Looking for NTDs in the skin; an entry door for offering patient centered holistic care

Abdela, Seid Getahun; Diro, Ermias; Zewdu, Feleke Tilahun; Berhe, Fentaw Tadese; Enbiale, Wendemagegn; Tamirat, Koku Sisay; Tweya, Hannock; Timire, Collins; Griensven, Johan van

doi:10.3855/jidc.11707

Cited by 11 publications

(13 citation statements)

References 6 publications

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“…However, a more pragmatic definition of skin NTDs typically refers to deep tissue or subcutaneous mycoses, such as mycetoma, rather than also including the superficial fungal diseases like ringworm. A study in Ethiopia found a fungal infection prevalence of 21.1% [12], a level that is similar to our findings. A study in Benin reported a higher prevalence for fungal dermatoses of 49% [15].…”

Section: Plos Neglected Tropical Diseasessupporting

confidence: 92%

“…The prevalence of skin NTDs vary greatly by setting type (for example community, or institution) and by country. In our study, the prevalence of cutaneous NTDs was 7.5%, less than the 17.2% from an Ethiopian hospital study [12]. Many other studies have focused on a single, or small number of, NTDs, yet most of these diseases share some of the same risk factors, can be found concurrently in the same patient, and could arguably be more efficiently investigated…”

Section: Discussioncontrasting

confidence: 73%

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Prevalence of skin Neglected Tropical Diseases and superficial fungal infections in two peri-urban schools and one rural community setting in Togo

et al. 2022

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Introduction Skin neglected tropical diseases (NTDs), are endemic and under-diagnosed in many lower-income communities. The objective of this study was to determine the prevalence of skin NTDs and fungal infections in two primary schools and a community setting in rural Togo. Method This was a cross-sectional study that took place between June-October 2021. The two primary schools are located on the outskirts of Lomé, the capital city. The community setting was Ndjéi, in north-east Togo. Study sites were purposively selected. Dermatologists examined the skin of study participants. Diagnosis of skin NTDs were made clinically. Results A total of 1401 individuals were examined, 954 (68.1%) from Ndjéi community, and 447 (31.9%) were children in the schools. Cutaneous skin infections were diagnosed in 438 (31.3%) participants, of whom 355 (81%) were in community settings. There were 105 observed skin NTDs (7.5%). Within the school setting, there were 20 individuals with NTDs (4.5% of 447 participants), and 85 NTDs (8.9%) from 954 community participants. Across all settings 68/1020 (6.7%) NTDs were in children, and 37/381 (9.7%) in adults. In addition, there were 333 observed mycoses (23.8% prevalence). The main cutaneous NTDs diagnosed were scabies (n = 86; 6.1%) and suspected yaws (n = 16, 1.1%). The prevalence of scabies in schools was 4.3%, and 7.0% in the rural community. One case of leprosy was diagnosed in each school and the rural community, and one suspected Buruli Ulcer case in the community. In the school setting, five (6%) children with a skin NTD reported being stigmatised, four of whom had refused to attend school because of their dermatosis. In Ndjéi, 44 (4.6%) individuals reported having experienced stigma and 41 (93.2%) of them missed at least one day of school or work. Conclusion This study shows that the burden of scabies and skin infections such as superficial mycoses is high in the school and rural community settings in Togo, with associated presence of stigma. Improved health promotion and education across institutional and community settings may reduce stigma and encourage early reporting of skin infection cases to a health facility.

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Section: Plos Neglected Tropical Diseasessupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 73%

Prevalence of skin Neglected Tropical Diseases and superficial fungal infections in two peri-urban schools and one rural community setting in Togo

et al. 2022

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“…13 A more pragmatic definition of skin NTDs typically refers to deep tissue or subcutaneous mycoses, such as mycetoma, rather than also including the superficial fungal diseases like ringworm. A study in Ethiopia found a fungal infection prevalence of 21.1%, 11 a level that is similar to our findings. A study in Benin reported a higher prevalence for fungal dermatoses of 49%.…”

Section: Discussionsupporting

confidence: 92%

“…In our study, the prevalence of cutaneous NTDs was 7.5%, less than the 17.2% from an Ethiopian hospital study. 11 Many other studies have focused on a single, or small number of, NTDs, yet most of these diseases share some of the same risk factors, can be found concurrently in the same patient, and could arguably be more efficiently investigated together. 1 Here, 3.1% of participants had two cutaneous NTDs at the same time.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of skin Neglected Tropical Diseases and superficial fungal infections in two peri-urban schools and one rural community setting in Togo

