Perceived causes and risk factors of Buruli ulcer among patients at Agogo Presbyterian hospital in Ashanti Region of Ghana

Reindolf Anokye,Wisdom Kwadwo Mprah,Edward Sarpong,Enoch Acheampong

doi:10.1186/s13104-018-3172-5

Abstract

ObjectiveThe incidence of Buruli ulcer has been recorded in about 30 countries globally and Africa seems to be the most affected area. The study sought to determine perceived causes and risk factors of Buruli ulcer among patients who visit the Agogo hospital in Asante-Akim North District in the Ashanti region of Ghana. A descriptive study design was adopted using a simple random sampling technique to select 400 patients attending The Presbyterian Hospital at Agogo. Data was collected using a structured questionnaire and analysed using SPSS version 16.0.ResultsBuruli ulcer was perceived as a disease caused by witchcraft (38%), enemies (15%), as well as not pouring libation or praying (16%). Also, increased appetite (30%), oedema or swelling on the skin (29%) and over weight (23%) was perceived as signs and symptoms of Buruli ulcer and a section of the respondents (53%) did not know any risk factor. The age of respondents, gender and level of education were found to determine knowledge of Buruli ulcer (P ≤ .05). Public Educations and campaigns should focus on causes and risk factors to ensure that there is adequate knowledge among the general public on Buruli ulcer.

Highlights

Buruli ulcer dehydrates its victims economically, disfigures one physically and may influence social stigma [1].Buruli ulcer is caused by Mycobacterium ulcerans the bacteria that cause tuberculosis and leprosy [2]
Buruli ulcer was perceived as a disease caused by witchcraft (38%), enemies (15%), as well as not pouring libation or praying (16%)
Increased appetite (30%), oedema or swelling on the skin (29%) and over weight (23%) was perceived as signs and symptoms of Buruli ulcer and a section of the respondents (53%) did not know any risk factor

Summary

Introduction

Buruli ulcer dehydrates its victims economically, disfigures one physically and may influence social stigma [1]. Buruli ulcer is caused by Mycobacterium ulcerans the bacteria that cause tuberculosis and leprosy [2]. How it is transmitted is still being investigated [3] but the risk factors include proximity to stagnant or slow-flowing bodies of water, poor wound care and not wearing protective clothing [2]. It starts as a painless swelling (nodule) which can ulcerate within 4 weeks causing gross deformities if left untreated [2]. About 7000 cases were reported from 1989 to 2006 in Benin and 51 cases have been confirmed in Nigeria since its discovery [4]

Results

Discussion

Conclusion