David G. Addiss|Jacky Louis?Charles|Jacquelin M. Roberts|Frederic LeConte|Joyanna Wendt|Marie Denise Milord|Patrick J. Lammie|Gerusa Dreyer
Feasibility and Effectiveness of Basic Lymphedema Management in Leogane, Haiti, an Area Endemic for Bancroftian Filariasis
Fetzer Institute|Michigan United|Centers for Disease Control and Prevention|National Center for Infectious Diseases|Centers for Disease Control and Prevention|National Center for Infectious Diseases|Centers for Disease Control and Prevention|National Center for Infectious Diseases|Centers for Disease Control and Prevention|National Center for Infectious Diseases
approximately 14 million persons living areas endemic lymphatic filariasis lymphedema leg clinical studies indicate repeated episodes bacterial acute dermatolymphangioadenitis adla lead progression lymphedema basic lymphedema management emphasizes hygiene skin care exercise leg elevation reduce adla frequency however studies prospectively evaluated effectiveness basic lymphedema management assessed role compressive bandaging lymphedema resourcepoor settingsbetween 1995 1998 prospectively monitored adla incidence leg volume 175 persons lymphedema leg enrolled lymphedema clinic leogane haiti area endemic wuchereria bancrofti first phase study major focus program reduce leg volume using compression bandages adla incidence 156 episodes per personyear march 1997 hygiene skin care systematically emphasized bandaging discouraged adla incidence decreased 048 episodes per personyear p00001 adla incidence significantly associated leg volume stage lymphedema illiteracy use compression bandages leg volume decreased 78 patients entire study period reduction statistically significant legs stage 2 lymphedema p 001basic lymphedema management emphasized hygiene selfcare associated 69 reduction adla incidence use compression bandages setting associated increased risk adla basic lymphedema management feasible effective resourcelimited areas endemic lymphatic filariasis