Visceral Leishmaniasis Clinical Management in Endemic Districts of India, Nepal, and Bangladesh
المؤلفون المشاركون
Rijal, Suman
Mondal, Dinesh
Arana, Byron
Kumar, Narendra
Huda, M. Mamun
Gurung, Chitra Kumar
Kansal, Sangeeta
Kroeger, Axel
Das, Pradeep
Siddiqui, Niyamat Ali
Malaviya, Paritosh
Banjara, Megha Raj
Hirve, Siddhivinayak
المصدر
العدد
المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2012-05-09
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background.
National VL Elimination Programs in India, Nepal and Bangladesh face challenges as home-based Miltefosine treatment is introduced.
Objectives.
To study constraints of VL management in endemic districts within context of national elimination programs before and after intervention.
Methods.
Ninety-two and 41 newly diagnosed VL patients were interviewed for clinical and provider experience in 2009 before and in 2010 after intervention (district training and improved supply of diagnostics and drugs).
Providers were assessed for adherence to treatment guidelines.
Facilities and doctor-patient consultations were observed to assess quality of care.
Results.
Miltefosine use increased from 33% to 59% except in Nepal where amphotericin was better available.
Incorrect dosage and treatment interruptions were rare.
Advice on potential side effects was uncommon but improved significantly in 2010.
Physicians did not rule out pregnancy prior to starting Miltefosine.
Fever measurement or spleen palpation was infrequently done in Bangladesh but improved after intervention (from 23% to 47%).
Physician awareness of renal or liver toxicity as Miltefosine side effects was lower in Bangladesh.
Bio-chemical monitoring was uncommon.
Patient satisfaction with services remained low for ease of access or time provider spent with patient.
Health facilities were better stocked with rK39 kits and Miltefosine in 2010.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Banjara, Megha Raj& Hirve, Siddhivinayak& Siddiqui, Niyamat Ali& Kumar, Narendra& Kansal, Sangeeta& Huda, M. Mamun…[et al.]. 2012. Visceral Leishmaniasis Clinical Management in Endemic Districts of India, Nepal, and Bangladesh. Journal of Tropical Medicine،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-447676
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Banjara, Megha Raj…[et al.]. Visceral Leishmaniasis Clinical Management in Endemic Districts of India, Nepal, and Bangladesh. Journal of Tropical Medicine No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-447676
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Banjara, Megha Raj& Hirve, Siddhivinayak& Siddiqui, Niyamat Ali& Kumar, Narendra& Kansal, Sangeeta& Huda, M. Mamun…[et al.]. Visceral Leishmaniasis Clinical Management in Endemic Districts of India, Nepal, and Bangladesh. Journal of Tropical Medicine. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-447676
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-447676
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر