Volume 12, Number 1 (Vol 12, No.1 2016)                   irje 2016, 12(1): 28-34 | Back to browse issues page


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Aflatoonian M, Sharifi I, Shirzadi M, Aflatoonian B. The Effect of Active Case Detection and Early Treatment on the Incidence Rate of Anthroponotic Cutaneous Leishmaniasis in Kerman Province, Iran. irje. 2016; 12 (1) :28-34
URL: http://irje.tums.ac.ir/article-1-5491-en.html

1- Instructor, Member of Infectious and Tropical Diseases Research Center, Zoonosis Research Committee and HSR Committee, Kerman University of Medical Sciences, Kerman, Iran Instructor, Member of Infectious and Tropical Diseases Research Center, Zoonosis Research Committee and HSR Committee, Kerman University of Medical Sciences, Kerman, Iran
2- Professor of Parasitology, Leishmaniosis Research Center, Kerman University of Medical Sciences, Kerman, Iran Professor of Parasitology, Leishmaniosis Research Center, Kerman University of Medical Sciences, Kerman, Iran , .sharifi@yahoo.com
3- Professor of Infectious Diseases, Communicable Diseases Management Center, Ministry of Health and Medical Education, Tehran, Iran Professor of Infectious Diseases, Communicable Diseases Management Center, Ministry of Health and Medical Education, Tehran, Iran
4- Researcher, Physiology Research Center, Zoonosis Research Committee and HSR Committee, Kerman University of Medical Sciences, Kerman, Iran Researcher, Physiology Research Center, Zoonosis Research Committee and HSR Committee, Kerman University of Medical Sciences, Kerman, Iran
Abstract:   (4189 Views)

Background and Objectives: Anthroponotic cutaneous leishmaniasis (ACL) is restricted to humans; thus, prompt diagnosis and early treatment are significant measures to control the disease. This study was conducted to determine the effect of direct active case- detection and early treatment on the control of ACL in Bam District.

Methods: This retrospective cohort study was performed based on intervention and nonintervention. After the 2003 earthquake, an equipped treatment center was established to actively detect CL cases following the CL epidemic. This intervention was carried out in 2007 and the suspected cases were referred to the center for diagnosis and treatment Another comparable CL treatment center was selected as the control in Kerman. The recorded data of the patients were analyzed with statistical tests at p<0.05.

Results: The incidence rate steadily increased to 30% from 2003 to 2007 whereas the incidence gradually decreased to 1% after the intervention. However, by contrast, the incidence rate increased significantly in the control area. The treatment failure and relapse rate of ACL showed no significant difference with the control group before and after the intervention. The effectiveness of the intervention was calculated to be 85%.

Conclusion: Active case-detection and early treatment of ACL could be an effective measure in controlling ACL, particularly during epidemics. Lessons learned from the 2003 Bam earthquake could be used as a suitable model for ACL endemic areas, nationally and globally.

Full-Text [PDF 1659 kb]   (778 Downloads)    
Type of Study: Research | Subject: General
Received: 2016/06/21 | Accepted: 2016/06/21 | Published: 2016/06/21

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