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|Title: ||Pain Associated with Wound Care Treatment among Buruli Ulcer Patients from Ghana and Benin|
|Authors: ||Alferink, Marike|
Zeeuw, Janine de
Phillips, Richard O.
|Issue Date: ||1-Jun-2015|
|Publisher: ||PLoS ONE|
|Citation: ||PLoS ONE 10(6): e0119926. doi:10.1371/journal. pone.0119926|
|Abstract: ||Buruli ulcer (BU) is a necrotizing skin disease caused by Mycobacterium ulcerans. People
living in remote areas in tropical Sub Saharan Africa are mostly affected.Wound care is an
important component of BU management; this often needs to be extended for months after
the initial antibiotic treatment. BU is reported in the literature as being painless, however
clinical observations revealed that some patients experienced pain during wound care.
This was the first study on pain intensity during and after wound care in BU patients and
factors associated with pain. In Ghana and Benin, 52 BU patients above 5 years of age
and their relatives were included between December 2012 and May 2014. Information on
pain intensity during and after wound care was obtained during two consecutive weeks
using theWong-Baker Pain Scale. Median pain intensity during wound care was in the
lower range (Mdn = 2, CV = 1), but severe pain (score > 6) was reported in nearly 30% of
the patients. Nevertheless, only one patient received pain medication. Pain declined over
time to low scores 2 hours after treatment. Factors associated with higher self-reported
pain scores were; male gender, fear prior to treatment, pain during the night prior to treatment,
and pain caused by cleaning the wound. The general idea that BU is painless is
incorrect for the wound care procedure. This procedural pain deserves attention and appropriate
|Description: ||An article published by PLOS ONE and available at doi:10.1371/journal.
|Appears in Collections:||College of Health Sciences|
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