Page 1 of 2: psm-leprosy.cansomeone answera this please..........

drsweta06 · Credits: 5916 My Scrapbook

in a pt of paucibacillary leprosy takin multidrug therapy since last 6 mnths,comes with persistment erythema and induraton of the plaque...accordin to WHO what is the best line of treatment...
a)continue dapsone for another 6 mnths
b)stop the treatment

npshades · Credits: 809 My Scrapbook

continue dapsone for 6months
u can refer that in park PSM also
take care bye

AshB · Credits: 41913 My Scrapbook My Reading List 6 Books

In india MDT is given until lesions are cleared completely as given in Park but ACCORDING TO WHO.. answer is 'Stop the treatment'. U can refer any WHO document.. The lines given are..

In PB patients, it is assumed that 6 months of treatment with RFP alone can ensure a complete clearing of the bacteria. However, to prevent RFP resistance dapsone has been added. The attainment of clinical inactivity should not be the condition guiding the continuation of MDT in PB patients, because these patients are virtually always cleared of viable bacteria in 6 months with the WHO-MDT regimen. Hence, one should keep in mind that clinical activity in PB leprosy does not necessarily directly correlate with bacterial multiplication. In a substantial proportion of patients, clinical inactivity may not be achieved in 6 months even after a complete clearing of the organisms. Follow-up studies of PB patients in MDT's field trials have shown that complete clearing of lesions takes 1–2 years after treatment discontinuation.

npshades · Credits: 809 My Scrapbook

thanks for ure correction dr
take care and have agreat day

AshB · Credits: 41913 My Scrapbook My Reading List 6 Books

manpreet108 · Credits: 30702 My Scrapbook

thanks for these details...

any such applicability for MB leprosy??
i mean if same qn is framed --like a pt on MDT for MB leprosy for 1 yr--still has clinical activity --what is the next aproach--what are WHO guidelines?continue MDT?or stop?

pls help.

AshB · Credits: 41913 My Scrapbook My Reading List 6 Books

think_out_of_the_box · Credits: 431 My Scrapbook

ans is stop the treatment in both the case...........
from the horse's mouth

AshB · Credits: 41913 My Scrapbook My Reading List 6 Books

Thanx but Any refernce outofthebox??

drkalps · Credits: 5437 My Scrapbook My Reading List 2 Books

hi i think u should continue trtmnt and treat erythema simulstaneously...... send for skin ref.

		Sign In New User? Sign Up Sign in to access your control panel and messenger!
				TechZone \| SpiderNevi \| HowTo? \| Scrapbook!