PREVALENCE OF CUTANEOUS LEISHMANIASIS AMONG SUSPECTED PATIENTS IN KHYBER PAKHTUNKHWA PAKISTAN

Main Article Content

Basit Ali
Muhammad Zahid

Keywords

Cutaneous leishmaniasis, Microcopy, Prevalence, Khyber Pakhtunkhwa

Abstract

Cutaneous leishmaniasis, a protozoal disease caused by Leishmania, is endemic in developing countries, including Pakistan. The objective of the present study was to investigate the incidence and risk factors associated with cutaneous leishmaniasis in Khyber Pakhtunkhwa, Pakistan. Exudates of skin lesions were collected from suspected cutaneous leishmaniasis patients from January 2013 to December 2019. All samples were checked for the presence of leishmania using Giemsa-stained microcopy. Out of a total 3917 exudate samples, the rate of positivity for leishmaniasis was 11.99%. The highest frequency of leishmaniasis was recorded in February (18.028%), followed by March (17.128%). On the other hand, less incidence was observed in the months of July (4%) and August (4.5%). The incidence of leishmaniasis in Afghan refugees (15.2%) was high as compared to the Pakistani local population (11.48%). Age-wise distribution showed that leishmaniasis was more frequent in the age group 16–30 years (18.21%), while it was least frequent in the age group 60 years (5.86%). The frequency of leishmaniasis was recorded at 16.24%, 16.73%, and 5.28% in 2016, 2017, and 2019, respectively. 


In conclusion, the present study revealed a high incidence of cutaneous leishmaniasis in Khyber Pakhtunkhwa. So proper strategies should be developed by the health care authorities to control the cases of cutaneous leishmaniasis in Khyber Pakhtunkhwa.

