02799nas a2200445 4500000000100000008004100001260001200042653001700054653005700071653002100128653002100149653001000170100001400180700001400194700001800208700001500226700001200241700001500253700001200268700001700280700001400297700001500311700001200326700001300338700001300351700001700364700001300381700001200394700001100406700001200417700001300429700001400442700001200456245012800468856009900596300000900695490000700704520162800711022001402339 2023 d c05/202310amobile teams10aSkin-related neglected tropical diseases (skin NTDs)10aearly detection 10arapid treatment 10aBenin1 aGnimavo R1 aFajloun F1 aAl-Bayssari C1 aSodjinou E1 aHabib A1 aGanlonon L1 aClaco E1 aAgoundoté I1 aHoungbo O1 aAnagonou E1 aBiaou C1 aAyélo A1 aHouezo J1 aBoccarossa A1 aMoussa E1 aGomez B1 aGine A1 aSopoh G1 aMarion E1 aJohnson R1 aKempf M00aImportance of consultations using mobile teams in the screening and treatment of neglected tropical skin diseases in Benin. uhttps://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0011314&type=printable a1-190 v173 a
Context: Since 2013, the World Health Organization has recommended integrated control strategies for neglected tropical diseases (NTDs) with skin manifestations. We evaluated the implementation of an integrated approach to the early detection and rapid treatment of skin NTDs based on mobile clinics in the Ouémé and Plateau areas of Benin.
Methods: This descriptive cross-sectional study was performed in Ouémé and Plateau in Benin from 2018 to 2020. Consultations using mobile teams were performed at various sites selected by reasoned choice based on the epidemiological data of the National Program for the Control of Leprosy and Buruli Ulcer. All individuals presenting with a dermatological lesion who voluntarily approached the multidisciplinary management team on the day of consultation were included. The information collected was kept strictly anonymous and was entered into an Excel 2013 spreadsheet and analyzed with Stata 11 software.
Results: In total, 5,267 patients with various skin conditions consulted the medical team. The median age of these patients was 14 years (IQR: 7-34 years). We saw 646 (12.3%) patients presenting NTDs with skin manifestations, principally scabies, in 88.4% (571/646), followed by 37 cases of Buruli ulcer (5.8%), 22 cases of leprosy (3.4%), 15 cases of lymphatic filariasis (2.3%) and one case of mycetoma (0.2%). We detected no cases of yaws.
Conclusion: This sustainable approach could help to decrease the burden of skin NTDs in resource-limited countries.
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