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Can plantar ulcers be treated in the field ? The Senegalese experience of treating PU in peripheral centers


Cahiers d'études et de recherches francophones / Santé . Volume 8, Number 3, 199-204, Mai-Juin 1988, Étude originale

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Author(s) : Michel-Yves Grauwin, Abdoulaye Ndiaye, Papa Malick Sylla, Abou Beckr Gaye, Ibrahima Mane, Jean-Louis Cartel, Jean-Paul Lepers

Summary : The introduction of a program for the treatment of plantar ulcers (PU) in field conditions in Senegal was studied. The program was complementary to the Health Education and Protective Footwear to Prevent Disability (POD) initiatives within the Senegalese anti-leprosy program. The wound care given in health centers was coded and simplified. Access to hospitals was made easier for those patients requiring surgery. More than 30% of patients with PU were treated each year, with a mean of 62% cured. An increasing number of leprosy patients have been admitted to regional hospitals for surgery. Never before have patients with signs of leprosy had access to general hospitals. This study emphasizes the need for regular supervision of the individuals treating wounds.

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