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References

1. Akram A, Khan HA, Qadir A, Sabir AM. A cross-sectional survey of knowledge, attitude and practices related to cutaneous leishmaniasis and sand flies in Punjab, Pakistan. PloS one. 2015 Jun 19;10(6): e0130929.
2. Ali A, Rehman TU, Qureshi NA, Rahman HU. New endemic focus of cutaneous leishmaniasis in Pakistan and future epidemics threats. Asian Pacific Journal of Tropical Disease. 2016 Feb 1;6(2):155-9.
3. Alkulaibi MM, Suleiman AM, Gasim Khalil EA, Al-Garadi MA. Prevalence of cutaneous leishmaniasis in western highlands in Yemen. Journal of tropical medicine. 2019;2019(1):8248916.
4. Ayaz MM, Nazir MM, Ullah N, Zaman A, Akbar A, Zeeshan M, Hussain Z, Naz S, Zheng Y, Javed A, Lindsay DS. Cutaneous leishmaniasis in the metropolitan City of Multan, Pakistan, a neglected tropical disease. Journal of medical entomology. 2018 Jun 28;55(4):1040-2.
5. Babuadze G, Farlow J, De Koning HP, Carrillo E, Chakhunashvili G, Murskvaladze M, Kekelidze M, Karseladze I, Kokaia N, Kalandadze I, Tsereteli D. Seroepidemiology and molecular diversity of Leishmania donovani complex in Georgia. Parasites & Vectors. 2016 Dec; 9:1-1.
6. Bhutto AM, Soomro FR, Baloch JH, Matsumoto J, Uezato H, Hashiguchi Y, Katakura K. Cutaneous leishmaniasis caused by Leishmania (L.) major infection in Sindh province, Pakistan. Acta tropica. 2009 Sep 1;111(3):295-8.
7. de Vries HJ, Reedijk SH, Schallig HD. Cutaneous leishmaniasis: recent developments in diagnosis and management. American journal of clinical dermatology. 2015 Apr; 16:99-109.
8. Desjeux P. The increase in risk factors for leishmaniasis worldwide. Transactions of the royal society of tropical medicine and hygiene. 2001 May 1;95(3):239-43.
9. Fawad M, Afridi MS, Ali B, Khan A, ud Din S, Khan MA, Islam Z, Rahman S, Ullah I, Sunny F, Khan T. CUTANEOUS LEISHMANIASIS IN PESHAWAR REGION, KHYBER-PAKHTUNKHWA PAKISTAN. Journal of Population Therapeutics and Clinical Pharmacology. 2023 Nov 30;30(18):2978-85.
10. Hussain M, Munir S, Jamal MA, Ayaz S, Akhoundi M, Mohamed K. Epidemic outbreak of anthroponotic cutaneous leishmaniasis in Kohat District, Khyber Pakhtunkhwa, Pakistan. Acta Tropica. 2017 Aug 1; 172:147-55.
11. Hussain M, Munir S, Khan TA, Khan A, Ayaz S, Jamal MA, Ahmed I, Aziz S, Watany N, Kasbari M. Epidemiology of cutaneous leishmaniasis outbreak, Waziristan, Pakistan. Emerging infectious diseases. 2018 Jan;24(1):159.
12. Iqbal W, Iram U, Nisar S, Musa N, Alam A, Khan MR, Ullah B, Ullah M, Ali I. Epidemiology and clinical features of cutaneous leishmaniasis in Khyber Pakhtunkhwa, Pakistan. Brazilian Journal of Biology. 2022 Aug 8;84:e249124.
13. Jamal Q, Shah A, Ali N, Ashraf M, Awan MM, Lee CM. Prevalence and comparative analysis of cutaneous leishmaniasis in Dargai Region in Pakistan. Pakistan Journal of Zoology. 2013 Apr 1;45(2).
14. Jan AH, Wazir SM, Ali N. Prevalence of cutaneous leishmaniasis in lower Dir District (NWFP), Pakistan. Journal of Pakistan Association of Dermatologists. 2009;19(4):212-5.
15. Karimkhani C, Wanga V, Coffeng LE, Naghavi P, Dellavalle RP, Naghavi M. Global burden of cutaneous leishmaniasis: a cross-sectional analysis from the Global Burden of Disease Study 2013. The Lancet Infectious Diseases. 2016 May 1;16(5):584-91.
16. Kevric I, Cappel MA, Keeling JH. New world and old world Leishmania infections: a practical review. Dermatologic clinics. 2015 Jul 1;33(3):579-93.
17. Khan NH, ul Bari A, Hashim R, Khan I, Muneer A, Shah A, Wahid S, Yardley V, O'Neil B, Sutherland CJ. Cutaneous leishmaniasis in Khyber Pakhtunkhwa province of Pakistan: clinical diversity and species-level diagnosis. The American journal of tropical medicine and hygiene. 2016 Nov 11;95(5):1106.
18. Nighat S, Malik AY, Mehmood A, Hashmi M, Irfan E, Tahir I, Salam MA, Irshad I, Soomro S. Prevalence Of Cutaneous Leishmaniasis In Muzaffargarh, Punjab, Pakistan. Journal of Pharmaceutical Negative Results. 2022 Nov 10:1330-5.
19. Noor SM, Hussain D. Cutaneous leishmaniasis in Sadda, Kurram agency, Pakistan. Journal of Pakistan Association of Dermatologists. 2004;14(3):114-7.
20. Oliveira CC, Lacerda HG, Martins DR, Barbosa JD, Monteiro GR, Queiroz JW, Sousa JM, Ximenes MF, Jeronimo SM. Changing epidemiology of American cutaneous leishmaniasis (ACL) in Brazil: a disease of the urban–rural interface. Acta tropica. 2004 Apr 1;90(2):155-62.
21. Rahman HU, Rehman AU. Cutaneous leishmaniasis in Dir Lower District, North-West Pakistan: epidemiology and treatment response. Journal of Pakistan Association of Dermatologists. 2017;27(4):353-62.
22. Reithinger R, Mohsen M, Leslie T. Risk factors for anthroponotic cutaneous leishmaniasis at the household level in Kabul, Afghanistan. PLoS neglected tropical diseases. 2010 Mar 23;4(3):e639.
23. Salam N, Al-Shaqha WM, Azzi A. Leishmaniasis in the Middle East: incidence and epidemiology. PLoS neglected tropical diseases. 2014 Oct 2;8(10):e3208.
24. Shaheen N, Qureshi NA, Qureshi MZ, Fatima H, Afzal M, Alhewairini SS. Molecular epidemiological survey of cutaneous leishmaniasis from Azad Jammu and Kashmir, Pakistan. Acta tropica. 2020 Jun 1; 206:105434.
25. Ullah I, Zahid M, Jawad SM, Salman S, Salam A, Khan FU, Khan SJ. 21. Prevalence of cutaneous leishmaniasis in suspected population of District Peshawar Khyber Pakhtunkhwa Pakistan. Pure and Applied Biology (PAB). 2021 Oct 3;10(4):1134-40.
26. Valero NN, Uriarte M. Environmental and socioeconomic risk factors associated with visceral and cutaneous leishmaniasis: a systematic review. Parasitology research. 2020 Feb;119(2):365-84.
27. Votýpka J, Kasap OE, Volf P, Kodym P, Alten B. Risk factors for cutaneous leishmaniasis in Cukurova region, Turkey. Transactions of the Royal Society of Tropical Medicine and Hygiene. 2012 Mar 1;106(3):186-90.
28. Weigle KA, Santrich C, Martinez F, Valderrama L, Saravia NG. Epidemiology of cutaneous leishmaniasis in Colombia: environmental and behavioral risk factors for infection, clinical manifestations, and pathogenicity. Journal of Infectious Diseases. 1993 Sep 1;168(3):709-14.

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