Clinical Characterization and Diagnostic Timeliness in patients of the Leprosy program- Norte de Santander- Colombia (2016-2021)
Caracterización Clínica y Oportunidad Diagnostica en pacientes del programa de Lepra- Norte de Santander (2016-2021)
Main Article Content
Objective. To determine the diagnostic timeliness and clinical-demographic characteristics of patients enrolled in the Leprosy Control Program in Norte de Santander from 2016 to 2021. Methods. Descriptive, retrospective, quantitative approach study; in 185 new cases of patients with a diagnosis of leprosy, notified by the Departmental Institute of Health of Norte de Santander from 2016 to 2021. The information was obtained from epidemiological records and clinical records of patients with leprosy, a descriptive analysis was performed under absolute and relative frequencies. Results. The diagnostic opportunity was 2.4 years with the presence of grade I and grade II disability. The municipalities with the highest number of cases reported were Cúcuta, Ocaña, Villa del Rosario and Abrego, with a predominance of male patients aged 41-59 years. The type of insurance with the highest preponderance was the subsidized health system. At the clinical level, most cases were found in the multibacillary form, with lepromatous leprosy classification, with more than five lesions and treatment completed. Conclusions. Important information was obtained on the diagnostic opportunity and characterization that support the need to carry out actions related to the definition of policies aimed at those affected and the training of health personnel on the subject, with emphasis on the preventive approach, which favors early detection, timely treatment, and rehabilitation of those affected.
Downloads
Article Details
Organización Panamericana de la Salud, editor. Lepra 2020, datos claves [Internet]. Disponible en: https://www.paho.org/es/temas/lepra
Organización Mundial de la Salud. Leprosy (Hansen’s disease). Appears in: Neglected tropical diseases [Internet]. Disponible en: https://www.who.int/data/gho/data/themes/topics/leprosy-hansens-disease
Ministerio de Salud y Protección Social. Colombia Minsalud incorpora Ruta Integral de Atención en Salud para Lepra [Internet]. Disponible en: https://www.minsalud.gov.co/Paginas/Minsalud-incorpora-Ruta-Integral-de-Atencion-en-Salud-para-Lepra.aspx
Instituto Nacional de Salud, Ministerio de Salud y Protección Social. Informe de evento lepra Colombia, 2020 [Internet]. Disponible en: https://www.ins.gov.co/buscador-eventos/Informesdeevento/LEPRA_2020.pdf
Instituto Nacional de Salud, Ministerio de Salud y Protección Social. Informe de evento lepra o enfermedad de Hansen, Colombia, 2021 [Internet]. Disponible en: https://www.ins.gov.co/buscador-eventos/Informesdeevento/LEPRA%20INFORME%202021.pdf
Cáceres-Durán MA. Comportamiento epidemiológico de la lepra en varios países de América Latina, 2011-2020 (2022). Revista Panamericana de Salud Pública. 46: (e14). https://doi.org/10.26633/RPSP.2022.14 DOI: https://doi.org/10.26633/RPSP.2022.14
Rivas-Mina AM, Chantré-Cusi A, Santa-Yepes J, Hoyos-Ocampo DM, Pacheco-López R, Ferro-Beatriz E. Determinación de la persistencia y diagnóstico tardío de lepra en el Valle del Cauca de 2010 a 2016. Revista Facultad Nacional de Salud Pública. 2021; 39(3): e343156. https://doi.org/10.17533/udea.rfnsp.e343156 DOI: https://doi.org/10.17533/udea.rfnsp.e343156
Organización Mundial de la Salud. Directrices para el diagnóstico, tratamiento y prevención de la lepra. 1a ed. Nueva Delhi: Oficina Regional para Asia Sudoriental. 2018. Disponible en: https://iris.who.int/bitstream/handle/10665/274127/9789290227007-spa.pdf
Cabrales-León MO, Oliva-Hernández M, Leyva-León AI, Pérez-Ojeda MD. Diagnóstico tardío de lepra en pacientes de la provincia Las Tunas, un estudio de quince años. Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta. [Internet] 2019; 44(3). Disponible en: https://revzoilomarinello.sld.cu/index.php/zmv/article/view/1703
Organización Mundial de la Salud. Estrategia mundial para la lepra 2016–2020: Acelerar la acción hacia un mundo sin lepra. Manual operativo. Nueva Delhi: Oficina Regional para el Sudeste Asiático. 2017. Disponible en: https://iris.who.int/bitstream/handle/10665/250119/9789290225591-Spa.pdf?sequence=10
World Health Organization. Global leprosy (Hansen disease) update, 2021: moving towards interruption of transmission. Geneva:WHO; 2022. Disponible en: https://iris.who.int/bitstream/handle/10665/362412/WER9736-429-450-eng-fre.pdf?sequence=1
Instituto Nacional de Salud Dirección de Vigilancia y Análisis del Riesgo en Salud Pública Colombia, Boletín Epidemiológico Semana Comportamiento de la notificación de la lepra semana epidemiológica 52 de 2021. https://doi.org/10.33610/23576189.2022.02 DOI: https://doi.org/10.33610/23576189.2022.02
Instituto Nacional de Salud Dirección de Vigilancia y Análisis del Riesgo en Salud Pública Colombia, Boletín Epidemiológico Semana Comportamiento de la lepra semana epidemiológica 52 de 2023. https://doi.org/10.33610/23576189.2024.02 DOI: https://doi.org/10.33610/23576189.2024.02
