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|Title: ||Assessment and Treatment of Pain during Treatment of Buruli Ulcer|
|Authors: ||Phillips, Richard O.|
de Zeeuw, Janine
Barogui, Yves T.
|Issue Date: ||24-Sep-2015|
|Publisher: ||PLOS Neglected Tropical Diseases|
|Citation: ||PLoS Negl Trop Dis 9(9): e0004076. doi:10.1371/journal.pntd.0004076|
Buruli ulcer (BU) is described as a relatively painless condition; however clinical observations
reveal that patients do experience pain during their treatment. Knowledge on current
pain assessment and treatment in BU is necessary to develop and implement a future
guideline on pain management in BU.
A mixed methods approach was used, consisting of information retrieved from medical records
on prescribed pain medication from Ghana and Benin, and semi-structured interviews
with health care personnel (HCP) from Ghana on pain perceptions, assessment and treatment.
Medical records (n = 149) of patients treated between 2008 and 2012 were collected
between November 2012 and August 2013. Interviews (n = 11) were audio-taped, transcribed
verbatim and qualitatively analyzed.
In 113 (84%) of the 135 included records, pain medication, mostly simple analgesics, was
prescribed. In 48% of the prescriptions, an indication was not documented. HCP reported
that advanced BU could be painful, especially after wound care and after a skin graft. They
reported not be trained in the assessment of mild pain. Pain recognition was perceived as
difficult, as patients were said to suppress or to exaggerate pain, and to have different
expectations regarding acceptable pain levels. HCP reported a fear of side effects of pain
medication, shortage and irregularities in the supply of pain medication, and time constraints
among medical doctors for pain management. Conclusions
Professionals perceived BU disease as potentially painful, and predominantly focused on
severe pain. Our study suggests that pain in BU deserves attention and should be integrated
in current treatment.|
|Description: ||An article published by PLOS Neglected Tropical Diseases and available at doi:10.1371/journal.pntd.0004076|
|Appears in Collections:||College of Health Sciences|
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