Socio-Demographic profile of Cutaneous Leishmaniasis patients in Hambantota District, Sri Lanka

Abstract

Cutaneous leishmaniasis (CL) is known to Sri Lanka from 1992. The distribution of the disease is increasing and large numbers of CL cases are reported from Hambantota district. This study was focused on selected clinical features and socio-demographic factors of CL positive patients in Hambantota district and this information were collected using a questionnaire from CL suspected patients who attended to the Tangalle Hospital from June, 2016 to January, 2017. For selecting the CL positivity, slit skin smears were obtained from lesions of suspected patients. These smears were stained and examined for Leishmania amastigotes. Smears were positive in 183 patients. Majority of them had one lesion on the body and 117 patients were males (p<0.001). The most affected age group was >50 years. House-wives and students were identified as highly affected occupants. The higher number of CL patients lived in rural areas (p<0.001). Most of the CL patients lived in houses with cemented floors and walls with tiled -roofs meanwhile 117 houses had cracks, either in floors or walls. Further, 95.5% of patients were unaware of sand-fly biting. These findings highlight the socio-demographic profile of the CL patients in Hambantota district which will be important for the disease management strategies.

Keywords

• age groups, leishmania sp., cccupation, skin lesions, slit-skin smears