Leprosy Epidemiology According to Leprosy Type in 13 Teaching Hospitals in Indonesia between 2018 and 2020

Ramona Dumasari Lubis, Mila Darmi, Cita Rosita Sigit Prakoeswa, Regitta Indira Agusni, Bagus Haryo Kusumaputra, Medhi Denisa Alinda, Muhammad Yulianto Listiawan, Qaira Anum, Fifa Argentina, Sri Linuwih Susetyo Wardhani Menaldi, Hendra Gunawan, Renni Yuniati, Nur Rachmat Mulianto, Agnes Sri Siswati, Dhelya Widasmara, Luh Made Mas Rusyati, Enricco Hendra Mamuaja, Vitayani Muchtar

Research output: Contribution to journalArticlepeer-review

Abstract


BACKGROUND: Leprosy or Hansen’s disease is an infectious disease caused by Mycobacterium leprae (M. leprae) bacilli which results in chronic infections in humans that affect the peripheral nerves, skin, and other organs such as the eyes, mucous membranes, bones, and testicles. Leprosy has a variety of clinical presentations, depending on the cell-mediated immunity of the host. Leprosy is classified by the World Health Organization (WHO) as paucibacillary type (PB) and multibacillary type (MB) depending on the number of lesions. This multicenter study aims to provide representation of leprosy types and its epidemiology in Indonesia.
AIM: The purpose of this study is to find out the epidemiology according to the leprosy type in 13 teaching hospitals in Indonesia between 2018 and 2020.
METHODS: This is a descriptive study with cross-sectional design. All patients with the diagnosis of PB or MB type of leprosy who underwent Multidrug Therapy (MDT) treatment between 2018 and 2020 were included in this study. Data collection was carried out by tracing medical records data in 13 teaching hospitals in Indonesia.
RESULTS: A total of 2129 leprosy patients were included in this study. There were 232 cases (10.8%) of PB leprosy and 1897 cases (89.1%) of MB leprosy. The average age of the patients is 38.7 years (SD ± 16.2 years). Males are more affected by leprosy (n = 1,441; 67.7%) compared to female (n = 688; 32.3%).
CONCLUSION: Leprosy remains as a national health problem. The increasing cases of MB leprosy in Indonesia are caused by several factors including the lack of knowledge about leprosy, the delay in diagnosis of leprosy, and the stigma of leprosy within the community; therefore, it becomes a challenge to eliminate leprosy in Indonesia.
Original languageEnglish
Pages (from-to)1812
Number of pages1817
JournalOpen Access Macedonian Journal of Medical Sciences
Volume10
DOIs
Publication statusPublished - Nov 2022

Keywords

  • epidemiology
  • leprosy
  • multidrug therapy
  • who leprosy classification

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