Saka

Kassang

Gnossike

et al. 2022

Preprint

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Introduction : Skin neglected tropical diseases (NTDs), are endemic and under-diagnosed in many lower-income communities. The objective of this study was to determine the prevalence of skin NTDs and fungal infections in two primary schools and a community setting in rural Togo. Method : This was a cross-sectional study that took place between June-October 2021. The two primary schools are located on the outskirts of Lomé, the capital city. The community setting was Ndjéi, in north-east Togo. The choice of schools and village was random. Dermatologists examined the skin of study participants. Diagnosis of skin NTDs were made clinically. Results : A total of 1401 individuals were examined, 954 (68.1%) from Ndjéi community, and 447 (31.9%) were children in the schools. Cutaneous skin infections were diagnosed in 438 (31.3%) participants, of whom 355 (81%) were in community settings. There were 105 observed skin NTDs (7.5%), including 20 in schools (6.7% of school participants) and 85 (9.4%) in the community. Across all settings 68 (6.7%) NTDs were in children, and 37 (9.7%) in adults. In addition, there were 333 observed mycoses (23.4% prevalence). The main cutaneous NTDs diagnosed were scabies (n=86; 6.1%) and yaws (n=16, 1.1%). The prevalence of scabies in schools was 4.2%, and 7.2% in the rural community. One case of leprosy was diagnosed in each school and the rural community, and one Buruli Ulcer case in the community. In the school setting, five (6%) children with a skin NTD reported being stigmatised, four of whom had refused to attend school because of their dermatosis. In Ndjéi, 44 (4.6%) individuals reported having experienced stigma and 41 (93.1%) of them missed at least one day of school or work. Conclusion : This study shows that the burden of scabies and other skin infections is high in the school and rural community settings in Togo, with associated presence of stigma. Improved health promotion and education across institutional and community settings may reduce stigma and encourage early reporting of skin infection cases to a health facility.

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“…The Ethiopian NTD strategic plan currently does not include mycetoma, as data is needed to formulate a mycetoma control strategy. Even though Ethiopian mycetoma cases were mentioned in a few studies [8][9][10] a detailed description of mycetoma cases has never been reported from Ethiopia. Here, we report for the first time a detailed description of seven mycetoma cases from Boru Meda Hospital, North East Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Mycetoma patients in Ethiopia: case series from Boru Meda Hospital

Zewdu¹,

Abdela

Takarinda

et al. 2022

J Infect Dev Ctries

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Introduction: Mycetoma is a chronic infection that can affect the skin, subcutaneous tissue, and bone. Although Ethiopia is in the so-called mycetoma belt, very little has been published about the disease in Ethiopia. There are no data about mycetoma in Ethiopia yet. Here, we present the first detailed description of mycetoma patients in Ethiopia. Cases presentation: Seven cases of clinically diagnosed mycetoma from Boru Meda Hospital are described. All patients presented with swelling of the foot, although sinuses and grains were identified for only one patient. Patients presented late with a median lesion duration of five years, and most had previously tried modern or traditional treatment. Differentiation between lesions of bacterial or fungal origin was not possible in our hospital, and therefore all patients were started on combined treatments of antifungals and antibiotics. Conclusions: We confirm that mycetoma is present in Ethiopia, although there is no formal reporting system. Well-designed systematic studies are warranted to determine the exact burden of mycetoma in Ethiopia. A national strategy for mycetoma disease control should be designed with a focus on reporting, diagnosis, and management.

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Looking for NTDs in the skin; an entry door for offering patient centered holistic care

Cited by 11 publications

References 6 publications

Prevalence of skin Neglected Tropical Diseases and superficial fungal infections in two peri-urban schools and one rural community setting in Togo

Prevalence of skin Neglected Tropical Diseases and superficial fungal infections in two peri-urban schools and one rural community setting in Togo

Prevalence of skin Neglected Tropical Diseases and superficial fungal infections in two peri-urban schools and one rural community setting in Togo

Mycetoma patients in Ethiopia: case series from Boru Meda Hospital

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