@article{273, keywords = {Adult, China, Drug Therapy, Combination, Female, Humans, Leprostatic Agents, Leprosy, Borderline, Leprosy, lepromatous, Leprosy, Tuberculoid, Male, Prevalence, Retrospective Studies, Severity of Illness Index, Surveys and Questionnaires}, author = {Shen J and Liu M and Zhou M and Wengzhong L}, title = {Occurrence and management of leprosy reaction in China in 2005.}, abstract = {

BACKGROUND: Leprosy reactions are a major cause of disability before, during and after anti-bacterial treatment. Prompt diagnosis and correct management of reaction is a crucial matter for improving the quality of leprosy health services.

OBJECTIVES: To describe the pattern of leprosy reaction and its management in China during 2005.

METHODS: A retrospective survey using a questionnaire was carried out in all the provinces of China at the beginning of 2006. Patients included were those presenting with leprosy reaction between 1 January and 31 December 2005.

RESULTS: 452 questionnaires from 25 provinces were analysed. There were 313 male and 139 female patients who had 159 Type I reactions, 273 Type II reactions and 20 Type I and II mixed reaction. 72.4% of reactions occurred in the first year of MDT and 27.6% of patients during the second year of MDT. The highest frequency of reaction was during the first 6 months of MDT; 57.3% of patients developed new nerve impairment during and after MDT.

CONCLUSIONS: New nerve function impairment and disability still occurs among patients during and after MDT. The early detection and management of leprosy reaction remains important.

}, year = {2009}, journal = {Leprosy review}, volume = {80}, pages = {164-9}, month = {2009 Jun}, issn = {0305-7518}, url = {https://leprosyreview.org/article/80/2/16-4169}, language = {eng}, }