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Cutaneous Leishmaniasis in the Dorsal Skin of Hamsters: a Useful Model for the Screening of Antileishmanial Drugs
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Factors Associated with Early Referral for Pediatric Cutaneous Leishmaniasis

Bilge Fettahlioglu Karaman1, Varol Aksungur, Ilker Unal

  • 1Bilge Fettahlioglu Karaman, MD, Çukurova University Medical School, Adana, Turkey; bilgef@gmail.com.

Acta Dermatovenerologica Croatica : ADC
|October 18, 2022
PubMed

Insights

Younger children with cutaneous leishmaniasis (CL) are referred earlier for healthcare. Parental concern for younger children drives early referral, while school health interventions may aid older children with CL.

Area of Science:

  • Dermatology
  • Public Health
  • Pediatrics

Background:

  • Pediatric cutaneous leishmaniasis (CL) diagnosis and treatment delays can lead to prolonged illness and increased transmission.
  • Understanding factors influencing healthcare-seeking behavior is crucial for effective public health strategies and timely interventions in pediatric CL cases.

Purpose of the Study:

  • To investigate the determinants of early healthcare referral in children diagnosed with cutaneous leishmaniasis.
  • To identify patient characteristics and disease factors associated with delayed or prompt medical attention.

Main Methods:

  • A retrospective review of 1115 pediatric CL cases treated at a hospital in Adana, Turkey.
  • Multivariate logistic regression analysis was employed to assess the impact of age, sex, residential distance, lesion count, and lesion location (fాతీయervical onset) on early referral.

Main Results:

  • The mean duration of disease before referral was 12.7 months.
  • Children aged 1-5 years (OR 2.32) and 6-10 years (OR 1.32) were significantly more likely to be referred early compared to those aged 11-18 years.
  • Facio-cervical lesion onset showed a borderline significant association with earlier referral.

Conclusions:

  • Younger age is a significant determinant of early healthcare seeking in pediatric cutaneous leishmaniasis, likely due to heightened parental concern.
  • Targeted school-based health education programs may be beneficial in improving timely referral rates for older children and adolescents with CL.

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