Risk factors for antimony treatment failure in American Cutaneous Leishmaniasis in Northwestern-Argentina.
Background To date, there is no specific literature available on the determinants for therapeutic failure (TF) with meglumine antimoniate (MA) in Northwestern-Argentina. This study aimed to identify epidemiological, clinical, and treatment-related factors that could be involved in TF. Methodology/pr...
Published in: | PLOS Neglected Tropical Diseases |
---|---|
Main Authors: | , , , , , , , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Public Library of Science (PLoS)
2021
|
Subjects: | |
Online Access: | https://doi.org/10.1371/journal.pntd.0009003 https://doaj.org/article/0aa18c8cad4241f9a80dc0dc1355bf7c |
id |
ftdoajarticles:oai:doaj.org/article:0aa18c8cad4241f9a80dc0dc1355bf7c |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:0aa18c8cad4241f9a80dc0dc1355bf7c 2023-05-15T15:14:30+02:00 Risk factors for antimony treatment failure in American Cutaneous Leishmaniasis in Northwestern-Argentina. María F García-Bustos Gabriela González-Prieto Alberto E Paniz-Mondolfi Cecilia Parodi Josefina Beckar Sibila Monroig Federico Ramos María C Mora Lourdes A Delgado-Noguera Yoshihisa Hashiguchi Daniela Jaime Sonia Moreno Luisa Ruiz-Morales César G Lemir Alejandra Barrio 2021-01-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0009003 https://doaj.org/article/0aa18c8cad4241f9a80dc0dc1355bf7c EN eng Public Library of Science (PLoS) https://doi.org/10.1371/journal.pntd.0009003 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0009003 https://doaj.org/article/0aa18c8cad4241f9a80dc0dc1355bf7c PLoS Neglected Tropical Diseases, Vol 15, Iss 1, p e0009003 (2021) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.1371/journal.pntd.0009003 2022-12-31T11:56:32Z Background To date, there is no specific literature available on the determinants for therapeutic failure (TF) with meglumine antimoniate (MA) in Northwestern-Argentina. This study aimed to identify epidemiological, clinical, and treatment-related factors that could be involved in TF. Methodology/principal findings We performed a case-control study. Cases were represented by patients who showed TF after administration of the first course of MA treatment, whereas, controls were determined as patients who evolved towards healing after the first MA cycle received. Crude Odds Ratios and their corresponding 90% confidence intervals (CI) were calculated, and risk factors were then tested by multivariate analysis using logistic binary regression. Three hundred and eighty-four patients with a presumptive diagnosis of ACL were recruited, and 153 with a positive diagnosis were selected. We included in the study 71 patients, who underwent specific treatment with MA, presented complete data on response to treatment, and had a minimum post-treatment follow-up of 6 months in cutaneous leishmaniasis, and 12 months in mucosal leishmaniasis. Of these, 34 (47.9%) presented TF. In the initial analysis, TF was significantly associated with the geographical area of disease acquisition (p = 0.036), the presence of mucosal lesions (p = 0.042), the presence of concomitant skin and mucosal lesions (p = 0.002), and lesion age ≥ 6 months (p = 0.018). Risk factors influencing TF in the final multivariate model included the geographical area where the disease was acquired (adjusted Odd Ratio 8.062; 95% CI 1.914-33.959; p = 0.004), and lesion age ≥ 6 months (adjusted Odd Ratio 10.037; 95% CI 1.383-72.843; p = 0.023). Conclusions/significance The results of the present study suggest the existence of some risk factors linked to TF in Northwestern-Argentina, which deserve further investigation. Herein we recorded a high percentage of TF and we described clinical and epidemiological characteristics associated with TF that could be taken into ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Argentina PLOS Neglected Tropical Diseases 15 1 e0009003 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 María F García-Bustos Gabriela González-Prieto Alberto E Paniz-Mondolfi Cecilia Parodi Josefina Beckar Sibila Monroig Federico Ramos María C Mora Lourdes A Delgado-Noguera Yoshihisa Hashiguchi Daniela Jaime Sonia Moreno Luisa Ruiz-Morales César G Lemir Alejandra Barrio Risk factors for antimony treatment failure in American Cutaneous Leishmaniasis in Northwestern-Argentina. