Article: Noma staging: a review.
2022 Volume 50, Issue 1, Page(s) 40
Abstract: Noma is a bacterial, non-communicable, grossly destructive and disfiguring necrotising oro-facial disease. It is rare, but occurs most commonly in chronically malnourished children with other debilitating illnesses, in remote, poverty-stricken ... ...
Abstract | Noma is a bacterial, non-communicable, grossly destructive and disfiguring necrotising oro-facial disease. It is rare, but occurs most commonly in chronically malnourished children with other debilitating illnesses, in remote, poverty-stricken communities, mainly in sub-Saharan Africa, and much more rarely in central Latin America and in parts of Asia. In South Africa and in Zimbabwe, noma is observed, again rarely, in immunosuppressed HIV-seropositive subjects. The World Health Organization (WHO) has classified noma into five sequential stages: stage 1, acute necrotising ulcerative gingivitis; stage 2, oedema; stage 3, gangrene; stage 4, scarring; stage 5, sequela. In the opinion of the authors, this WHO classification requires fundamental re-appraisal. The purpose of this viewpoint article is to highlight the weaknesses of this classification, and to propose a simpler, more logical and practical evidence-based staging of noma, which if used should improve the quality and value of future epidemiological data about noma. |
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Language | English |
Publishing date | 2022-06-13 |
Publishing country | Japan |
Document type | Journal Article ; Review |
ZDB-ID | 2209835-5 |
ISSN | 1349-4147 ; 1348-8945 |
ISSN (online) | 1349-4147 |
ISSN | 1348-8945 |
DOI | 10.1186/s41182-022-00431-6 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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