床 (Cimex lectularius) 和它们的咬伤的临床后果
Jerome Goddard1, Richard deShazo
1Department of Entomology and Plant Pathology, Mississippi State University, Box 9775, Mississippi State, MS 39762, USA. jgoddard@entomology.msstate.edu
JAMA
|April 2, 2009
概括
床虫 (Cimex lectularius) 感染是一个日益严重的全球性问题. 目前的研究表明疾病传播的证据有限,但有效的害虫控制和咬伤治疗仍然具有挑战性.
科学领域:
- 医学昆虫学 医学昆虫学
- 公共卫生 公共卫生
- 皮肤病学 皮肤病学
背景情况:
- 在全球范围内,床 (Cimex lectularius) 感染正在增加.
- 健康影响范围从烦咬到皮肤和全身反应.
- 床作为疾病载体和最佳控制方法的作用需要进一步调查.
研究的目的:
- 审查目前关于床健康和医疗影响的知识.
- 探索与床害虫害控制和消灭相关的关键问题.
主要方法:
- 在MEDLINE,EMBASE,PubMed和Toxline数据库中进行了搜索 (1960-2008).
- 包括关于床,人类健康影响和害虫控制干预措施的文章.
- 对临床和害虫防治用品的专家评价.
主要成果:
- 对于床干预的临床试验有限.
- 很少有证据支持床作为传染病的载体.
- 对咬伤的各种治疗方法显示出不一致的结果;没有发现基于证据的根除方法.
结论:
- 对于床虫咬伤的治疗缺乏临床试验支持.
- 关于病虫传播疾病的证据是不够的.
- 杀虫剂耐药性和产品限制阻碍了害虫控制.
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