02399nas a2200313   4500000000100000008004100001260001700042653001500059653001000074653001100084653004200095653001100137653001200148653000900160653001600169653002300185653002600208100001200234700001400246700001500260700001600275700001500291245007600306300001000382490000700392050001400399520165800413022001402071       2012                            d  c2012 Sep-Oct10aAdolescent10aAdult10aFemale10aHealth Knowledge, Attitudes, Practice10aHumans10aleprosy10aMale10aMiddle Aged10aPatient Compliance10aSocioeconomic Factors1 aLira KB1 aLeite JJG1 aMaia DCBSC1 aFreitas RMF1 aFeijão AR00aKnowledge of the patients regarding leprosy and adherence to treatment.  a472-50 v16  aLIRA 20123 a<p>Leprosy is a chronic infectious disease caused by Mycobacterium leprae. It is known for its great disfiguring capacity and is considered an extremely serious disease to public health worldwide. The state of Ceará ranks 13th in number of cases of leprosy in Brazil, and fourth in Northeastern region, with an average of 2,149 new cases diagnosed every year. This study aimed to evaluate the knowledge of leprosy patients regarding treatment, and to assess the level of treatment adherence and its possible barriers. The study was conducted in the reference center for dermatology, from September 2010 to October 2010, in Fortaleza, Ceará. The study data were collected by means of a structured interview, along with the Morisky-Green test, in order to assess treatment adherence and barriers to adherence. A total of 70 patients were interviewed, out of whom 66 were new cases. The majority of patients were between 42 and 50 years old, and 37 (52.9%) were male. Most patients were clinically classified as presenting multibacillary leprosy (80%), and 78.6% of them were from Fortaleza, Brazil. The Morisky-Green test indicated that 62.9% of patients presented a low level of adherence (p<0.005), despite claiming to aware of the disease risks. However, it was observed that 57.1% of the patients had no difficulty adhering to treatment, while 38.6% reported little difficulty. This study shows that despite the patients claiming to be familiar with leprosy and its treatment, the Morisky-Green test clearly demonstrated that they actually were not aware of the principles of therapy, which is evidenced by the low degree of treatment adherence.</p>  a1678-4391