Leprosy Mailing List – October 27, 2016
Ref.: (LML) Hospitalization in leprosy |
From: Ben Naafs, Munnekesburen, the Netherlands
Dear Pieter,
Thanks for the problem raised by Dr. Gianfranco (LML, October 27, 2016). According to the WHO a few days after giving the first Rifampicin the patient becomes non–infectious. You may extent that to 2-3 months but that applies to growing in the nude mouse, most likely not to infectiousness.
The patient will meet those people (household, neighbours, work) who have already been infected (by him/her), so why admit. In Western Europe, the infection does not spread. It may be that the situation among immigrants in Italy is so bad that 3rd world circumstances apply. But then the admission would be for humanitarian reasons.
Nasal swap: there are many commensals AFBs in the nose too. So I would not go for that. To look for solids: it will take some time before they are granular.
It would be interesting to see what other countries do.
Ben
LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
Contact: Dr Pieter Schreuder << editorlml@gmail.com
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