TY - JOUR KW - Adolescent KW - Adult KW - Child KW - Child, Preschool KW - Drug Therapy, Combination KW - Female KW - Follow-Up Studies KW - Humans KW - Infant KW - Leprostatic Agents KW - leprosy KW - Leprosy, Borderline KW - Leprosy, Tuberculoid KW - Male KW - Middle Aged KW - Recurrence AU - Boerrigter G AU - Ponnighaus J M AU - Fine PE AU - Wilson R J AB -
An evaluation of a World Health Organization-recommended multidrug therapy (WHO/MDT) in 499 paucibacillary leprosy patients is described. Patients were followed for 48 months after completion of treatment. Overall relapse rates after treatment were found to be 6.5 per 1000 person years (95% confidence interval 3.4-11.4). There were 12 relapses. A relative lack of cell-mediated immunity, as suggested by number of lesions, clinical classification and lepromin test results, and poor compliance with the dapsone component of WHO/MDT, appeared to be associated with a marginally increased risk of relapse. Severe type 1 reactions after completion of treatment occurred in 17 (3.5%) patients, 15/17 during the first 12 months of follow-up. Overall, 12 (2.5%) patients developed new disabilities during or after WHO/MDT.
BT - International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association C1 - http://www.ncbi.nlm.nih.gov/pubmed/2071983?dopt=Abstract DA - 1991 Jun DO - 10.1136/bmj.c3651 IS - 2 J2 - Int. J. Lepr. Other Mycobact. Dis. LA - eng N2 -An evaluation of a World Health Organization-recommended multidrug therapy (WHO/MDT) in 499 paucibacillary leprosy patients is described. Patients were followed for 48 months after completion of treatment. Overall relapse rates after treatment were found to be 6.5 per 1000 person years (95% confidence interval 3.4-11.4). There were 12 relapses. A relative lack of cell-mediated immunity, as suggested by number of lesions, clinical classification and lepromin test results, and poor compliance with the dapsone component of WHO/MDT, appeared to be associated with a marginally increased risk of relapse. Severe type 1 reactions after completion of treatment occurred in 17 (3.5%) patients, 15/17 during the first 12 months of follow-up. Overall, 12 (2.5%) patients developed new disabilities during or after WHO/MDT.
PY - 1991 SP - 255 EP - 61 T2 - International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association TI - Four-year follow-up results of a WHO-recommended multiple-drug regimen in paucibacillary leprosy patients in Malawi. UR - http://ila.ilsl.br/pdfs/v59n2a06.pdf VL - 59 SN - 0148-916X ER -