BMC Research Notes | |
Clinical outcome of skin yaws lesions after treatment with benzathinebenzylpenicillin in a pygmy population in Lobaye, Central African Republic | |
Rémi Laganier3  Siméon P Njuimo3  François Xavier Konamna3  Germain Zadanga3  Narcisse Beyam1  Susana Vilas Boas2  Alexandre Manirakiza3  | |
[1] United Nations Population Fund, Bangui, Central African Republic;Poste de santé de Mongoumba, Bangui, Central African Republic;Institut Pasteur de Bangui, PO Box 923, Bangui, Central African Republic | |
关键词: Central African Republic; Treatment; Yaws; | |
Others : 1166870 DOI : 10.1186/1756-0500-4-543 |
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received in 2011-08-24, accepted in 2011-12-15, 发布年份 2011 | |
【 摘 要 】
Background
Yaws is a bacterial skin and bone infectious disease caused by Treponema pallidum pertenue. It is endemic, particularly among pygmies in Central African Republic. To assess the clinical cure rate after treatment with benzathinepenicillin in this population, we conducted a cohort survey of 243 patients in the Lobaye region.
Findings and conclusion
The rate of healing of lesions after 5 months was 95.9%. This relatively satisfactory level of therapeutic response implies that yaws could be controlled in the Central African Republic. Thus, reinforcement of the management of new cases and of contacts is suggested.
【 授权许可】
2011 Manirakiza et al; licensee BioMed Central Ltd.
【 预 览 】
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20150416055609110.pdf | 658KB | download | |
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Figure 3. | 37KB | Image | download |
Figure 2. | 61KB | Image | download |
Figure 1. | 149KB | Image | download |
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【 参考文献 】
- [1]Rinaldi A: Yaws: a second (and maybe last?) chance for eradication. PLoS Neglected Tropical Diseases 2008, 2(8):e275.
- [2]WHO: Yaws: A forgotten disease. Fact sheet N°316, January 2007 2007. accessed at http://www.who.int/mediacentre/factsheets/fs316/en/ webcite on July 10, 2011
- [3]Sehgal VN, Jain S, Bhattacharya SN, Thappa DM: Yaws control/eradication. Int J Dermatol 1994, 33(1):16-20.
- [4]Hackett CJ, Guthe T: Some important aspects of yaws eradication. Bull World Health Organization 1956, 15(6):869-896.
- [5]Walker SL, Hay RJ: Yaws-a review of the last 50 years. Int J Dermatol 2000, 39(4):258-260.
- [6]Martin PM, Gonzalez JP, Martin MH, Georges-Courbot MC, Palisson MJ, Georges AJ: Clinical aspects and usefulness of indirect absorbed immunofluorescence for diagnosis of yaws in Central Africa. J Clin Microbiol 1988, 26(11):2432-2433.
- [7]World Health organization, Wlrd Hlth Org. Techn.Rep.Ser. 63 1953.
- [8]Hackett CJ: Some epidemiological aspects of yaws eradication. Bulletin of the World Health Organization 1960, 23:739-761.
- [9]Perine PL, Hopkins DR, Niemel PL, StJohn LK, Causse G, Antal GM: Manuel des tréponematoses endemiques: pian, syphilis endémiques et pinta. Organisation Mondiale de la Santé 1985, 107.
- [10]Troupin JL, Reynolds FW, Guthe T: Yaws control; an opportunity for promoting rural health-services. Bulletin of the World Health Organization 1953, 8(1-3):355-368.
- [11]Asiedu K, Amouzou B, Dhariwal A, Karam M, Lobo D, Patnaik S: Yaws eradication: past efforts and future perspectives. Bull World Health Organ 2008, 86:499-499A.
- [12]Williams G: WHO--the days of the mass campaigns. World Health Forum 1988, 9(1):7-23.
- [13]Tharmaphornpilas P, Srivanichakorn S, Phraesrisakul N: Recurrence of yaws outbreak in Thailand, 1990. The Southeast Asian J Trop Med Public Health 1994, 25(1):152-156.
- [14]Agadzi VK, Aboagye-Atta Y, Nelson JW, Perine PL, Hopkins DR: Resurgence of yaws in Ghana. Lancet 1983, 2(8346):389-390.
- [15]Herve V, Kassa Kelembho E, Normand P, Georges A, Mathiot C, Martin P: [Resurgence of yaws in Central African Republic. Role of the Pygmy population as a reservoir of the virus]. Bull Soc Pathol Exot 1992, 85(5):342-346.
- [16]Pampiglione S, Wilkinson AE: A study of yaws among pygmies in Cameroon and Zaire. Br J Vener Dis 1975, 51(3):165-169.
- [17]Widy-Wirski R, D'Costa J, Meheus A: [Prevalence of yaws in pygmies of the Central African Republic]. Ann Soc Belg Med Trop 1980, 60(1):61-67.
- [18]Cirera P, Palisson MJ, Pinerd G, Jaeger G: [Treponemal serology in a Bi-Aka pygmy population of Central Africa]. 70
- [19]Mitja O, Hays R, Ipai A, Gubaila D, Lelngei F, Kiara M, Paru R, Bassat Q: Outcome predictors in treatment of yaws. Emerging Infectious Diseases 2011, 17(6):1803-1085.
- [20]Backhouse JL, Hudson BJ, Hamilton PA, Nesteroff SI: Failure of penicillin treatment of yaws on Karkar Island, Papua New Guinea. The Am J Trop Med Hyg 1998, 59(3):388-392.
- [21]Landersdorfer CB, Bulitta JB, Kinzig M, Holzgrabe U, Sorgel F: Penetration of antibacterials into bone: pharmacokinetic, pharmacodynamic and bioanalytical considerations. Clinical Pharmacokinetics 2009, 48(2):89-124.
- [22]Minime-Lingoupou F, Beyam N, Zandanga G, Manirakiza A, N'Domackrah A, Njuimo S, Eyangoh S, Cottin J, Marsollier L, Marion E, et al.: Buruli ulcer, Central African Republic. Emerging Infectious Diseases 2010, 16(4):746-748.
- [23]Hackett CJ, Loewenthal LJ: Differential diagnosis of yaws. Monogr Ser World Health Organ 1960, 45:1-88.