British Medical Bulletin 44:791-800 (1988)
© 1988 The British Council
research-article |
Management of leprosy
Sutton, Surrey, UK
Abstract
The chemotherapy of leprosy when properly applied achieves both an acceptably low relapse rate and a high rate of success in preventing disability. The objective therefore is to initiate treatment at as early a stage as possible. This requires well developed public awareness and the encouragement of early self-presentation and detection by auxiliaries.
The diagnosis is within the competence of all health staff given appropriate training, and routine treatment including that for most complications can readily be undertaken by the general health unit on an out-patient basis. The physician must, however, ensure that the patient understands the nature of his disease, its treatment and its possible complications. Nerve damage if recognised early will often recover under steroid therapy.
Those permanently disabled require long term care and specialist facilities, with attention to any associated socio-economic problems.