A new model for management of mycetoma in the Sudan.
Patients with mycetoma usually present late with advanced disease, which is attributed to lack of medical and health facilities in endemic areas, poor health education and low socio-economic status. With this background, an integrated patient management model at the village level was designed to add...
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ftdoajarticles:oai:doaj.org/article:542d8a1a855a41129ac9ae3977d117ea 2023-05-15T15:15:02+02:00 A new model for management of mycetoma in the Sudan. Ahmed Fahal El Sheikh Mahgoub Ahmed Mohamed El Hassan Manar Elsheikh Abdel-Rahman Yassir Alshambaty Ahmed Hashim Ali Hago Eduard E Zijlstra 2014-10-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0003271 https://doaj.org/article/542d8a1a855a41129ac9ae3977d117ea EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC4214669?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0003271 https://doaj.org/article/542d8a1a855a41129ac9ae3977d117ea PLoS Neglected Tropical Diseases, Vol 8, Iss 10, p e3271 (2014) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2014 ftdoajarticles https://doi.org/10.1371/journal.pntd.0003271 2022-12-31T11:41:19Z Patients with mycetoma usually present late with advanced disease, which is attributed to lack of medical and health facilities in endemic areas, poor health education and low socio-economic status. With this background, an integrated patient management model at the village level was designed to address the various problems associated with mycetoma. The model was launched in an endemic village in the Sudan, between 2010 and 2013. This model is described in a prospective, descriptive, community-based study, aimed to collect epidemiological, ecological, and clinical data and to assess knowledge, attitude and practice (KAP) in order to design effective and efficient management measures. In this study, the prevalence of mycetoma was 14.5 per 1,000 inhabitants. The patients were farmers, housewives and children of low socio-economic status, and no obvious risk group was detected. All had surgery performed in a mobile surgical unit in the village which encouraged patients to present early with small early lesion leading to a good clinical outcome. The close contact with the Acacia tree thorns, animals and animal dung, walking bare footed and practising poor hygiene may all have contributed to the development of mycetoma in the village. Knowledge of mycetoma was poor in 96.3% of the study population, 70% had appropriate attitudes and beliefs towards interaction with mycetoma patients and treatment methods, and 49% used satisfactory or good practices in the management of mycetoma. Knowledge and practices on mycetoma were found to be significantly associated with age. Based on the KAP and epidemiological data, several health education sessions were conducted in the village for different target groups. The integrated management approach adopted in this study is unique and appeared successful and seems suitable as an immediate intervention. While for the longer term, establishment of local health facilities with trained health staff remains a priority. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Kap ENVELOPE(23.567,23.567,65.533,65.533) PLoS Neglected Tropical Diseases 8 10 e3271 |
institution |
Open Polar |
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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 Ahmed Fahal El Sheikh Mahgoub Ahmed Mohamed El Hassan Manar Elsheikh Abdel-Rahman Yassir Alshambaty Ahmed Hashim Ali Hago Eduard E Zijlstra A new model for management of mycetoma in the Sudan. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Patients with mycetoma usually present late with advanced disease, which is attributed to lack of medical and health facilities in endemic areas, poor health education and low socio-economic status. With this background, an integrated patient management model at the village level was designed to address the various problems associated with mycetoma. The model was launched in an endemic village in the Sudan, between 2010 and 2013. This model is described in a prospective, descriptive, community-based study, aimed to collect epidemiological, ecological, and clinical data and to assess knowledge, attitude and practice (KAP) in order to design effective and efficient management measures. In this study, the prevalence of mycetoma was 14.5 per 1,000 inhabitants. The patients were farmers, housewives and children of low socio-economic status, and no obvious risk group was detected. All had surgery performed in a mobile surgical unit in the village which encouraged patients to present early with small early lesion leading to a good clinical outcome. The close contact with the Acacia tree thorns, animals and animal dung, walking bare footed and practising poor hygiene may all have contributed to the development of mycetoma in the village. Knowledge of mycetoma was poor in 96.3% of the study population, 70% had appropriate attitudes and beliefs towards interaction with mycetoma patients and treatment methods, and 49% used satisfactory or good practices in the management of mycetoma. Knowledge and practices on mycetoma were found to be significantly associated with age. Based on the KAP and epidemiological data, several health education sessions were conducted in the village for different target groups. The integrated management approach adopted in this study is unique and appeared successful and seems suitable as an immediate intervention. While for the longer term, establishment of local health facilities with trained health staff remains a priority. |
format |
Article in Journal/Newspaper |
author |
Ahmed Fahal El Sheikh Mahgoub Ahmed Mohamed El Hassan Manar Elsheikh Abdel-Rahman Yassir Alshambaty Ahmed Hashim Ali Hago Eduard E Zijlstra |
author_facet |
Ahmed Fahal El Sheikh Mahgoub Ahmed Mohamed El Hassan Manar Elsheikh Abdel-Rahman Yassir Alshambaty Ahmed Hashim Ali Hago Eduard E Zijlstra |
author_sort |
Ahmed Fahal |
title |
A new model for management of mycetoma in the Sudan. |
title_short |
A new model for management of mycetoma in the Sudan. |
title_full |
A new model for management of mycetoma in the Sudan. |
title_fullStr |
A new model for management of mycetoma in the Sudan. |
title_full_unstemmed |
A new model for management of mycetoma in the Sudan. |
title_sort |
new model for management of mycetoma in the sudan. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2014 |
url |
https://doi.org/10.1371/journal.pntd.0003271 https://doaj.org/article/542d8a1a855a41129ac9ae3977d117ea |
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 |
PLoS Neglected Tropical Diseases, Vol 8, Iss 10, p e3271 (2014) |
op_relation |
http://europepmc.org/articles/PMC4214669?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0003271 https://doaj.org/article/542d8a1a855a41129ac9ae3977d117ea |
op_doi |
https://doi.org/10.1371/journal.pntd.0003271 |
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PLoS Neglected Tropical Diseases |
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8 |
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10 |
container_start_page |
e3271 |
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