Skip to main content

Table 2 Rank scores of distinguishing statements for views on the different modalities of cutaneous leishmaniasis treatment

From: Using Q-methodology to understand the perspectives and practical experiences of dermatologists about treatment difficulties of cutaneous leishmaniasis

# Statement View 1 View 2
1 Combination therapy of intralesional sodium stibogluconate and other CL therapy modalities such as cryotherapy, systemic antibiotics are superior to monotherapy with sodium stibogluconate. + 2* −1
2 Combination therapy is superior to monotherapy for any case of CL 0* −3
3 Effectiveness of combined intralesional sodium stibogluconate or cryotherapy with liquid nitrogen with antibiotics (e.g., Azithromycin or Doxycycline) is mainly due to overcoming secondary bacterial infection by antibiotics. + 2* − 3
4 Problems of sodium stibogluconate are interrupted supply to health care providers and lack of original quality sometimes. + 3* −1
5 Resistance to treatment in CL is due to low efficacy drugs. + 2* + 1
6 The use of herbal or homemade remedies by patients, which interfere with treatment, is very common. + 3* −4
7 Patients noncompliance to the schedule of the treatment plan is the main obstacle for treating patients with CL + 2* 0
8 Fear of patients from treatment modalities and unawareness about the disease makes them not sticking to treatment schedules and instructions. + 1* −1
9 If Zinc sulfate is given as monotherapy in large doses, it can heal CL patients. −4* −1
10 Rifampicin is a potent and effective anti- CL treatment. −2* 0
11 Systematic antifungal drugs (e.g., ketoconazole or fluconazole) are effective in the treatment of CL. −1* 0
12 Debridement and dressing of ulcerated lesions of CL have an important role in the treatment plan. −3* −2
13 For CL lesions of up to 4 in number, especially in hidden areas of the body, there is no need for any treatment, and only dressing and tying is enough. −4* −3
14 After decades of serious work and the presence of several options with newer compounds and combinations, there is still a little advance in the treatment of CL, which is not satisfactory for both doctors and patients. −2* + 2
15 CL course extends more than 1–2 months despite treatment. 0* + 3
16 Resistance to treatment is the main complication of CL treatment. −1* + 1
17 Cryotherapy with liquid nitrogen is the treatment of choice in children, especially for facial and ear lesions and dry lesions. −1* + 3
18 The effect of cryotherapy with liquid nitrogen is unpredictable; some patients benefit from cryotherapy sessions while others come back with blistering and ulceration of lesions. + 1* + 2
19 Photodynamic therapy for CL lesions is advised for lesions located on cosmetically concerned areas such as the face. −1* + 1
20 The intralesional sodium stibogluconate method is to inject it until the lesion turns white and is indurated. + 3* + 4
21 Systemic sodium stibogluconate is given when there is no response to cryotherapy with liquid nitrogen. −2* −4
  1. *Distinguishing statement significant at < 0.01
  2. CL cutaneous leishmaniasis