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Leprosy (cont.)

Follow-up

Patients should maintain close contact with their health-care provider during treatment with MDT, and periodic follow-up visits are recommended.

  • The WHO recommends the monthly direct supervision by a health-care provider during the administration of rifampicin.
  • Periodic blood testing during treatment is recommended, as well as yearly skin scrapings when possible.
  • The relapse rate after the administration of MDT is about 1%. Therefore, patients should still be followed by a health-care provider for five to 10 years after completion of MDT.
  • Some patients with leprosy may require psychological counseling, physical therapy, and occupational therapy.
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