Trachoma Care Plan

Although trachoma be eliminated from many developed countries in the last century, these diseases persist in many parts of the developing world, especially in communities without adequate access to water and sanitation. In many societies, women are three times more likely than men to be blinded by the disease, because of their role as caregivers in the family.

Without intervention, trachoma families stay afloat in a cycle of poverty, illness and the long-term effects are passed from one generation to the next.

Prevention is important include:
• Surgery: For individuals with trichiasis (eyelashes reversed the direction and the arch inward), a bilamellar tarsal rotation procedure is justified to direct the eyelashes away from the eyeball.

• Antibiotic therapy: WHO Guidelines recommend if there is endemic mass (about 10% of the population of a region) then the care / treatment with antibiotics should be continued until the annual prevalence fell below five percent. If the prevalence is lower than it was then the antibiotic treatment should be based on the family.

• Cleanliness: Children with nose looks too watery, ocular discharge, or flies in their face at least two times more likely to have active trachoma than children with a clean face. Intensive community-based health education program to promote face-washing can significantly reduce the prevalence of active trachoma.

• Improved environment: Modifications in the use of water, fly control, use of latrines, health education and proximity to pets have all been proposed to reduce the transmission of C. Trachomatis. These changes pose many challenges for implementation. Presumably these environmental changes ultimately affect the transmission of ocular infection through lack of facial cleanliness.