Document Detail

Active surveillance in leprosy: how useful is it?
MedLine Citation:
PMID:  8684254     Owner:  NLM     Status:  MEDLINE    
In this paper, active surveillance is compared with self-reporting as a method of detecting new nerve function loss in leprosy patients who have completed multidrug therapy (MDT). Five hundred and three patients were selected according to new surveillance guidelines in one part of the Danish-Bangladesh Leprosy Mission leprosy control project working area. Surveillance coverage of 71% was achieved in a 7-month period. During this time, 10 released-from-treatment (RFT) patients from among the study group were found to have acute nerve damage requiring prednisolone treatment. Out of the 10, only 2 were detected actively; the remaining 8 self-reported. It is concluded that health education given at RFT time is effective in motivating patients to self-report with acute nerve damage, and that the time spent on active surveillance could have been better used in other activities, i.e., case detection. As a result of these findings, active surveillance has been abandoned in the leprosy control project.
R P Croft
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Leprosy review     Volume:  67     ISSN:  0305-7518     ISO Abbreviation:  Lepr Rev     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-08-21     Completed Date:  1996-08-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0243711     Medline TA:  Lepr Rev     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  135-40     Citation Subset:  IM    
Danish Bangladesh Leprosy Mission, Nilphamari, Bangladesh.
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MeSH Terms
Developing Countries
Follow-Up Studies
Leprostatic Agents / therapeutic use*
Leprosy / complications,  drug therapy*
Peripheral Nervous System Diseases / drug therapy*,  etiology
Population Surveillance
Program Evaluation
Reg. No./Substance:
0/Leprostatic Agents

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