Retraso en el diagnóstico de lepra como factor pronóstico de discapacidad en una cohorte de pacientes en Colombia, 2000 - 2010

Abstract

Time between first symptoms and diagnosis is the key predictive factor of disability at time of leprosy diagnosis. Strengthening of active searching for infected people and promotion of early diagnosis are recommended.

Factors associated with the delay of diagnosis of leprosy in north‐eastern Colombia: a quantitative analysis

“…The mean for delay in the diagnosis of leprosy found in this study was 33.5 months. This finding is substantially higher than the mean delay found in studies in other countries [11,12] and similar to the mean diagnostic delay recorded in a previous Colombian study conducted in a tertiary Dermatological Centre in Bogot a [10]. In line with the aforementioned study and the literature, we also found a relation between diagnostic delay and DG2.…”

“…Despite this fact, little is known about the true magnitude of the delay in diagnosis and treatment of leprosy and its underlying factors in the Colombian context. In a prior study, the mean time elapsed from symptom onset to diagnosis was found to be 2.9 years [10]. However, as the study used data from a single tertiary care level hospital in Bogota, these findings are not generalisable.…”

Reacciones lepromatosas en pacientes adultos y pediátricos en un centro de referencia. Programa Nacional de Lepra, Paraguay

“…En dicho estudio, el grupo etario más frecuente encontrado fue de 40-49 años, al igual que lo encontrado por Guerrero y colaboradores en Colombia, lo cual difiere casi en 10 años con la edad más frecuente encontrada en nuestro estudio que fue de 34 años (4,21) .…”

“…En nuestro estudio la forma multibacilar de lepra fue la más frecuente encontrándose en dos tercios de los pacientes, datos muy similares a los encontrados en otros trabajos (4,21) .…”

Análise epidemiológica da hanseníase na Microrregião de Tucuruí, Amazônia brasileira, com alto percentual de incapacidade física e de casos entre jovens

“…A literatura aponta uma relação entre o atraso do diagnóstico da hanseníase por mais de um ano e a classificação da doença como multibacilar, com presença de incapacidade física 35 . O objetivo maior das ações de controle da doença é o diagnóstico precoce, sendo esperado um predomínio da forma clínica indeterminada, pois, segundo Gomes et al 36 , em algumas áreas onde a hanseníase foi considerada eliminada, houve aumento no grau de incapacidades.…”