☆ 4.6 Review

Mutual Role of Patients and the Healthcare System in the Control of Cutaneous Leishmaniasis

TRANSBOUNDARY AND EMERGING DISEASES (2023)

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Poor adherence is a major barrier to the proper treatment of cutaneous leishmaniasis: A case-control field assessment in Iran

Mehdi Bamorovat et al.

Summary: This study aimed to explore the effect of poor treatment adherence on unresponsiveness to treatment in patients with anthroponotic cutaneous leishmaniasis (ACL) by comparing statistical and machine learning analyses in Iran. The most significant variables inhibiting effective treatment adherence were found to be complex treatment regimens, cultural and lay views about the disease and therapy, life stress, hopelessness and negative feelings, adverse effects of treatment, and long duration of the lesion.

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Summary: Iran has been facing an increasing public health threat of cutaneous leishmaniasis (CL), which hinders local development. However, no comprehensive epidemiological analysis has been conducted nationwide. This study aimed to analyze CL data using advanced statistical models and emphasized the current trends. The complex epidemiology of CL in Iran requires crucial support and comprehensive control strategies.

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Global distribution of treatment resistance gene markers for leishmaniasis

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Summary: Through reviewing recent original studies, we have identified molecular biomarkers associated with drug resistance in leishmaniasis and thoroughly investigated their geographical distribution in each country. Selection of appropriate treatment modalities is crucial due to the emergence of resistant genes mainly in anthroponotic Leishmania species.

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Summary: This article is an update of a previous review on the clinical management of cutaneous leishmaniasis (CL), covering diagnosis, treatment, prevention, and control. CL is a global problem, affecting 12 million cases with 2 million new cases annually. Local experience and species determination are crucial for effective management. However, there is a lack of large and well-conducted studies on treatment options, especially for children. Improved vector control, diagnostics, and safe vaccines are urgently needed, but limited investment from biotechnical companies hinders progress.

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Abebe Dires et al.

Summary: This study assessed the knowledge, attitude, and preventive measures of Wegeltena secondary school students towards cutaneous leishmaniasis (CL) in Delanta district, Northeast Ethiopia. The study found that the participants had poor knowledge and unfavorable attitude towards the disease. Level of education and residence were determinants of knowledge about CL, while sex and level of knowledge about CL were determinants of attitude towards the disease.

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Behaviors and Perceptions Related to Cutaneous Leishmaniasis in Endemic Areas of the World: A Review

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Summary: The study investigated perceptions and behaviors related to cutaneous leishmaniasis (CL) in different societies, revealing the existence of positive and negative categories of beliefs and behaviors. In most endemic regions, misconceptions are likely the main cause of various misbehaviors when dealing with CL. Providing educational programs to strengthen positive beliefs and correct negative beliefs may be useful in improving relevant behaviors for the prevention and control of CL.

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Cutaneous Leishmaniasis (CL): A Cross-Sectional Community Based Survey on Knowledge, Attitude and Practices in a Highly Endemic Area of Waziristan (KPK Province), Pakistan

Shamaila Irum et al.

Summary: A recent study in North Waziristan Agency, Khyber Pakhtunkhwa province of Pakistan, found that the local community had limited knowledge about Cutaneous Leishmaniasis (CL), but showed a positive attitude towards the seriousness of the disease and the possibility of treatment with modern medicines. The study highlighted the importance of initiating health education and awareness campaigns to reduce the disease risk and burden in the highly endemic area in the near future.

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Dena Schulman-Green et al.

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Cutaneous leishmaniasis in Iran: A systematic review and meta-analysis

Sadaf Sabzevari et al.

Summary: This study aimed to assess the exact prevalence of cutaneous leishmaniasis in Iran by conducting a systematic review and meta-analysis of 84 studies. The pooled prevalence of the disease was estimated at 45%, with the highest prevalence found in Isfahan, Golestan, and Fars provinces. The lowest prevalence was in Kermanshah, Hormozgan, Bushehr, and Kerman provinces. L. major was found to be the most prevalent species associated with cutaneous leishmaniasis.

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A long-lasting emerging epidemic of anthroponotic cutaneous leishmaniasis in southeastern Iran: population movement and peri-urban settlements as a major risk factor

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Summary: The study on a long-lasting epidemic of anthroponotic cutaneous leishmaniasis in peri-urban areas of Kerman city between 2005 and 2019 revealed a significant increase in cases from 2005 to 2016, followed by a gradual decline. The risk of contracting the disease in peri-urban areas was 7.6 times higher compared to the city of Kerman. The causative agent, Leishmania tropica, is transmitted primarily by female Phlebotomus sergenti sandflies from person to person.

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Marium Azim et al.

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Molecular characteristic of treatment failure clinical isolates of Leishmania major

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A novel diagnostic and prognostic approach for unresponsive patients with anthroponotic cutaneous leishmaniasis using artificial neural networks

Mehdi Bamorovat et al.

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PLOS ONE (2021)

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Development and Evaluation of Active Case Detection Methods to Support Visceral Leishmaniasis Elimination in India

Pushkar Dubey et al.

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Cutaneous Leishmaniasis Associated With the Level of Poverty of the Andean Rural Population: A Five-year Single-Center Study

Jeel Moya-Salazar et al.

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Determinants of Unresponsiveness to Treatment in Cutaneous Leishmaniasis: A Focus on Anthroponotic Form Due to Leishmania tropica

Mehdi Bamorovat et al.

Summary: The study highlights the importance of implementing effective preventive and therapeutic measures for CL patients who do not respond to treatment, especially in endemic areas. Regular monitoring of drug unresponsiveness is essential for ACL patients, particularly in tropical regions where the disease is prevalent.

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