Mucocutaneous Leishmaniasis: Knowledge, Attitudes, and Practices Among Paraguayan Communities, Patients, and Health Professionals
Cutaneous leishmaniasis (CL) and mucocutaneous leishmaniasis (MCL) due to Leishmania (V.) braziliensis are endemic in Paraguay. We performed a series of knowledge, attitudes, and practice (KAP) surveys simultaneously with individuals in endemic communities in San Pedro department (n=463), health pro...
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ftdoajarticles:oai:doaj.org/article:5193bd05f7b54dd687d32a0f632f9cf4 2023-05-15T15:05:45+02:00 Mucocutaneous Leishmaniasis: Knowledge, Attitudes, and Practices Among Paraguayan Communities, Patients, and Health Professionals Mónica Ruoti Rolando Oddone Nathalie Lampert Elizabeth Orué Michael A. Miles Neal Alexander Andrea M. Rehman Rebecca Njord Stephanie Shu Susannah Brice Bryony Sinclair Alison Krentel 2013-01-01T00:00:00Z https://doi.org/10.1155/2013/538629 https://doaj.org/article/5193bd05f7b54dd687d32a0f632f9cf4 EN eng Hindawi Limited http://dx.doi.org/10.1155/2013/538629 https://doaj.org/toc/1687-9686 https://doaj.org/toc/1687-9694 1687-9686 1687-9694 doi:10.1155/2013/538629 https://doaj.org/article/5193bd05f7b54dd687d32a0f632f9cf4 Journal of Tropical Medicine, Vol 2013 (2013) Arctic medicine. Tropical medicine RC955-962 article 2013 ftdoajarticles https://doi.org/10.1155/2013/538629 2022-12-31T02:33:06Z Cutaneous leishmaniasis (CL) and mucocutaneous leishmaniasis (MCL) due to Leishmania (V.) braziliensis are endemic in Paraguay. We performed a series of knowledge, attitudes, and practice (KAP) surveys simultaneously with individuals in endemic communities in San Pedro department (n=463), health professionals (n=25), and patients (n=25). Results showed that communities were exposed to high risk factors for transmission of L. braziliensis. In logistic regression analysis, age was the only factor independently associated with having seen a CL/MCL lesion (P=0.002). The pervasive attitude in communities was that CL was not a problem. Treatment seeking was often delayed, partly due to secondary costs, and inappropriate remedies were applied. Several important cost-effective measures are indicated that may improve control of CL. Community awareness could be enhanced through existing community structures. Free supply of specific drugs should continue but ancillary support could be considered. Health professionals require routine and standardised provision of diagnosis and treatment algorithms for CL and MCL. During treatment, all patients could be given simple information to increase awareness in the community. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Kap ENVELOPE(23.567,23.567,65.533,65.533) Journal of Tropical Medicine 2013 1 10 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Mónica Ruoti Rolando Oddone Nathalie Lampert Elizabeth Orué Michael A. Miles Neal Alexander Andrea M. Rehman Rebecca Njord Stephanie Shu Susannah Brice Bryony Sinclair Alison Krentel Mucocutaneous Leishmaniasis: Knowledge, Attitudes, and Practices Among Paraguayan Communities, Patients, and Health Professionals |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 |
description |
Cutaneous leishmaniasis (CL) and mucocutaneous leishmaniasis (MCL) due to Leishmania (V.) braziliensis are endemic in Paraguay. We performed a series of knowledge, attitudes, and practice (KAP) surveys simultaneously with individuals in endemic communities in San Pedro department (n=463), health professionals (n=25), and patients (n=25). Results showed that communities were exposed to high risk factors for transmission of L. braziliensis. In logistic regression analysis, age was the only factor independently associated with having seen a CL/MCL lesion (P=0.002). The pervasive attitude in communities was that CL was not a problem. Treatment seeking was often delayed, partly due to secondary costs, and inappropriate remedies were applied. Several important cost-effective measures are indicated that may improve control of CL. Community awareness could be enhanced through existing community structures. Free supply of specific drugs should continue but ancillary support could be considered. Health professionals require routine and standardised provision of diagnosis and treatment algorithms for CL and MCL. During treatment, all patients could be given simple information to increase awareness in the community. |
format |
Article in Journal/Newspaper |
author |
Mónica Ruoti Rolando Oddone Nathalie Lampert Elizabeth Orué Michael A. Miles Neal Alexander Andrea M. Rehman Rebecca Njord Stephanie Shu Susannah Brice Bryony Sinclair Alison Krentel |
author_facet |
Mónica Ruoti Rolando Oddone Nathalie Lampert Elizabeth Orué Michael A. Miles Neal Alexander Andrea M. Rehman Rebecca Njord Stephanie Shu Susannah Brice Bryony Sinclair Alison Krentel |
author_sort |
Mónica Ruoti |
title |
Mucocutaneous Leishmaniasis: Knowledge, Attitudes, and Practices Among Paraguayan Communities, Patients, and Health Professionals |
title_short |
Mucocutaneous Leishmaniasis: Knowledge, Attitudes, and Practices Among Paraguayan Communities, Patients, and Health Professionals |
title_full |
Mucocutaneous Leishmaniasis: Knowledge, Attitudes, and Practices Among Paraguayan Communities, Patients, and Health Professionals |
title_fullStr |
Mucocutaneous Leishmaniasis: Knowledge, Attitudes, and Practices Among Paraguayan Communities, Patients, and Health Professionals |
title_full_unstemmed |
Mucocutaneous Leishmaniasis: Knowledge, Attitudes, and Practices Among Paraguayan Communities, Patients, and Health Professionals |
title_sort |
mucocutaneous leishmaniasis: knowledge, attitudes, and practices among paraguayan communities, patients, and health professionals |
publisher |
Hindawi Limited |
publishDate |
2013 |
url |
https://doi.org/10.1155/2013/538629 https://doaj.org/article/5193bd05f7b54dd687d32a0f632f9cf4 |
long_lat |
ENVELOPE(23.567,23.567,65.533,65.533) |
geographic |
Arctic Kap |
geographic_facet |
Arctic Kap |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Journal of Tropical Medicine, Vol 2013 (2013) |
op_relation |
http://dx.doi.org/10.1155/2013/538629 https://doaj.org/toc/1687-9686 https://doaj.org/toc/1687-9694 1687-9686 1687-9694 doi:10.1155/2013/538629 https://doaj.org/article/5193bd05f7b54dd687d32a0f632f9cf4 |
op_doi |
https://doi.org/10.1155/2013/538629 |
container_title |
Journal of Tropical Medicine |
container_volume |
2013 |
container_start_page |
1 |
op_container_end_page |
10 |
_version_ |
1766337387013603328 |