5岁以下儿童的伤寒热
1Indian Council for Medical Research, Advanced Centre for Diarrhoeal Disease Research, Division of Paediatric Gastroenterology, New Delhi.
Lancet (London, England)
|September 4, 1999
概括
伤寒热明显影响5岁以下的儿童,挑战了关于其在老年人群中患病率的假设. 这项研究强调需要重新评估幼儿伤寒免疫策略.
科学领域:
- 流行病学 流行病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 伤寒发病率计算对于优化发展中国家的免疫接种计划和疫苗选择至关重要.
- 现有的基于医院的数据表明,在5岁以下的儿童中风险低,需要基于社区的验证.
- 在印度德里进行了一项前性研究,以重新评估学龄前儿童的伤寒风险.
研究的目的:
- 为了确定在学龄前儿童中伤寒发病率.
- 挑战普遍认为伤寒主要影响到学龄儿童和成年人的观点.
- 为公众健康策略提供有关台风免疫的信息.
主要方法:
- 在德里卡尔卡吉进行了一项涉及积极监视的社区纵向研究.
- 在一年的时间里 (1995年11月 - 1996年10月),每周两次访问来自1820个家庭的8172名居民,以检测病例.
- 从发烧患者收集血液样本,沙门氏菌型阳性病例用西普洛素治疗.
主要成果:
- 总共有63例培养阳性伤寒病例被确定.
- 值得注意的是,44% (28例) 发生在5岁以下的儿童中.
- 每1000人年发生率在5岁以下的儿童 (27.3) 中最高,其次是5-19岁 (11.7) 和19-40岁的成年人 (1.1).
- 在所有年龄组中观察到发生率的显著差异 (p<0.001).
- 发病率,包括发烧持续时间,症状和住院率,在5岁以下的儿童和老年人之间是相似的.
结论:
- 这项研究的结果与普遍认为伤寒热主要影响到学龄儿童和成年人的观点相矛盾.
- 伤寒发烧是1至5岁儿童发病的重要和常见原因.
- 基于这些发现,重新评估最佳年龄的伤寒免疫接种和疫苗选择是有必要的.
关键词:
年龄因素 年龄因素亚洲 亚洲 亚洲 亚洲细菌和真菌疾病 细菌和真菌疾病孩子孩子孩子孩子孩子孩子社区卫生服务 社区卫生服务提供医疗保健服务.人口结构因素 人口结构因素发展中国家 发展中国家疾病 疾病 疾病卫生健康 卫生健康 卫生健康卫生服务 卫生服务 卫生服务免疫接种 免疫接种印度 印度 印度感染 感染 感染人口人口的人口人口.人口特征 人口特征初级医疗保健是一项主要的医疗保健.公共卫生 公共卫生研究报告 研究报告南亚 南亚亚洲 南亚伤寒热 伤寒热 伤寒热疫苗接种 疫苗接种年轻人 年轻人 年轻人 年轻人 年轻人更多相关视频
06:25Cooling or Warming the Esophagus to Reduce Esophageal Injury During Left Atrial Ablation in the Treatment of Atrial Fibrillation
Published on: March 15, 2020
05:00Short-Duration Hypothermia Induction in Rats using Models for Studies examining Clinical Relevance and Mechanisms
Published on: March 3, 2021
相关概念视频
Factors Affecting Body Temperature
As a nurse, it is vital to understand the factors affecting body temperature to monitor variations and effectively evaluate deviations from regular.
Factors may include:
Factors may include:
Increased Body Temperature
A body temperature above 38°C (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in response to an infection or illness.
Methods of reducing fever
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Pharmacological Methods of Reducing Fever:
Decreased Body Temperature
A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by sustained extreme cold exposure, and severe...
Types of Fever
Fever can be triggered by several factors, including infections, nervous system disorders, certain cancers, blood diseases like leukemia, embolism, thrombosis, heatstroke, dehydration, surgical trauma, crushing injuries, and allergic reactions.
Here are the different types of fever:
Here are the different types of fever:
Homeostatic Imbalances in Body Temperature
Hyperthermia occurs when the body's temperature becomes unusually high, often due to heat exposure, intense physical activity, or certain illnesses. This condition can create a dangerous cycle where elevated body temperature increases the metabolic rate, generating more heat and potentially leading to organ failure and brain damage. A severe form of hyperthermia, called heat stroke, can raise body temperature to life-threatening levels. Fever, on the other hand, is a controlled form of...
