Former Buruli Ulcer Patients' Experiences and Wishes May Serve as a Guide to Further Improve Buruli Ulcer Management.

<h4>Background</h4>Buruli ulcer (BU), caused by Mycobacterium ulcerans, is a neglected tropical disease frequently leading to permanent disabilities. The ulcers are treated with rifampicin and streptomycin, wound care and, if necessary surgical intervention. Professionals have exclusivel...

Full description

Saved in:
Bibliographic Details
Main Authors: Anita Velink, Rebecca J Woolley, Richard O Phillips, Kabiru M Abass, Tjip S van der Werf, Emmanuel Agumah, Janine de Zeeuw, Sandor Klis, Ymkje Stienstra
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-12-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0005261&type=printable
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850138806076833792
author Anita Velink
Rebecca J Woolley
Richard O Phillips
Kabiru M Abass
Tjip S van der Werf
Emmanuel Agumah
Janine de Zeeuw
Sandor Klis
Ymkje Stienstra
author_facet Anita Velink
Rebecca J Woolley
Richard O Phillips
Kabiru M Abass
Tjip S van der Werf
Emmanuel Agumah
Janine de Zeeuw
Sandor Klis
Ymkje Stienstra
author_sort Anita Velink
collection DOAJ
description <h4>Background</h4>Buruli ulcer (BU), caused by Mycobacterium ulcerans, is a neglected tropical disease frequently leading to permanent disabilities. The ulcers are treated with rifampicin and streptomycin, wound care and, if necessary surgical intervention. Professionals have exclusively shaped the research agenda concerning management and control, while patients' perspective on priorities and preferences have not explicitly been explored or addressed.<h4>Methodology/principal findings</h4>To get insight into patient perception of the management and control of Buruli ulcer a mixed methods research design was applied with a questionnaire and focus group discussions among former BU patients. Data collection was obtained in collaboration with a local team of native speakers in Ghana. A questionnaire was completed by 60 former patients and four focus group discussions were conducted with eight participants per group. Former patients positively evaluated both the effectiveness of the treatment and the financial contribution received for the travel costs to the hospitals. Pain experienced during treatment procedures, in particular wound care and the streptomycin injections, and the side-effects of the treatment were negatively evaluated. Former patients considered the development of preventive measures and knowledge on the transmission as priorities. Additionally, former patients asked for improved accessibility of health services, counselling and economic support.<h4>Conclusions</h4>These findings can be used to improve clinical management and to guide the international research agenda.
format Article
id doaj-art-5adc87d99d964cdeaac1e05c75b7ef3f
institution OA Journals
issn 1935-2727
1935-2735
language English
publishDate 2016-12-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS Neglected Tropical Diseases
spelling doaj-art-5adc87d99d964cdeaac1e05c75b7ef3f2025-08-20T02:30:30ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352016-12-011012e000526110.1371/journal.pntd.0005261Former Buruli Ulcer Patients' Experiences and Wishes May Serve as a Guide to Further Improve Buruli Ulcer Management.Anita VelinkRebecca J WoolleyRichard O PhillipsKabiru M AbassTjip S van der WerfEmmanuel AgumahJanine de ZeeuwSandor KlisYmkje Stienstra<h4>Background</h4>Buruli ulcer (BU), caused by Mycobacterium ulcerans, is a neglected tropical disease frequently leading to permanent disabilities. The ulcers are treated with rifampicin and streptomycin, wound care and, if necessary surgical intervention. Professionals have exclusively shaped the research agenda concerning management and control, while patients' perspective on priorities and preferences have not explicitly been explored or addressed.<h4>Methodology/principal findings</h4>To get insight into patient perception of the management and control of Buruli ulcer a mixed methods research design was applied with a questionnaire and focus group discussions among former BU patients. Data collection was obtained in collaboration with a local team of native speakers in Ghana. A questionnaire was completed by 60 former patients and four focus group discussions were conducted with eight participants per group. Former patients positively evaluated both the effectiveness of the treatment and the financial contribution received for the travel costs to the hospitals. Pain experienced during treatment procedures, in particular wound care and the streptomycin injections, and the side-effects of the treatment were negatively evaluated. Former patients considered the development of preventive measures and knowledge on the transmission as priorities. Additionally, former patients asked for improved accessibility of health services, counselling and economic support.<h4>Conclusions</h4>These findings can be used to improve clinical management and to guide the international research agenda.https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0005261&type=printable
spellingShingle Anita Velink
Rebecca J Woolley
Richard O Phillips
Kabiru M Abass
Tjip S van der Werf
Emmanuel Agumah
Janine de Zeeuw
Sandor Klis
Ymkje Stienstra
Former Buruli Ulcer Patients' Experiences and Wishes May Serve as a Guide to Further Improve Buruli Ulcer Management.
PLoS Neglected Tropical Diseases
title Former Buruli Ulcer Patients' Experiences and Wishes May Serve as a Guide to Further Improve Buruli Ulcer Management.
title_full Former Buruli Ulcer Patients' Experiences and Wishes May Serve as a Guide to Further Improve Buruli Ulcer Management.
title_fullStr Former Buruli Ulcer Patients' Experiences and Wishes May Serve as a Guide to Further Improve Buruli Ulcer Management.
title_full_unstemmed Former Buruli Ulcer Patients' Experiences and Wishes May Serve as a Guide to Further Improve Buruli Ulcer Management.
title_short Former Buruli Ulcer Patients' Experiences and Wishes May Serve as a Guide to Further Improve Buruli Ulcer Management.
title_sort former buruli ulcer patients experiences and wishes may serve as a guide to further improve buruli ulcer management
url https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0005261&type=printable
work_keys_str_mv AT anitavelink formerburuliulcerpatientsexperiencesandwishesmayserveasaguidetofurtherimproveburuliulcermanagement
AT rebeccajwoolley formerburuliulcerpatientsexperiencesandwishesmayserveasaguidetofurtherimproveburuliulcermanagement
AT richardophillips formerburuliulcerpatientsexperiencesandwishesmayserveasaguidetofurtherimproveburuliulcermanagement
AT kabirumabass formerburuliulcerpatientsexperiencesandwishesmayserveasaguidetofurtherimproveburuliulcermanagement
AT tjipsvanderwerf formerburuliulcerpatientsexperiencesandwishesmayserveasaguidetofurtherimproveburuliulcermanagement
AT emmanuelagumah formerburuliulcerpatientsexperiencesandwishesmayserveasaguidetofurtherimproveburuliulcermanagement
AT janinedezeeuw formerburuliulcerpatientsexperiencesandwishesmayserveasaguidetofurtherimproveburuliulcermanagement
AT sandorklis formerburuliulcerpatientsexperiencesandwishesmayserveasaguidetofurtherimproveburuliulcermanagement
AT ymkjestienstra formerburuliulcerpatientsexperiencesandwishesmayserveasaguidetofurtherimproveburuliulcermanagement