ソマリアから帰還した米海兵隊のマラリア感染者
J A Newton1, G A Schnepf, M R Wallace
1Department of Internal Medicine, Naval Medical Center, San Diego, Calif. 92134-5000.
JAMA
|August 3, 1994
まとめ
マラリアの化学予防と保護措置の不遵守は,ソマリアから帰還した米海兵隊に重大な流行をもたらしました. これは,全国の医療従事者の間で,輸入されたマラリアのリスクに対する認識を高める必要性を強調しています.
科学分野:
- トロピカル・メディシン (熱帯医学)
- 感染症 感染症は感染症です.
- 軍隊の保健医療について
背景:
- 1993年にソマリアから帰還した米海兵隊は,輸入されたマラリアの大流行を経験しました.
- この研究は,マラリア症例を特定し,化学予防療法への適合性を評価することを目的とした.
研究 の 目的:
- ソマリアから帰還した米海兵隊のマラリア症例を特定するために.
- マラリアの化学予防対策の準拠率を判断する.
主な方法:
- ケースシリーズのデザインが採用されました.
- データは,ソマリアに派遣された後にマラリアと診断された106人の米国海兵隊員から収集されました.
- 発生率,臨床的特徴,化学予防療法への適合性を分析した.
主要な成果:
- 106人の海兵隊員から112例の輸入マラリアが確認された.
- プラズモディウム・ビバックスが最も一般的な種 (87%),次にプラズモディウム・ファルシパラム (7%).
- 自ら報告した化学予防療法適合率は56%で,最適な治療法を受けたのは50%に過ぎなかった.
結論:
- 化学予防と予防措置の違反は,マラリアの発生に寄与した.
- 全国の医療従事者は,ソマリアから輸入されたマラリア,特に帰還軍人のことを認識する必要があります.
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