate response of health services for individuals with reactions after RFT. An integrated approach is needed, including physical, psychological care and self-care groups. |
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Leprosy reactions after release from multidrug therapy in an endemic cluster in Brazil: patient awareness of symptoms and self-perceived changes in lifeleprosybiological reactionshealth of the disabledWe assessed diagnosis and consequences of leprosy reactions as perceived by affected individuals. A cross-sectional study was performed in five municipalities in an endemic disease cluster in Brazil. Structured interviews included 280 leprosy-affected individuals who had experienced reactions after release from treatment (RFT), 2007-2009. Open questions included information on diagnostic features of leprosy reactions, sensory loss and self-perceived changes in life after experiencing leprosy reactions. In this study, 43.2% were diagnosed with reaction during multi-drug therapy. In the majority of cases, the patient himself/herself perceived disease symptoms first (n=240; 85.8%). Primary Health Care Centres were the first entry point into the health system for 95/150 (63.3%). In 72.6% of these, leprosy diagnosis was made within the primary care setting. Patientperceived signs and symptoms of reactions included skin lesions (42%) and neurological symptoms (39%). In total, 216/280 (77.1%) stated that they had perceived changes in life. Physical impairments limiting possibilities to work and reduced income were mentioned commonly (n=118; 54.6%). Discrimination and social isolation were also experienced. Our study indicates an inadequate response of health services for individuals with reactions after RFT. An integrated approach is needed, including physical, psychological care and self-care groups.Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro2013-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2013000400014Cadernos Saúde Coletiva v.21 n.4 2013reponame:Cadernos Saúde Coletiva (Online)instname:Universidade Federal do Rio de Janeiro (UFRJ)instacron:UFRJ10.1590/S1414-462X2013000400014info:eu-repo/semantics/openAccessAlencar,Maria de Jesus Freitas deBarbosa,Jaqueline CaracasPereira,Thayza MirandaSantos,Suen OliveiraEggens,Klaas HendrikHeukelbach,Jorgeng2015-07-13T00:00:00Zoai:scielo:S1414-462X2013000400014Revistahttp://www.iesc.ufrj.br/cadernos/ONGhttps://old.scielo.br/oai/scielo-oai.phpabelha@iesc.ufrj.br||abelha@iesc.ufrj.br2358-291X1414-462Xopendoar:2015-07-13T00:00Cadernos Saúde Coletiva (Online) - Universidade Federal do Rio de Janeiro (UFRJ)false |
dc.title.none.fl_str_mv |
Leprosy reactions after release from multidrug therapy in an endemic cluster in Brazil: patient awareness of symptoms and self-perceived changes in life |
title |
Leprosy reactions after release from multidrug therapy in an endemic cluster in Brazil: patient awareness of symptoms and self-perceived changes in life |
spellingShingle |
Leprosy reactions after release from multidrug therapy in an endemic cluster in Brazil: patient awareness of symptoms and self-perceived changes in life Alencar,Maria de Jesus Freitas de leprosy biological reactions health of the disabled |
title_short |
Leprosy reactions after release from multidrug therapy in an endemic cluster in Brazil: patient awareness of symptoms and self-perceived changes in life |
title_full |
Leprosy reactions after release from multidrug therapy in an endemic cluster in Brazil: patient awareness of symptoms and self-perceived changes in life |
title_fullStr |
Leprosy reactions after release from multidrug therapy in an endemic cluster in Brazil: patient awareness of symptoms and self-perceived changes in life |
title_full_unstemmed |
Leprosy reactions after release from multidrug therapy in an endemic cluster in Brazil: patient awareness of symptoms and self-perceived changes in life |
title_sort |
Leprosy reactions after release from multidrug therapy in an endemic cluster in Brazil: patient awareness of symptoms and self-perceived changes in life |
author |
Alencar,Maria de Jesus Freitas de |
author_facet |
Alencar,Maria de Jesus Freitas de Barbosa,Jaqueline Caracas Pereira,Thayza Miranda Santos,Suen Oliveira Eggens,Klaas Hendrik Heukelbach,Jorg |
author_role |
author |
author2 |
Barbosa,Jaqueline Caracas Pereira,Thayza Miranda Santos,Suen Oliveira Eggens,Klaas Hendrik Heukelbach,Jorg |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Alencar,Maria de Jesus Freitas de Barbosa,Jaqueline Caracas Pereira,Thayza Miranda Santos,Suen Oliveira Eggens,Klaas Hendrik Heukelbach,Jorg |
dc.subject.por.fl_str_mv |
leprosy biological reactions health of the disabled |
topic |
leprosy biological reactions health of the disabled |
description |
We assessed diagnosis and consequences of leprosy reactions as perceived by affected individuals. A cross-sectional study was performed in five municipalities in an endemic disease cluster in Brazil. Structured interviews included 280 leprosy-affected individuals who had experienced reactions after release from treatment (RFT), 2007-2009. Open questions included information on diagnostic features of leprosy reactions, sensory loss and self-perceived changes in life after experiencing leprosy reactions. In this study, 43.2% were diagnosed with reaction during multi-drug therapy. In the majority of cases, the patient himself/herself perceived disease symptoms first (n=240; 85.8%). Primary Health Care Centres were the first entry point into the health system for 95/150 (63.3%). In 72.6% of these, leprosy diagnosis was made within the primary care setting. Patientperceived signs and symptoms of reactions included skin lesions (42%) and neurological symptoms (39%). In total, 216/280 (77.1%) stated that they had perceived changes in life. Physical impairments limiting possibilities to work and reduced income were mentioned commonly (n=118; 54.6%). Discrimination and social isolation were also experienced. Our study indicates an inadequate response of health services for individuals with reactions after RFT. An integrated approach is needed, including physical, psychological care and self-care groups. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2013000400014 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2013000400014 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1414-462X2013000400014 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro |
publisher.none.fl_str_mv |
Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro |
dc.source.none.fl_str_mv |
Cadernos Saúde Coletiva v.21 n.4 2013 reponame:Cadernos Saúde Coletiva (Online) instname:Universidade Federal do Rio de Janeiro (UFRJ) instacron:UFRJ |
instname_str |
Universidade Federal do Rio de Janeiro (UFRJ) |
instacron_str |
UFRJ |
institution |
UFRJ |
reponame_str |
Cadernos Saúde Coletiva (Online) |
collection |
Cadernos Saúde Coletiva (Online) |
repository.name.fl_str_mv |
Cadernos Saúde Coletiva (Online) - Universidade Federal do Rio de Janeiro (UFRJ) |
repository.mail.fl_str_mv |
abelha@iesc.ufrj.br||abelha@iesc.ufrj.br |
_version_ |
1750128224045629440 |