University of Khartoum

Epidemiology of mycetoma among female patients attending Mycetoma Health Centers (Khartoum - Wad Medani) - Sudan 2016.

Epidemiology of mycetoma among female patients attending Mycetoma Health Centers (Khartoum - Wad Medani) - Sudan 2016.

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Title: Epidemiology of mycetoma among female patients attending Mycetoma Health Centers (Khartoum - Wad Medani) - Sudan 2016.
Author: Dawelbait, Hafsa Fadl Ahmed
Abstract: Background: Mycetoma is a major health problem in tropical and subtropical areas. The Mycetoma Research Centre of the University of Khartoum – Sudan reported 6.792 patients during the period 1991-2015. One thousand and two hundred infected patients visited the Mycetoma Center of Wad Medani, Gezira State, Sudan during the period 2013- 2016. This descriptive hospital based study was conducted at the Mycetoma Health Centers (Khartoum- Wad Medani), Sudan, 2016, with an objective to study epidemiology of mycetoma among female patients. Materials and methods: The study covered all female patients over a period of six months (June to December 2016), 200 female patients; 130 female patients at the Mycetoma Health Centers of Khartoum and 70 female patients at Wad Medani Center. Data was collected using a questionnaire; records; and an interview with managers of the two centers. Data were analyzed using SPSS version21. Results: The study revealed that 70% of the patients came from the Central States (Khartoum State, Gezira State, White Nile State, Sinnar State).The potential risk factors of mycetoma showed that 41% were in age group 18-31 years; 25% were illiterate; 52.5% were married; 16% were farmers and poor income patients were 64%. All patients heard about mycetoma. Thirty eight of the patients mentioned bacteria as the causative agent of mycetoma; 67.5% knew the symptoms of mycetoma; 73% did not know that mycetoma can be prevented. 78.5% of the patients had animals in their homes; 64% work in agriculture and 25.5% work in animal breeding sector. 35.5% experienced Acaciaarabice; AcaciaSenegalensis and Acacia locatica thorn pricks. 19.5% of the patients had family history of mycetoma infection. Eighty six patients used plastic shoes during agriculture and animal breeding. The majority of the patients 65% were infected with fungi type of mycetoma; while 24.5% with bacteria; and 10.5% with both. Most of mycetoma complications were disability 68%; 14.5% had some from the lower limb amputation and 17.5% were off work. Conclusion: The potential risk factors of mycetoma were the environmental factors including thorn plants, presence of animals at home, breeding of animals and agricultural activities. The main types of mycetoma were fungi and bacteria while the complications of mycetoma were disability. The study recommends establishment of health education program about mycetoma at community level.
URI: http://khartoumspace.uofk.edu/123456789/26726


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