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DSM staff profile

Dr Steve Withington

PositionProfessional Practice Fellow and paper convener GENA729 Medical Specialties in Rural Hospitals
DepartmentDepartment of General Practice and Rural Health (Dunedin)
Research summaryExtensive published research on leprosy
  • Co-convenor, GENA 729 Medical specialties in rural hospitals
  • Faculty, Rural Interprofessional Simulation Course
  • Instructor, Advanced Paediatric Life Support Course
  • Trustee, Stepping Stone Trust, Christchurch
ClinicalRural Hospital Specialist and Consultant Physician, Ashburton Hospital


Leprosy. Withington S. Chapter 59 in Manson’s Tropical Diseases, 22nd Edition, 2009.

Steroid prophylaxis for prevention of nerve function impairment in leprosy: randomised placebo controlled trial (TRIPOD 1), W Cairns S Smith, Alison M Anderson, Stephen G Withington, Wim H van Brakel, Richard P Croft, Peter G Nicholls, Jan Hendrik Richardus, BMJ 2004;328:1459

Outcome of 6 months MBMDT in MB patients in Bangladesh- preliminary results. C Ruth Butlin, D Pahan, AKJ Maug, S Withington, P Nicholls, K Alam, MAH Salim; Lepr Rev (2016) 87, 171–182

Incidence of acute nerve function impairment and reactions in leprosy: a prospective cohort analysis after 5 years of follow-up. Jan H Richardus, Peter G Nicholls, Richard P Croft, Stephen G Withington and W Cairns S Smith; International Journal of Epidemiology 2004;33:337–343

A Clinical Prediction Rule for Nerve Function Impairment in Leprosy Patients-revisited after five years of follow up. Richard P Croft, Peter G Nicholls, Ewout W. Steyerburg, Jan H. Richardus, Steven G Withington & W Cairns S. Smith; Leprosy Review (2003) 74, 35-41.

Assessing socio-economic factors in relation to stigmatisation, impairment status, and selection for socio-economic rehabilitation: a 1-year cohort of new leprosy cases in north Bangladesh. SG Withington, S Joha, D Baird, M Brink, J Brink; Leprosy Review (2003) 74, 120-132.

Delay in presentation, an indicator for nerve function status at registration and for treatment outcome-the experience of the Bangladesh Acute Nerve Damage Study cohort. P G Nicholls, R P Croft, J H Richardus, S G Withington, W C S Smith; Lepr. Rev. (2003) 74 p349-356

The prognostic importance of detecting mild sensory impairment in leprosy: a randomized controlled trial (TRIPOD 2). Van Brakel WH. Anderson AM. Withington SG. Croft RP. Nicholls PG. Richardus JH. Smith WC. Leprosy Review. 74(4):300-10, 2003 Dec

Treatment with corticosteroids of long-standing nerve function impairment in leprosy: a randomized controlled trial (TRIPOD 3). Richardus JH. Withington SG. Anderson AM. Croft RP. Nicholls PG. Van Brakel WH. Smith WC. Leprosy Review. 74(4):311-8, 2003 Dec

Adverse events of standardized regimens of corticosteroids for prophylaxis and treatment of nerve function impairment in leprosy: results from the 'TRIPOD' trials. Richardus JH. Withington SG. Anderson AM. Croft RP. Nicholls PG. Van Brakel WH. Smith WC. Leprosy Review. 74(4):319-27, 2003 Dec

Factors contributing to delay in diagnosis and start of treatment of leprosy: analysis of help-seeking narratives in northern Bangladesh and in West Bengal, India. Nicholls PG. Chhina N. Bro AK. Barkataki P. Kumar R. Withington SG. Smith WC. Leprosy Review. 76(1):35-47, 2005 Mar

Current Status of Leprosy and Leprosy Control in Bangladesh: an ongoing collaboration. S.G. Withington, A.N. Maksuda, M.A. Hamid Salim, J.U. Ahmed, Lepr Rev, 2005 Sep;76(3):209-19

Leprosy and Disability in Bangladesh. S.G. Withington. Asia Pacific Disability and Rehabilitation Journal (2006) 17(2): 7-16

Effectiveness of single dose rifampicin in preventing leprosy in close contacts of patients: cluster randomised controlled trial with newly diagnosed leprosy. F Johannes Moet, David Pahan, Linda Oskam, Jan H Richardus and for the COLEP Study Group; BMJ. 2008 Apr 5;336(7647):761-4

Nosocomial pneumonia in adult general medical and surgical patients at Christchurch Hospital. RJ Everts, DR Murdoch, ST Chambers, GI Town, SG Withington, IR Martin, MJ Epton, C Frampton, AY Chereshky, MI Schousboe. The New Zealand Medical Journal, 9 June 2000, Vol 113, No 1111, 221-4

Invasive Aspergillosis in Severely Neutropenic Patients over 18 years: impact of intranasal amphotericin B and HEPA filtration. S. Withington, ST Chambers, ME Beard, A Inder, JR Allen, RB Ikram, MI Schousboe, DC Heaton, RI Spearing & DNJ Hart. Journal of Hospital Infection (1998) 38, 11-18

The cost of campylobacteriosis in New Zealand in 1995. Withington SG. Chambers ST. New Zealand Medical Journal. 110(1046):222-4, 1997 Jun 27

Schistosomiasis at Christchurch Hospital, 1989-94. [Journal Article] McKenna G. Lyttle H. Withington S. Stoker M. Morton A. Paltridge G. Murdoch D. Chambers ST. Australian & New Zealand Journal of Medicine. 26(2):226-7, 1996 Apr


Kiuru, S., Gutenstein, M., & Withington, S. (2021). Exploratory survey of procedural sedation and analgesia practice in sample of New Zealand rural hospitals: Existing guidelines do not support current rural practice. Rural & Remote Health, 21(1), 6320. doi: 10.22605/rrh6320

Gardiner, S. J., Basevi, A. B., Hamilton, N. L., Metcalf, S. C. L., Chambers, S. T., Withington, S. G., Chin, P. K., Freeman, J. T., Dalton, S. C., on behalf of the Canterbury District Health Board Antimicrobial Stewardship Committee. (2020). Point prevalence surveys of antimicrobial use in adult inpatients at Canterbury District Health Board hospitals. New Zealand Medical Journal, 133(1525), 18-33. Retrieved from

Butlin, C. R., Aung, K. J. M., Withington, S., Nicholls, P., & Alam, K. (2019). Levels of disability and relapse in Bangladeshi MB leprosy cases, 10 years after treatment with 6m MB-MDT. Leprosy Review, 90(4), 388-398.

Ferguson, I., Moor, S., Frampton, C., & Withington, S. (2019). Rural youth in distress? Youth self-harm presentations to a rural hospital over 10 years. Journal of Primary Health Care, 11(2), 109-116. doi: 10.1071/HC19033

Gutenstein, M., Kiuru, S., & Withington, S. (2019). Development of a rural inter-professional simulation course: An initiative to improve trauma and emergency team management in New Zealand rural hospitals. Journal of Primary Health Care, 11(1), 16-23. doi: 10.1071/HC18071