Health care service for leprosy patients in Sitanala Tangerang&#x0D;
(A proposed approach of comprehensive health care for Leprosy patient)

Irawati, Yunia; Lestari, Yeni Dwi; Bani, Anna Puspitasari; Menaldi, Sri Linuwih; Wahyuni, Luh Karunia; Kurniawardhani, Dewinta Retno

doi:10.7454/ajce.v2i2.142

Cited by 5 publications

(5 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Vision impairment in leprosy patients may result from complications of the disease or common eye problems. The most common ocular manifestations in leprosy are: lagophthalmos, entropion, and cataract [ 27 , 28 ]. The majority of impaired vision and blindness resulting from leprosy are preventable and curable.…”

Section: Discussionmentioning

confidence: 99%

“…The scale was designed to be applied for people with peripheral neuropathy. The score ranges from 0 to 80, with the following recommended cutoffs/categories: no significant limitation (0-24), mild limitation (25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39), moderate limitation (40-49), severe limitation (50-59) and extreme limitation (60-80) [7,8].…”

Section: Assessment Toolsmentioning

confidence: 99%

See 1 more Smart Citation

Functional activity limitation of leprosy cases in an endemic area in Indonesia and recommendations for integrated participation program in society

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background Leprosy continues to be a health problem in Indonesia, with incidence reaching over 10,000 new cases by 2021. Leprosy-related disabilities cause limitation of patients’ activity and participation in social activities. To date, no studies have been conducted in Indonesia which investigates disability in terms of bodily function, structure impairment, limitations in performing daily activities, and restrictions in participation in social activities in leprosy patients. This study is aimed to determine the demographic and clinical characteristics that might affect functional activity limitations of leprosy patients in endemic areas in Indonesia. Methods and findings A cross-sectional study was conducted on 267 retrospectively-diagnosed cases of leprosy. The Screening of Activity Limitation and Safety Awareness (SALSA) scale was used to measure functional activity limitation, which comprises five domains: vision, mobility, self-care, work with hands, and dexterity. Differences among variables were evaluated using Kruskal-Wallis and Mann-Whitney test. The mean age of participants was 51.89±13.66 years, the majority of which were men (62.5%), uneducated (48.3%), and classified as type 2 in the World Health Organization (WHO) disability grading for hands and feet (66.3% and 68.2%, respectively). Assessment using the SALSA Scale showed 28.5% of subjects were without limitation, 43.8% with mild limitation, 13.5% with moderate limitation, 9.4% with severe limitation, and 4.9% with extreme limitation. Significant differences in the total SALSA Scale were found between age groups (p = 0.014), educational level (p = 0.005), occupation (p<0.001), and WHO disability grades (p<0.001). Multivariate analysis showed that the most significant factor influencing the total score of SALSA was disability grading for feet (score = 0.31, p <0.001) followed by occupational status, disability grading for eyes, and age. Limitation of functional activity was significantly correlated to becoming unemployed with the odds 2.59. Conclusion People affected by leprosy are prone to have functional activity limitation, especially the elderly, uneducated, unemployed and those with multiple disabilities. If they can overcome their barriers in functional activities, they will have better occupational opportunities.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Assessment Toolsmentioning

confidence: 99%

Functional activity limitation of leprosy cases in an endemic area in Indonesia and recommendations for integrated participation program in society

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…Details of the program had been reported previously. 4 In brief, a joint team of ophthalmologists, dermato-venereologists, and medical rehabilitation experts, titled "Katamataku (identifikasi tandatanda kelainan mata, kulit dan ekstremitas pada kusta)" of the University of Indonesia, collaborated to deliver comprehensive examination and health promotion in large leprosy patient communities in Indonesia. The program lasted for two days in one of Indonesia's largest leprosy patient communities in Singkawang, West Kalimantan, on July 19 and 20, 2019.…”

Section: Case Illustrationmentioning

confidence: 99%

Posterior Segment Pathologies in Leprosy Patients with Visual Impairment: A Case Series

Adriono

Nadhira

Kurnia

et al. 2022

ejki

Self Cite

View full text Add to dashboard Cite

Leprosy is an important infectious disease, which is still prevalent in developing countries including Indonesia. This disease may affect the skin, extremities, peripheral nerves, and the eyes, causing disabilities of the patient. Leprosy is known to cause various ocular disorders, however, posterior segment abnormalities which involve the retina, choroid dan vitreous, have rarely been reported. Therefore, we present a case series of patients with posterior segment pathologies in visually impaired leprosy patients. These patients were identified during a community-based screening program on 99 leprosy patients, held in July 2019 in Alverno Hospital, Singkawang West Kalimantan. Patient comprised of inpatients and former patients who lived within the city and nearby cities who were invited for the program. All patients underwent comprehensive ophthalmology examination, performed by general ophthalmologists. Visual impairment was found in 15 patients, and their pupils were dilated, followed with posterior segment examination with indirect ophthalmoscopy and fundus photograph, using a handheld fundus camera, done by a vitreoretina specialist. Out of all patients screened, we did not find any leprosy-related posterior segment abnormalities. However, posterior segment pathologies were found in six patients, including peripapillary atrophy, myopic crescent, drusen and chorioretinal atrophy. One patient showed extensive chorioretinal atrophy with pigment clumping, which may be caused by leprosy- related chronic inflammatory process.

show abstract

“…A flow chart describing our examination procedures has been published previously. 11 There were 265 patients at Sitanala Hospital , of whom 255 patients (508 eyes, 2 eyes were anophthalmic; 10 patients were excluded) were included and 99 patients at Alverno Hospital , of whom 92 patients (184 eyes; 7 patients were excluded) were included in this study. Seventeen patients were excluded as they were not able to complete both the Snellen chart and Peek Acuity examinations.…”

Section: St U Dy Des I Gn Se Tti Ng a N D Po Pulationmentioning

confidence: 99%

Peek Acuity vs Snellen Chart for visual impairment screening in leprosy: a cross-sectional study

Irawati¹,

Bani²,

Gabriella³

et al. 2020

LEPROSY

Self Cite

View full text Add to dashboard Cite

Objective: Leprosy is a chronic infectious disease caused by Mycobacterium leprae, which has a high incidence of ocular involvement. Due to the need for good vision for leprosy patients, visual acuity becomes an essential early screening examination. The Snellen Chart has been commonly employed as the standard for measuring visual acuity. Nevertheless, it is immobile and time-consuming. A smartphone-based application, Portable Eye Examination Kit (Peek Acuity), is already known to be

show abstract

Health care service for leprosy patients in Sitanala Tangerang (A proposed approach of comprehensive health care for Leprosy patient)

Cited by 5 publications

References 4 publications

Functional activity limitation of leprosy cases in an endemic area in Indonesia and recommendations for integrated participation program in society

Functional activity limitation of leprosy cases in an endemic area in Indonesia and recommendations for integrated participation program in society

Posterior Segment Pathologies in Leprosy Patients with Visual Impairment: A Case Series

Peek Acuity vs Snellen Chart for visual impairment screening in leprosy: a cross-sectional study

Contact Info

Product

Resources

About