Knowledge of the patients regarding leprosy and adherence to treatment

Leprosy is a chronic infectious disease caused by Mycobacterium leprae. It is known for its great disfiguring capacity and is considered an extremely serious disease to public health worldwide. The state of Ceará ranks 13th in number of cases of leprosy in Brazil, and fourth in Northeastern region,...

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Main Authors: Karlisson Bezerra Lira, João Jaime Giffoni Leite, Débora Castelo Branco de Souza Collares Maia, Rafael de Mesquita Ferreira Freitas, Alexsandra Rodrigues Feijão
Format: Article
Language:English
Published: Elsevier
Series:Brazilian Journal of Infectious Diseases
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702012000500012&lng=en&tlng=en
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author Karlisson Bezerra Lira
João Jaime Giffoni Leite
Débora Castelo Branco de Souza Collares Maia
Rafael de Mesquita Ferreira Freitas
Alexsandra Rodrigues Feijão
author_facet Karlisson Bezerra Lira
João Jaime Giffoni Leite
Débora Castelo Branco de Souza Collares Maia
Rafael de Mesquita Ferreira Freitas
Alexsandra Rodrigues Feijão
author_sort Karlisson Bezerra Lira
collection DOAJ
description Leprosy is a chronic infectious disease caused by Mycobacterium leprae. It is known for its great disfiguring capacity and is considered an extremely serious disease to public health worldwide. The state of Ceará ranks 13th in number of cases of leprosy in Brazil, and fourth in Northeastern region, with an average of 2,149 new cases diagnosed every year. This study aimed to evaluate the knowledge of leprosy patients regarding treatment, and to assess the level of treatment adherence and its possible barriers. The study was conducted in the reference center for dermatology, from September 2010 to October 2010, in Fortaleza, Ceará. The study data were collected by means of a structured interview, along with the Morisky-Green test, in order to assess treatment adherence and barriers to adherence. A total of 70 patients were interviewed, out of whom 66 were new cases. The majority of patients were between 42 and 50 years old, and 37 (52.9%) were male. Most patients were clinically classified as presenting multibacillary leprosy (80%), and 78.6% of them were from Fortaleza, Brazil. The Morisky-Green test indicated that 62.9% of patients presented a low level of adherence (p < 0.005), despite claiming to aware of the disease risks. However, it was observed that 57.1% of the patients had no difficulty adhering to treatment, while 38.6% reported little difficulty. This study shows that despite the patients claiming to be familiar with leprosy and its treatment, the Morisky-Green test clearly demonstrated that they actually were not aware of the principles of therapy, which is evidenced by the low degree of treatment adherence.
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spelling doaj.art-cc803af73e19495f9c5b847c0c78aa572022-12-21T17:58:28ZengElsevierBrazilian Journal of Infectious Diseases1678-439116547247510.1016/j.bjid.2012.04.002S1413-86702012000500012Knowledge of the patients regarding leprosy and adherence to treatmentKarlisson Bezerra Lira0João Jaime Giffoni Leite1Débora Castelo Branco de Souza Collares Maia2Rafael de Mesquita Ferreira Freitas3Alexsandra Rodrigues Feijão4Faculdade Metropolitana da Grande FortalezaUniversidade Federal do CearáUniversidade Federal do CearáUniversidade Federal do CearáFaculdade Metropolitana da Grande FortalezaLeprosy is a chronic infectious disease caused by Mycobacterium leprae. It is known for its great disfiguring capacity and is considered an extremely serious disease to public health worldwide. The state of Ceará ranks 13th in number of cases of leprosy in Brazil, and fourth in Northeastern region, with an average of 2,149 new cases diagnosed every year. This study aimed to evaluate the knowledge of leprosy patients regarding treatment, and to assess the level of treatment adherence and its possible barriers. The study was conducted in the reference center for dermatology, from September 2010 to October 2010, in Fortaleza, Ceará. The study data were collected by means of a structured interview, along with the Morisky-Green test, in order to assess treatment adherence and barriers to adherence. A total of 70 patients were interviewed, out of whom 66 were new cases. The majority of patients were between 42 and 50 years old, and 37 (52.9%) were male. Most patients were clinically classified as presenting multibacillary leprosy (80%), and 78.6% of them were from Fortaleza, Brazil. The Morisky-Green test indicated that 62.9% of patients presented a low level of adherence (p < 0.005), despite claiming to aware of the disease risks. However, it was observed that 57.1% of the patients had no difficulty adhering to treatment, while 38.6% reported little difficulty. This study shows that despite the patients claiming to be familiar with leprosy and its treatment, the Morisky-Green test clearly demonstrated that they actually were not aware of the principles of therapy, which is evidenced by the low degree of treatment adherence.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702012000500012&lng=en&tlng=enLeprosyAdherenceKnowledge
spellingShingle Karlisson Bezerra Lira
João Jaime Giffoni Leite
Débora Castelo Branco de Souza Collares Maia
Rafael de Mesquita Ferreira Freitas
Alexsandra Rodrigues Feijão
Knowledge of the patients regarding leprosy and adherence to treatment
Brazilian Journal of Infectious Diseases
Leprosy
Adherence
Knowledge
title Knowledge of the patients regarding leprosy and adherence to treatment
title_full Knowledge of the patients regarding leprosy and adherence to treatment
title_fullStr Knowledge of the patients regarding leprosy and adherence to treatment
title_full_unstemmed Knowledge of the patients regarding leprosy and adherence to treatment
title_short Knowledge of the patients regarding leprosy and adherence to treatment
title_sort knowledge of the patients regarding leprosy and adherence to treatment
topic Leprosy
Adherence
Knowledge
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702012000500012&lng=en&tlng=en
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