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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/11902

Title: Assessment and Treatment of Pain during Treatment of Buruli Ulcer
Authors: Phillips, Richard O.
de Zeeuw, Janine
Alferink, Marike
Barogui, Yves T.
Sopoh, Ghislain
et. al
Issue Date: 24-Sep-2015
Publisher: PLOS Neglected Tropical Diseases
Citation: PLoS Negl Trop Dis 9(9): e0004076. doi:10.1371/journal.pntd.0004076
Abstract: Background 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. Methodology 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. Principal Findings 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
URI: http://hdl.handle.net/123456789/11902
Appears in Collections:College of Health Sciences

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