Li YY, Shakya S, Long H, Shen LF, Kuang Y. Factors influencing leprosy incidence: A comprehensive analysis of observations in Wenshan of China, Nepal, and other global epidemic areas. Front Public Health. 2021. 9. https://doi.org/10.3389/fpubh.2021.666307 DOI: https://doi.org/10.3389/fpubh.2021.666307
Gomes MEO, Assis FS de, Oliveira AA de, Gonçalves FVA, Aranha AMF. The Impact of Leprosy on the Quality of Life of Patients Undergoing Treatment. J. Health Sci. [Internet]. 2022; 24(1):06–11. http://dx.doi.org/10.17921/2447-8938.2022v24n1p06-11 DOI: https://doi.org/10.17921/2447-8938.2022v24n1p06-11
Vidal-Cobo J, Mojena-Parada L, Zayas-Pouyort A, Fournier-Cartaya M. Aspectos clínico-epidemiológicos de la enfermedad de Hansen en un área de salud. Folia Dermatológica Cubana [Internet]. 2022; 15 (1) Disponible en: https://revfdc.sld.cu/index.php/fdc/article/view/252
Dharmawan Y, Faudy A, Korfage I, Richardus JH. Individual and community factors determining delayed leprosy case detection: A systematic review. PLoS neglected tropical diseases. 2021; 15(8):e0009651. https://doi.org/10.1371/journal.pntd.0009651 DOI: https://doi.org/10.1371/journal.pntd.0009651
Fortunato CN, Nogueira J de A, Brito KKG de, Silva AC de O, Bezerra VP, Mendes M da S, et al. Quality of life, functionality, and self-concept of people post-discharge from leprosy. Cogitare Enferm. [Internet]. 2024; 29. https://doi.org/10.1590/ce.v29i0.94832 DOI: https://doi.org/10.1590/ce.v29i0.92092
Organización Mundial de la Salud-OMS. Hacia Cero Lepra. Estrategia mundial contra la lepra (enfermedad de Hansen) 2021–2030. Ginebra. 2021. https://www.who.int/es/publications/i/item/9789290228509
Aguilera M, Samaniego L, Samudio M. Retraso en el diagnóstico como factor pronóstico de discapacidad en pacientes con lepra en Paraguay. Estudio de casos y controles. Revista chilena de infectología. 2021; 38(4), 532-539. http://dx.doi.org/10.4067/S0716-10182021000400532
Butlin CR, Lockwood DNJ. Changing proportions of paucibacillary leprosy cases in global leprosy case notification. Leprosy review. 2020; 91, 255–261. https://doi.org/10.47276/lr.91.3.255. DOI: https://doi.org/10.47276/lr.91.3.255
Organización Mundial de la Salud. Lepra (Mal de Hansen). [Internet] 2023. https://www.who.int/es/news-room/fact-sheets/detail/leprosy
Vieira NF, Lanza FM, Martínez-Riera JR, Nolasco A, Lana FCF. Orientación de la atención primaria en las acciones contra la lepra: factores relacionados con los profesionales. Gac Sanit. 2020; 34(2): 120-126. https://dx.doi.org/10.1016/j.gaceta.2019.02.011 DOI: https://doi.org/10.1016/j.gaceta.2019.02.011
Osorio-Bedoya JA, Silva-Rodríguez LJ, Barragán-León LV, Villate-Corredor YL. Comportamiento epidemiológico de la enfermedad Hansen en el departamento de Boyacá en el periodo comprendido entre 2011 y 2021. Revista Investig. Salud Univ. Boyacá. 2023; 10(2). https://doi.org/10.24267/23897325.1009
Aguilera MM, Samaniego LR, Samudio M. Delay in diagnosis as a prognostic factor for disability in patients with leprosy in Paraguay. Case and control study. Rev. chil. infectol. 2021; 38(4):532–539. https://doi.org/10.4067/S0716-10182021000400532 DOI: https://doi.org/10.4067/S0716-10182021000400532
Urgesa K, de Bruijne ND, Bobosha K, Seyoum B, Mihret A, Geda B, et al. Prolonged delays in leprosy case detection in a leprosy hot spot setting in Eastern Ethiopia. PLoS neglected tropical diseases. 2022; 16(9):e0010695. https://doi.org/10.1371/journal.pntd.0010695 DOI: https://doi.org/10.1371/journal.pntd.0010695
Dharmawan Y, Fuady A, Korfage IJ, Richardus JH. Delayed detection of leprosy cases: A systematic review of healthcare-related factors. PLoS Negl Trop Dis. 2022; 16(9):e0010756. https://doi.org/10.1371/journal.pntd.0010756 DOI: https://doi.org/10.1371/journal.pntd.0010756
Gutiérrez-López JI, Rodríguez-Reyna R, Figueredo-Fonseca M, Olivera-Álvarez PB. Entrenamiento de médicos de la Atención Primaria de Salud en enfermedad de Hansen. Medimay. 2023; 30(4):427-433. https://revcmhabana.sld.cu/index.php/rcmh/article/view/2382
Darlong J, Govindharaj P, Mahato B, Lockwood DN, Walker SL. Health-related quality of life associated with erythema nodosum leprosum in Purulia, West Bengal, India; Leprosy Review. 2020; 91(1):100-107. https://leprosyreview.org/article/91/1/19-0047 DOI: https://doi.org/10.47276/lr.91.1.100
Barcelos RMFM, Sousa GS, Almeida MV, Palacio FGL, Gaíva MAM, Ferreira SMB. Leprosy patients quality of life: a scoping review. Revista da Escola de Enfermagem da USP. 2021; 55:e20200357. https://doi.org/10.1590/1980-220X-REEUSP-2020-0357 DOI: https://doi.org/10.1590/1980-220x-reeusp-2020-0357
Levantezi M, Shimizu HE, Garrafa V. Princípio da não discriminação e não estigmatização: reflexões sobre hanseníase. Rev Bioét. 2020; 28(1):17–23. https://doi.org/10.1590/1983-80422020281362 DOI: https://doi.org/10.1590/1983-80422020281362