Evaluation of antibacterial soap in the management of lymphoedema in Leogane, Haiti

In areas endemic for lymphatic filariasis, progression of lymphoedema is associated with recurrent bacterial acute dermatolymphangioadenitis (ADLA). The role of antibacterial soap in preventing ADLA is unknown. In a randomized double-blinded clinical trial in Leogane, Haiti, lymphoedema patients was...

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Veröffentlicht in:Transactions of the Royal Society of Tropical Medicine and Hygiene 2011, Vol.105 (1), p.58-60
Hauptverfasser: Addiss, David G., Michel, Marie-Carmel, Michelus, Antoine, Radday, Jeanne, Billhimer, Ward, Louis-Charles, Jacky, Roberts, Jacquelin M., Kramp, Kathy, Dahl, Benjamin A., Keswick, Bruce
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container_issue 1
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container_title Transactions of the Royal Society of Tropical Medicine and Hygiene
container_volume 105
creator Addiss, David G.
Michel, Marie-Carmel
Michelus, Antoine
Radday, Jeanne
Billhimer, Ward
Louis-Charles, Jacky
Roberts, Jacquelin M.
Kramp, Kathy
Dahl, Benjamin A.
Keswick, Bruce
description In areas endemic for lymphatic filariasis, progression of lymphoedema is associated with recurrent bacterial acute dermatolymphangioadenitis (ADLA). The role of antibacterial soap in preventing ADLA is unknown. In a randomized double-blinded clinical trial in Leogane, Haiti, lymphoedema patients washed affected legs with antibacterial ( n = 97) or plain soap ( n = 100). Reported ADLA incidence (by recall) before the study was 1.1 episodes per person-year, compared to 0.40 assessed during the 12-month study. ADLA incidence was significantly associated with age, illiteracy and lymphoedema stage, but not with soap type. Washing with soap, regardless of its antibacterial content, can help decrease ADLA incidence. (ClinicalTrials.gov identifier number NCT00139100.)
doi_str_mv 10.1016/j.trstmh.2010.08.011
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subjects Adult
Anti-Bacterial Agents - therapeutic use
antibacterial
Antibacterial agents
Antibiotics. Antiinfectious agents. Antiparasitic agents
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Diseases of the lymphatic vessels
Elephantiasis, Filarial - complications
Elephantiasis, Filarial - epidemiology
Elephantiasis, Filarial - prevention & control
Female
General aspects
Haiti - epidemiology
Humans
hygiene
lymphangitis
Lymphatic filariasis
Lymphedema - epidemiology
Lymphedema - etiology
Lymphedema - prevention & control
lymphoedema
Male
Medical sciences
Pharmacology. Drug treatments
soap
Soaps - therapeutic use
title Evaluation of antibacterial soap in the management of lymphoedema in Leogane, Haiti
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