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Le traitement traditionnel de l'ulcère de Buruli au Bénin

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dc.contributor.author Johnson, R. C. en_US
dc.contributor.author Makoutode, M. en_US
dc.contributor.author Hougnihin, R. en_US
dc.contributor.author Guedenon, A. en_US
dc.contributor.author Ifebe, D. en_US
dc.contributor.author Boko, M. en_US
dc.contributor.author Portaels, F. en_US
dc.date.accessioned 2007-12-06T14:47:17Z
dc.date.available 2007-12-06T14:47:17Z
dc.date.issued 2004 en_US
dc.identifier.issn 0025-682X en_US
dc.identifier.other ITG-MLA en_US
dc.identifier.other MICRO en_US
dc.identifier.other U-MYCOB en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.uri http://hdl.handle.net/10390/1811
dc.description.abstract The purpose of this transversve qualitative study on traditional treatment for Buruli ulcer in Benin was to track the treatment itinerary of patients, the main phases of traditional treatment, cost and efficacy of such treatment, and the knowledge and skills of traditional practitioners. A total of 20 traditional practitioners, 35 patients treated by traditional therapy, and 35 patients treated by surgery were included. Findings showed that both traditional and surgical treatment was sought at a late stage. Reasons determining the type of treatment chosen included religion, access to adequate care facilities, constraints involved in surgical treatment, duration of hospitalization, and fear of scarring. The four main steps in traditional treatment were diagnosis, removal of necrotic tissue, wound care, and exorcism. The cost of traditional treatment was high not only in currency but also by payment in kind (eg., livestock and land). Although it is performed with patient consent, traditional treatment presents a number of risks. Information campaigns are necessary to inform populations about available treatments and the possible risks associated with each modality. Care centers must do more to lessen the constraints involved in surgical treatment both in terms of duration of hospitalization and cosmetic outcome. en_US
dc.language French en_US
dc.subject Bacterial diseases en_US
dc.subject Buruli ulcer en_US
dc.subject Mycobacterium ulcerans en_US
dc.subject Traditional medicine en_US
dc.subject Cost-effectiveness en_US
dc.subject Traditional healers en_US
dc.subject Skills en_US
dc.subject Knowledge en_US
dc.subject Surgery en_US
dc.subject Hospitalization en_US
dc.subject Scarring en_US
dc.subject Benin en_US
dc.subject Africa, West en_US
dc.title Le traitement traditionnel de l'ulcère de Buruli au Bénin fr
dc.type Article en_US
dc.citation.jtitle Médecine Tropicale fr
dc.citation.volume 64 en_US
dc.citation.pages 145-150 en_US
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/15460142
dc.citation.jabbreviation Méd Trop fr


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