Buruli Ulcer: Treatment Challenges at Three Centres in Ghana

Table 2

Buruli ulcer patients’ medical history (𝑛=33).

Stages	Size (cm)	Number	Mean home duration/days	Treatment	Mean hospital stay/days
			(range)		(range)
Ulcers	6–10	6	195 (56–369)	AB + (EX + SG)	87 (41–159)
	10–20	13	264 (117–377)	AB + (EX + SG)^a	89 (58–139)
				AB + (EX + SG + RC)^b
	>20	7	242 (56–369)	AB + (EX + SG)^c	103 (66–159)
				AB + (EX + SG + RC)^d
Nodule	1-2	6	24 (7–56)	AB + (EX)	18 (8–36)
Plaque	3–5	1	28	AB + (EX)	19

^a11 patients; ^b2 patient; ^c4 patients; ^d3 patients.
Stage: stage of Buruli ulcer at presentation.
Duration: duration of treatment at home prior to admission in days.
Size: size of lesion in centimeters.
Treatment: treatment given:
 AB + (EX)—antibiotics and excision
 AB + (EX + SG)—antibiotics, excision and skin grafting
 AB + (EX + SG + RC)—antibiotics, excision, skin grafting, and release of contracture.
Hospital stay: duration of hospitalization in days.