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Introduction: Nearly 14 years after leprosy was eliminated from India, many continue to be infected with
the lepra bacilli. Leprosy is a chronic infectious disease that primarily affects the peripheral nerves, skin,
upper respiratory tract, eyes and nasal mucosa. The disease is caused by Mycobacterium leprae. The leprosy
elimination campaign sponsored by the World Health Organization has successfully reduced the prevalence
rate of the disease to less than one case per 10,000 populations worldwide, but the number of new cases in
endemic countries has increased so we undertake to this study to know the trend of leprosy in our tertiary
care hospital.
Method: This was a cross-sectional study carried out over a period of six months from August 2018 to January
2019 in Narayan Medical College and Hospital Jamuhar Sasaram. Samples were obtained from patients who
attended the dermatology department of NMCH Jamuahr Sasaram with history suggestive of leprosy. The slit
skin smear was obtained as per standard protocol and then sample were subjected to modified (5%) Ziehl-
Neelsen Staining for direct microscopy and result were observed under oil immersion.
Result: A total of 36 slit skin smear were processed of which 21(53%) patents presented with nodular lesions
and 15 patents with hypo pigmented patch. Out of 21 (53%) nodular lesions 8 (38%) were showed lepra bacilli
in microscopy with bacterial index of 6+.
Conclusion: Leprosy is one of the oldest diseases known to man. Despite advances in medical science, leprosy
continues to be a public health challenge in countries like India. Our study showed 22% of leprosy cases in
our hospital which showed increasing number of cases in this hospital. Continuous surveillance is by far the
best strategy to reduce the incidence rate of leprosy in the future.
Biography
Prabhat Kumar has completed his MBBS and MD Microbiology from Darbhanga Medical College in Bihar, India. He has published more than 10 papers and guided more than 28 thesis.