Prevention of disability in Buruli ulcer: basic rehabilitation - Practical field guide
The guide contains valuable tools for wound care and the rehabilitation of people affected by Buruli ulcer. It is also helpful for peripheral health centres in areas where Buruli ulcer is endemic and to people and their families affected by the disease.
This manual is for use by doctors, nurses, rehabilitation specialists, National Buruli ulcer Control Programme managers and other health workers involved in the prevention of disability activities in Buruli ulcer. It provides up-to-date guidelines based on the experience and problems of managing Buruli ulcer in the field as well as the available evidence from other conditions. This manual is intended to be used at health facilities which manage Buruli ulcer. It will be most helpful if it is used in conjunction with a participatory method of training to develop knowledge and skills.
This manual provides expert guidance on the laboratory techniques and procedures used in the diagnosis of Buruli ulcer, a disease caused by Mycobacterium ulcerans. Aimed at laboratory technicians and scientists working on this disease, the manual details the exact procedures to follow when performing a range of diagnostic tests. Recommended procedures, intended for use throughout the health system, are presented at levels appropriate for peripheral, district and central services and in accordance with the varying resources, skills and equipment typically found in countries where Buruli ulcer is endemic.
Treatment of Mycobacterium ulcerans disease (Buruli Ulcer)
This manual is intended to guide healthcare workers in the clinical diagnosis and management of Buruli ulcer, one of the seventeen neglected tropical diseases. The disease is caused by Mycobacterium ulcerans, which belongs to the same family of organisms that cause tuberculosis and leprosy.
Since 2004, antibiotic treatment has greatly improved the management of Buruli ulcer and is presently the fi rst-line therapy for all forms of the disease. Guidance for complementary treatments such as surgery, wound care, and prevention of disability are also included. Numerous coloured photographs and tables are used to enhance the manual’s value as a training and reference tool.
Implementation of this guidance will require considerable clinical judgement and close monitoring of patients to ensure the best possible treatment outcome. Early detection and early antibiotic treatment are essential for obtaining the best results and minimizing the disabilities associated with Buruli ulcer.
12 November 2015 | Geneva
Despite limitations, clinical practice and observational data are allowing acquisition of knowledge - crucial to informing international guidance for Buruli ulcer disease management