01466nas a2200313 4500000000100000008004100001260001300042653001000055653002000065653002100085653001100106653001900117653004500136653002700181100001500208700001300223700001400236700001300250700001300263700001700276700001200293700001400305700001500319245009600334300001100430490000700441520069000448022001401138 2004 d c2004 Aug10aBenin10aHospitalization10aHospitals, Rural10aHumans10aLength of Stay10aMycobacterium Infections, Nontuberculous10aMycobacterium ulcerans1 aDebacker M1 aAguiar J1 aSteunou C1 aZinsou C1 aMeyers W1 aGuédénon A1 aScott J1 aDramaix M1 aPortaels F00aMycobacterium ulcerans disease (Buruli ulcer) in rural hospital, Southern Benin, 1997-2001. a1391-80 v103 a

Data from 1,700 patients living in southern Benin were collected at the Centre Sanitaire et Nutritionnel Gbemoten, Zagnanado, Benin, from 1997 through 2001. In the Zou region in 1999, Buruli ulcer (BU) had a higher detection rate (21.5/100,000) than leprosy (13.4/100,000) and tuberculosis (20.0/100,000). More than 13% of the patients had osteomyelitis. Delay in seeking treatment declined from 4 months in 1989 to 1 month in 2001, and median hospitalization time decreased from 9 months in 1989 to 1 month in 2001. This reduction is attributed, in part, to implementing an international cooperation program, creating a national BU program, and making advances in patient care.

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