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| [PMID]: | 28708825 |
| [Au] Autor: | Mwingira U; Chikawe M; Mandara WL; Mableson HE; Uisso C; Mremi I; Malishee A; Malecela M; Mackenzie CD; Kelly-Hope LA; Stanton MC |
| [Ad] Endereço: | Neglected Tropical Diseases Control Programme, Ministry of Health and Social Welfare, Dar es Salaam, Tanzania. |
| [Ti] Título: | Lymphatic filariasis patient identification in a large urban area of Tanzania: An application of a community-led mHealth system. |
| [So] Source: | PLoS Negl Trop Dis;11(7):e0005748, 2017 Jul. | | [Is] ISSN: | 1935-2735 |
| [Cp] País de publicação: | United States |
| [La] Idioma: | eng |
| [Ab] Resumo: | BACKGROUND: Lymphatic filariasis (LF) is best known for the disabling and disfiguring clinical conditions that infected patients can develop; providing care for these individuals is a major goal of the Global Programme to Eliminate LF. Methods of locating these patients, knowing their true number and thus providing care for them, remains a challenge for national medical systems, particularly when the endemic zone is a large urban area. METHODOLOGY/PRINCIPLE FINDINGS: A health community-led door-to-door survey approach using the SMS reporting tool MeasureSMS-Morbidity was used to rapidly collate and monitor data on LF patients in real-time (location, sex, age, clinical condition) in Dar es Salaam, Tanzania. Each stage of the phased study carried out in the three urban districts of city consisted of a training period, a patient identification and reporting period, and a data verification period, with refinements to the system being made after each phase. A total of 6889 patients were reported (133.6 per 100,000 population), of which 4169 were reported to have hydrocoele (80.9 per 100,000), 2251 lymphoedema-elephantiasis (LE) (43.7 per 100,000) and 469 with both conditions (9.1 per 100,000). Kinondoni had the highest number of reported patients in absolute terms (2846, 138.9 per 100,000), followed by Temeke (2550, 157.3 per 100,000) and Ilala (1493, 100.5 per 100,000). The number of hydrocoele patients was almost twice that of LE in all three districts. Severe LE patients accounted for approximately a quarter (26.9%) of those reported, with the number of acute attacks increasing with reported LE severity (1.34 in mild cases, 1.78 in moderate cases, 2.52 in severe). Verification checks supported these findings. CONCLUSIONS/SIGNIFICANCE: This system of identifying, recording and mapping patients affected by LF greatly assists in planning, locating and prioritising, as well as initiating, appropriate morbidity management and disability prevention (MMDP) activities. The approach is a feasible framework that could be used in other large urban environments in the LF endemic areas. |
| [Mh] Termos MeSH primário: |
Filariose Linfática/epidemiologia
Pessoal de Saúde/educação
Telemedicina/métodos
Hidrocele Testicular/epidemiologia
Mensagem de Texto/utilização
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| [Mh] Termos MeSH secundário: |
Adolescente
Adulto
Distribuição por Idade
Idoso
Criança
Pré-Escolar
Filariose Linfática/complicações
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Meia-Idade
Morbidade
Índice de Gravidade de Doença
Inquéritos e Questionários
Tanzânia/epidemiologia
Hidrocele Testicular/complicações
População Urbana
Adulto Jovem
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| [Pt] Tipo de publicação: | JOURNAL ARTICLE |
| [Em] Mês de entrada: | 1708 |
| [Cu] Atualização por classe: | 170808 |
[Lr] Data última revisão:
| 170808 |
| [Sb] Subgrupo de revista: | IM |
| [Da] Data de entrada para processamento: | 170715 |
| [St] Status: | MEDLINE |
| [do] DOI: | 10.1371/journal.pntd.0005748 |
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