Page 157 - LECTURE NOTES
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Clean skin gently
Dress the wound properly
Disposable glove should be used during wound care
Drain the abscess
Systemic Antibiotic should be given at health facility
7.3.5. Leprosy (Hanson’s Disease)
It is a chronic bacterial infectious disease caused by bacteria called mycobacterium
leprae and which can affect skin, peripheral nerves and other organs like respiratory
tract and eyes.
1. Occurrence of the disease
The disease will occur in all ages, both sexes and every socioeconomic groups
of the society.
2. Mode of transmission
Is through inhalation of droplet nuclei from an infected person and skin-to-skin
contact with leprromatos nodules.
3. The cardinal sings of leprosy
¾ Hypopigmented macule or patch (reddish skin) with definite loss of sensation
¾ Positive skin test for Acid fast bacilli
¾ Enlargement of nerves or nerve damage
Therefore, one can diagnose leprosy if one of the above is present
4. Classification of leprosy
For the purpose of multi drug therapy (MDT) leprosy will be classified as
paucibacillary (PB) and Multi bacillary (M.B.) and this classification will be based on
the number of skin lesion and on skin smear result.
5. Paucibacillary
In (PB) patient can have one to five skin lesions
6. Multibacillary
¾ Patient with six or more skin lesion
¾ Patient with less than six skin lesion and have positive skin smear result
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