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Background To date, there is no specific literature available on the determinants for therapeutic failure (TF) with meglumine antimoniate (MA) in Northwestern-Argentina. This study aimed to identify epidemiological, clinical, and treatment-related factors that could be involved in TF. Methodology/principal findings We performed a case-control study. Cases were represented by patients who showed TF after administration of the first course of MA treatment, whereas, controls were determined as patients who evolved towards healing after the first MA cycle received. Crude Odds Ratios and their corresponding 90% confidence intervals (CI) were calculated, and risk factors were then tested by multivariate analysis using logistic binary regression. Three hundred and eighty-four patients with a presumptive diagnosis of ACL were recruited, and 153 with a positive diagnosis were selected. We included in the study 71 patients, who underwent specific treatment with MA, presented complete data on response to treatment, and had a minimum post-treatment follow-up of 6 months in cutaneous leishmaniasis, and 12 months in mucosal leishmaniasis. Of these, 34 (47.9%) presented TF. In the initial analysis, TF was significantly associated with the geographical area of disease acquisition (p = 0.036), the presence of mucosal lesions (p = 0.042), the presence of concomitant skin and mucosal lesions (p = 0.002), and lesion age ≥ 6 months (p = 0.018). Risk factors influencing TF in the final multivariate model included the geographical area where the disease was acquired (adjusted Odd Ratio 8.062; 95% CI 1.914-33.959; p = 0.004), and lesion age ≥ 6 months (adjusted Odd Ratio 10.037; 95% CI 1.383-72.843; p = 0.023). Conclusions/significance The results of the present study suggest the existence of some risk factors linked to TF in Northwestern-Argentina, which deserve further investigation. Herein we recorded a high percentage of TF and we described clinical and epidemiological characteristics associated with TF that could be taken into ... |
format |
Article in Journal/Newspaper |
author |
María F García-Bustos Gabriela González-Prieto Alberto E Paniz-Mondolfi Cecilia Parodi Josefina Beckar Sibila Monroig Federico Ramos María C Mora Lourdes A Delgado-Noguera Yoshihisa Hashiguchi Daniela Jaime Sonia Moreno Luisa Ruiz-Morales César G Lemir Alejandra Barrio |
author_facet |
María F García-Bustos Gabriela González-Prieto Alberto E Paniz-Mondolfi Cecilia Parodi Josefina Beckar Sibila Monroig Federico Ramos María C Mora Lourdes A Delgado-Noguera Yoshihisa Hashiguchi Daniela Jaime Sonia Moreno Luisa Ruiz-Morales César G Lemir Alejandra Barrio |
author_sort |
María F García-Bustos |
title |
Risk factors for antimony treatment failure in American Cutaneous Leishmaniasis in Northwestern-Argentina. |
title_short |
Risk factors for antimony treatment failure in American Cutaneous Leishmaniasis in Northwestern-Argentina. |
title_full |
Risk factors for antimony treatment failure in American Cutaneous Leishmaniasis in Northwestern-Argentina. |
title_fullStr |
Risk factors for antimony treatment failure in American Cutaneous Leishmaniasis in Northwestern-Argentina. |
title_full_unstemmed |
Risk factors for antimony treatment failure in American Cutaneous Leishmaniasis in Northwestern-Argentina. |
title_sort |
risk factors for antimony treatment failure in american cutaneous leishmaniasis in northwestern-argentina. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2021 |
url |
https://doi.org/10.1371/journal.pntd.0009003 https://doaj.org/article/0aa18c8cad4241f9a80dc0dc1355bf7c |
geographic |
Arctic Argentina |
geographic_facet |
Arctic Argentina |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 15, Iss 1, p e0009003 (2021) |
op_relation |
https://doi.org/10.1371/journal.pntd.0009003 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0009003 https://doaj.org/article/0aa18c8cad4241f9a80dc0dc1355bf7c |
op_doi |
https://doi.org/10.1371/journal.pntd.0009003 |
container_title |
PLOS Neglected Tropical Diseases |
container_volume |
15 |
container_issue |
1 |
container_start_page |
e0009003 |
_version_ |
1766344953878806528 |