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La lepra es la enfermedad de la lepra
1Division of National Hansen's Disease Programs, Gillis W Long Hansen's Disease Center, Carville, LA 70721-9607, USA. jkrahe1@lsu.edu
Lancet (London, England)
|February 25, 1999
Resumen
El manejo de la lepra ha mejorado, reduciendo el estigma. Sin embargo, la incidencia de la enfermedad sigue siendo estable, y la erradicación requiere esfuerzos continuos de control más allá de la quimioterapia sola.
Área de la Ciencia:
- Ciencias Médicas Ciencias Médicas.
- Salud Pública La salud pública.
- Enfermedades infecciosas Enfermedades infecciosas.
Sus antecedentes:
- La lepra, una enfermedad antigua y temida, es a menudo mal entendida.
- Los avances significativos en el manejo de la lepra en 30 años han reducido el estigma del paciente y han mejorado los resultados.
- El objetivo de la Organización Mundial de la Salud (OMS) de eliminar la lepra para el año 2000 ha aumentado la conciencia pública, pero también los conceptos erróneos sobre su erradicación.
Objetivo del estudio:
- Proporcionar una comprensión básica de la lepra y su manejo para los profesionales de la salud.
- Para hacer frente a la incidencia persistente de la lepra a pesar de los esfuerzos de control.
- Informar a los médicos sobre la relevancia continua del diagnóstico y manejo de la lepra en una población global móvil.
Principales métodos:
- Revisión de los datos históricos y las tendencias actuales en la incidencia de la lepra y los casos registrados.
- Análisis del impacto de los objetivos de eliminación de la OMS en la percepción pública y el control de enfermedades.
- Evaluación de las limitaciones de la quimioterapia sola en la erradicación de enfermedades infecciosas bacterianas.
Principales resultados:
- A pesar de una disminución en los casos registrados, la incidencia de la lepra ha mostrado un cambio mínimo.
- La percepción pública ha sido influenciada por el objetivo de eliminación de la OMS, lo que lleva a una creencia en la erradicación.
- La quimioterapia por sí sola es insuficiente para la erradicación de la lepra.
Conclusiones:
- Es poco probable que la lepra sea erradicada en el futuro cercano únicamente a través de la quimioterapia.
- Los esfuerzos continuos y adecuados de control más allá del año 2000 son cruciales para disminuir potencialmente la incidencia de la lepra.
- Los médicos de todo el mundo pueden encontrar casos de lepra, lo que requiere una comprensión fundamental de la enfermedad y su manejo debido a la movilidad del paciente.
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