What education should be provided to patients with leishmaniasis?

Updated: Feb 18, 2020
  • Author: Craig G Stark, MD, FACP, FFTM, RCPS(Glasg), FISTM; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Answer

Behavior modification to avoid vector contact, combined with insect control measures, significantly diminishes the risk of acquiring infection.

Educate patients about (1) the possibility of recurrent disease, and instruct them to schedule follow-ups as needed; (2) the transmission of leishmaniasis; and (3) the risk factors of leishmaniasis, including the following:

  • Exposure to sandfly habitat

  • Age (depending on the infecting species and geographic area)

  • Male sex

  • Adults who are immunologically naïve and entering an endemic area

  • Patients who are immunosuppressed (eg, transplant recipients, chronic steroid users, those with malignancies)

  • Malnutrition

  • Human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS)

  • Intravenous drug use in endemic areas


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