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Patient education for self-referral and on-demand treatment for herpes zoster in lymphoma patients

Lookup NU author(s): Dr Penelope Taylor, Dr Helen Lucraft, Professor Stephen Proctor

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Abstract

The aim of this study is to evaluate the benefit of educating lymphoma patients in early self-diagnosis of tester and subsequent self-referral for prompt treatment. Each of 337 patients attending an out-patient lymphoma clinic was given an explanatory leaflet and photograph about shingles when they first presented with lymphoma. One to two years following the completion of therapy for lymphoma an assessment was made on these patients using a combination of questionnaire survey and retrospective analysis of case notes. Fifty-six (16.6%) of the study population developed tester following the diagnosis of lymphoma; 29 had had tester prior to the diagnosis (8.6%). There was an increased incidence of herpes tester in patients with Hodgkin's disease as compared to those with non-Hodgkin's lymphoma (P < 0.01). Patients who remembered having received the shingles education leaflets were more likely to make self-referral to hospital for prompt treatment (P < 0.001). Long-term complications, eg post-herpetic neuralgia, were less prevalent in patients presenting to hospital for prompt on-demand therapy, compared to those treated in the community. Education of lymphoma patients regarding awareness of early features of tester is beneficial in preventing complications, but the shingles information episode needs subsequent reinforcement for maximum benefit.


Publication metadata

Author(s): Maung ZT, Taylor PRA, Robinson P, Moore J, Lucraft HH, Evans RGB, Proctor SJ

Publication type: Article

Publication status: Published

Journal: Leukemia and Lymphoma

Year: 1993

Volume: 11

Issue: 5-6

Pages: 447-452

Print publication date: 01/11/1993

ISSN (print): 1042-8194

ISSN (electronic): 1026-8022

Publisher: Informa Healthcare

URL: http://dx.doi.org/10.3109/10428199309067939

DOI: 10.3109/10428199309067939


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