まとめ
レジオネアール隊員たち
科学分野:
- 感染症 感染症は感染症です.
- エピデミオロジー エピデミオロジー
- 公衆衛生は公衆衛生である.
背景:
- レジオネール病は重度の肺炎です.
- 流行は,公衆衛生に重大な課題をもたらす可能性があります.
研究 の 目的:
- 1977年にヴァーモント州で発生したレジオネール病の臨床的特徴と結果を記述する.
- 疾患の重症度および死亡率に関連する要因を特定する.
主な方法:
- レジオネール病の確診および確診可能な症例の遡及的ケースシリーズ.
- 診断基準には,直接光抗体検査と血清学位数が含まれていた.
- 症状,基礎疾患,疾患の経過に関する臨床データを収集した.
主要な成果:
- 1977年5月から10月にかけて56例のレジオネール病が確認された.
- 患者の86%が慢性疾患を患っており,39%が免疫不全でした.
- 一般的な症状には,発熱,咳,寒,不快感があり,98%が肺炎であった.
- 17人の患者 (30%) が死亡し,症状は軽度の肺炎から呼吸不全まで様々でした.
結論:
- レジオネール病は,さまざまな臨床的特徴を示し,しばしば他の肺炎を模倣する.
- 高熱と白血球細胞症の急速な発症と陰性呼吸器培養は,疫病中に診断することを示唆しました.
- 慢性疾患と免疫不全は,罹患者の間で一般的であった.
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