Mycobacterium ulcerans infection : factors influencing diagnostic delay

Quek, Tricia Y. J., Henry, Margaret J., Pasco, Julie A., O'Brien, Daniel P., Johnson, Paul D. R., Hughes, Andrew, Cheng, Allen C., Redden-Hoare, Jane and Athan, Eugene 2007, Mycobacterium ulcerans infection : factors influencing diagnostic delay, Medical journal of Australia, vol. 187, no. 10, pp. 561-563.

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Title Mycobacterium ulcerans infection : factors influencing diagnostic delay
Formatted title Mycobacterium ulcerans infection : factors influencing diagnostic delay
Author(s) Quek, Tricia Y. J.
Henry, Margaret J.
Pasco, Julie A.
O'Brien, Daniel P.
Johnson, Paul D. R.
Hughes, Andrew
Cheng, Allen C.
Redden-Hoare, Jane
Athan, Eugene
Journal name Medical journal of Australia
Volume number 187
Issue number 10
Start page 561
End page 563
Total pages 3
Publisher Australasian Medical Publishing Company
Place of publication Sydney, N.S.W.
Publication date 2007-11-19
ISSN 0025-729X
1326-5377
Keyword(s) Mycobacterium ulcerans
Summary Objective: To document the epidemiology, clinical characteristics and diagnosis of an outbreak of Mycobacterium ulcerans infection (Bairnsdale or Buruli ulcer [BU]) during the period 1998–2006, and compare delays in diagnosis between residents of endemic and non-endemic regions.

Design and setting:
Retrospective case study of patients identified through infectious disease physicians on the Bellarine Peninsula and the Victorian Department of Human Services notifiable diseases database.

Main outcome measures: Description of events leading to diagnosis of BU.

Results: Eighty-five BU patients recalled their experience. Fifty-three patients were older than 60 years, and 61 permanently resided on the Bellarine Peninsula. The onset of symptoms occurred most frequently in mid winter. Twenty-eight patients had lesions on the arm and 51 on the leg. The median time between onset of symptoms and first medical contact was shorter for those living in the endemic area (3.0 weeks; interquartile range [IQR], 1.0–5.0 weeks) compared with non-endemic areas (5.3 weeks; IQR, 2.0–9.5 weeks) (P = 0.05). Patients who resided in the endemic area had a shorter median time from their first medical appointment to diagnosis (1.0 week; IQR, 0.0–3.9 weeks) than those who resided in non-endemic areas (5.0 weeks; IQR, 1.3–8.0 weeks) (P = 0.001).

Conclusion:
Delay in presentation and time to diagnosis of BU are longer in non-endemic than endemic areas. Measures should be taken to raise awareness of the disease in non-endemic areas.
Language eng
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2007, Australasian Medical Publishing Company
Persistent URL http://hdl.handle.net/10536/DRO/DU:30042829

Document type: Journal Article
Collection: School of Medicine
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