Leprosy Mailing List – August 23, 2021
Ref.: (LML) Smear positivity after one year course of MB MDT
From: Arry Pongtiku, Papua, Indonesia
Dear Pieter,
A letter from Dr.Rao and comments from Dr.Wim. One year treatment of MDT for MB (LL) is enough. if skin smear is taken for such these cases, the bacteria will still appear for some years but not intact (death bodies only). We should check Morphological Index if there are solid bacteria or not . Leprosy reactions may happen after one year treatment particularly ENL type. This makes us doubtful.
Supervised dose (monthly dose) is very important to kill bacteria, continued with dose taken at home. In some cases , patients did not take medicine regularly particularly if treated in hospital than health center.
Thank you very much,
salam,
Arry Pongtiku, in Papua,Indonesia
LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
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