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Adequate Wound Care and Use of Bed Nets as Protective Factors against Buruli Ulcer: Results from a Case Control Study in Cameroon

Author

Listed:
  • Jordi Landier
  • Pascal Boisier
  • Félix Fotso Piam
  • Blanbin Noumen-Djeunga
  • Joseph Simé
  • Fidèle Gaetan Wantong
  • Laurent Marsollier
  • Arnaud Fontanet
  • Sara Eyangoh

Abstract

Background: Buruli ulcer is an infectious disease involving the skin, caused by Mycobacterium ulcerans. Its exact transmission mechanism remains unknown. Several arguments indicate a possible role for insects in its transmission. A previous case-control study in the Nyong valley region in central Cameroon showed an unexpected association between bed net use and protection against Buruli ulcer. We investigated whether this association persisted in a newly discovered endemic Buruli ulcer focus in Bankim, northwestern Cameroon. Methodology/Principal Findings: We conducted a case-control study on 77 Buruli ulcer cases and 153 age-, gender- and village-matched controls. Participants were interviewed about their activities and habits. Multivariate conditional logistic regression analysis identified systematic use of a bed net (Odds-Ratio (OR) = 0.4, 95% Confidence Interval [95%CI] = [0.2–0.9], p-value (p) = 0.04), cleansing wounds with soap (OR [95%CI] = 0.1 [0.03–0.3], p

Suggested Citation

  • Jordi Landier & Pascal Boisier & Félix Fotso Piam & Blanbin Noumen-Djeunga & Joseph Simé & Fidèle Gaetan Wantong & Laurent Marsollier & Arnaud Fontanet & Sara Eyangoh, 2011. "Adequate Wound Care and Use of Bed Nets as Protective Factors against Buruli Ulcer: Results from a Case Control Study in Cameroon," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 5(11), pages 1-12, November.
    • Handle: RePEc:plo:pntd00:0001392
    DOI: 10.1371/journal.pntd.0001392
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