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

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

PLOS Neglected Tropical Diseases, 2011, vol. 5, issue 11, 1-12

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

Date: 2011
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pntd00:0001392

DOI: 10.1371/journal.pntd.0001392

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