持续性腹:临床综述
1University of Texas School of Public Health and Medical School, Houston2Kelsey Research Foundation, Houston, Texas3Baylor College of Medicine, Houston, Texas.
JAMA
|July 1, 2016
概括
持续超过14天的腹往往与急性腹不同. 准确的诊断对于这种未被认可的疾病的有效治疗至关重要.
科学领域:
- 医学微生物学
- 传染性疾病
- 胃肠病学
背景情况:
- 腹疾病很常见,但持续性腹 (≥14天) 具有不同的病因.
- 了解这些原因对于适当的临床治疗和患者的结果至关重要.
研究的目的:
- 审查由传染病原体引起的持续性腹的流行病学,病因学,诊断和治疗.
- 突出确切诊断对于全球免疫能力较强的个体有效治疗的重要性.
主要方法:
- 对发展中国家和旅行者的研究数据的审查.
- 识别常见和不常见的寄生虫和细菌病原体.
- 讨论包括培养依赖,培养独立 (PCR) 和显微镜的诊断方法.
主要成果:
- 持续性腹影响了大约3%的发展中国家旅行者.
- 主要的病原体包括Giardia,Cryptosporidium,大肠杆菌和西格拉菌.
- 在特有地区发现的Schistosoma物种是罕见的原因.
结论:
- 持续性腹是一个未被认可的综合征, 需要进行彻底评估.
- 正确的病因诊断对于成功的治疗干预和症状改善至关重要.
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