Epidemiology of Haemophilus ducreyi Infections

The global epidemiology of Haemophilus ducreyi infections is poorly documented because of difficulties in confirming microbiological diagnoses. We evaluated published data on the proportion of genital and nongenital skin ulcers caused by H. ducreyi before and after introduction of syndromic manageme...

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Main Authors: Camila González-Beiras, Michael Marks, Cheng Y. Chen, Sally Roberts, Oriol Mitjà
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2016-01-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/22/1/15-0425_article
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author Camila González-Beiras
Michael Marks
Cheng Y. Chen
Sally Roberts
Oriol Mitjà
author_facet Camila González-Beiras
Michael Marks
Cheng Y. Chen
Sally Roberts
Oriol Mitjà
author_sort Camila González-Beiras
collection DOAJ
description The global epidemiology of Haemophilus ducreyi infections is poorly documented because of difficulties in confirming microbiological diagnoses. We evaluated published data on the proportion of genital and nongenital skin ulcers caused by H. ducreyi before and after introduction of syndromic management for genital ulcer disease (GUD). Before 2000, the proportion of GUD caused by H. ducreyi ranged from 0.0% to 69.0% (35 studies in 25 countries). After 2000, the proportion ranged from 0.0% to 15.0% (14 studies in 13 countries). In contrast, H. ducreyi has been recently identified as a causative agent of skin ulcers in children in the tropical regions; proportions ranged from 9.0% to 60.0% (6 studies in 4 countries). We conclude that, although there has been a sustained reduction in the proportion of GUD caused by H. ducreyi, this bacterium is increasingly recognized as a major cause of nongenital cutaneous ulcers.
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spelling doaj.art-6d278e60875d484487e35899269854bf2022-12-22T03:53:03ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592016-01-012211810.3201/eid2201.150425Epidemiology of Haemophilus ducreyi InfectionsCamila González-BeirasMichael MarksCheng Y. ChenSally RobertsOriol MitjàThe global epidemiology of Haemophilus ducreyi infections is poorly documented because of difficulties in confirming microbiological diagnoses. We evaluated published data on the proportion of genital and nongenital skin ulcers caused by H. ducreyi before and after introduction of syndromic management for genital ulcer disease (GUD). Before 2000, the proportion of GUD caused by H. ducreyi ranged from 0.0% to 69.0% (35 studies in 25 countries). After 2000, the proportion ranged from 0.0% to 15.0% (14 studies in 13 countries). In contrast, H. ducreyi has been recently identified as a causative agent of skin ulcers in children in the tropical regions; proportions ranged from 9.0% to 60.0% (6 studies in 4 countries). We conclude that, although there has been a sustained reduction in the proportion of GUD caused by H. ducreyi, this bacterium is increasingly recognized as a major cause of nongenital cutaneous ulcers.https://wwwnc.cdc.gov/eid/article/22/1/15-0425_articleHaemophilus ducreyibacteriaepidemiologychancroidgenital ulcer diseasegenital ulcers
spellingShingle Camila González-Beiras
Michael Marks
Cheng Y. Chen
Sally Roberts
Oriol Mitjà
Epidemiology of Haemophilus ducreyi Infections
Emerging Infectious Diseases
Haemophilus ducreyi
bacteria
epidemiology
chancroid
genital ulcer disease
genital ulcers
title Epidemiology of Haemophilus ducreyi Infections
title_full Epidemiology of Haemophilus ducreyi Infections
title_fullStr Epidemiology of Haemophilus ducreyi Infections
title_full_unstemmed Epidemiology of Haemophilus ducreyi Infections
title_short Epidemiology of Haemophilus ducreyi Infections
title_sort epidemiology of haemophilus ducreyi infections
topic Haemophilus ducreyi
bacteria
epidemiology
chancroid
genital ulcer disease
genital ulcers
url https://wwwnc.cdc.gov/eid/article/22/1/15-0425_article
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AT chengychen epidemiologyofhaemophilusducreyiinfections
AT sallyroberts epidemiologyofhaemophilusducreyiinfections
AT oriolmitja epidemiologyofhaemophilusducreyiinfections