在从阿富汗返回的美国陆军游骑兵中爆发疟疾
Russ S Kotwal1, Robert B Wenzel, Raymond A Sterling
1Army-Navy Aerospace Medicine Residency, Naval Operational Medicine Institute, Pensacola, Fla 32508, USA. russ.kotwal@us.army.mil
JAMA
|January 13, 2005
概括
在从阿富汗返回的美国陆军人员中发现了疟疾病例,主要是Plasmodium vivax. 对预防措施的低遵守有助于疫情爆发,凸显了对返回士兵的诊断需要保持警的需要.
科学领域:
- 军事医学 军事医学
- 传染病 传染病 传染病
- 热带医学是一种热带医学.
背景情况:
- 在全球部署的美国军人有感染疟疾的风险.
- 医疗保健专业人员必须准备好在返回的服务人员中诊断进口疟疾.
研究的目的:
- 在部署到战区的美国陆军人员中识别疟疾病例.
- 评估部署的士兵疟疾的发病率和特征.
主要方法:
- 在美国陆军医疗保健系统中进行了一系列案例.
- 在部署到阿富汗东部 (2002年6月至9月) 的Ranger特遣部队中发现了疟疾病例.
- 士兵们自我报告的对抗疟疾措施的遵守是通过匿名调查收集的.
主要成果:
- 确诊了38例生疟原虫疟疾病例,每1000名士兵的发病率为52.4.
- 诊断延迟,发生在返回后的233天中位数;贫血和血栓塞缩小是常见的发现.
- 自我报告的化学预防和昆虫驱虫剂的遵守率低于最佳,其比例在29%至52%之间.
结论:
- 活性疟原虫疟疾可以出现延迟的症状,因此需要将其纳入返回军人的差异诊断.
- 低程度遵守预防措施,包括化学预防和杀虫剂,与部署的人口中的疟疾爆发有关.
- 对诊断的警和改善对预防策略的遵守对于减轻军事环境中的疟疾风险至关重要.
相关概念视频
Symbiosis
27.8K
Symbiotic relationships are long-term, close interactions between individuals of different species that affect the distribution and abundance of those species. When a relationship is beneficial to both species, this is called mutualism. When the relationship is beneficial to one species but neither beneficial nor harmful to the other species, this is called commensalism. When one organism is harmed to benefit another, the relationship is known as parasitism. These types of relationships often...
27.8K
Pulmonary Tuberculosis III
1.8K
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
1.8K
Infectious Diseases and Their Occurrence
100
Infectious diseases appear in populations through various transmission patterns, influenced by pathogen characteristics, population immunity, environmental conditions, and social behavior. Understanding these patterns is essential for effective public health surveillance and intervention. These categories—sporadic, outbreak, epidemic, pandemic, and endemic—help frame the nature and scope of disease events.Sporadic diseases occur irregularly and infrequently, without a predictable...
100
Investigation of Disease Outbreaks
79
Multistate foodborne outbreaks pose significant public health risks and require meticulous investigation to identify sources and implement control measures. The Centers for Disease Control and Prevention (CDC) utilizes a dynamic seven-step process for these investigations, integrating data from laboratories, interviews, and environmental assessments to protect public health.Outbreak Detection: The detection of multistate outbreaks typically begins with PulseNet, the CDC's national laboratory...
79
Arboviral Encephalitis
70
Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...
70
Bacterial Meningitis I: Introduction
32
Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
32


