01567nas a2200301   4500000000100000008004100001260001700042653001500059653003400074653001100108653001200119653002300131653001200154100001600166700001300182700001400195700001300209700001100222700001500233700001500248245010800263856006600371300001200437490000600449050001700455520077900472022001401251       1998                            d  c1998 May-Jun10aFoot Ulcer10aHealth Services Accessibility10aHumans10aleprosy10aProgram evaluation10aSenegal1 aGrauwin M Y1 aNdiaye A1 aSylla P M1 aGaye A B1 aMane I1 aCartel J L1 aLepers J P00a[Can plantar ulcers associated with leprosy be treated in the field. Results of experience in Senegal].  uhttp://www.jle.com/e-docs/00/04/2D/23/vers_alt/VersionPDF.pdf  a199-2040 v8  aGRAUWIN 19983 a<p>The introduction of a program for the treatment of plantar ulcers (PU) in field conditions in Senegal was studied. The program was complementary to the Health Education and Protective Footwear to Prevent Disability (POD) initiatives within the Senegalese anti-leprosy program. The wound care given in health centers was coded and simplified. Access to hospitals was made easier for those patients requiring surgery. More than 30% of patients with PU were treated each year, with a mean of 62% cured. An increasing number of leprosy patients have been admitted to regional hospitals for surgery. Never before have patients with signs of leprosy had access to general hospitals. This study emphasizes the need for regular supervision of the individuals treating wounds.</p>  a1157-5999