在非洲大陆,皮肤真菌病的诊断能力在非洲大陆
Aida S Badiane1, Lala S Ramarozatovo2, Safiatou N Doumbo3
1Cheikh Anta Diop University of Dakar, Aristide Le Dantec Hospital, Dakar, Senegal.
International journal of dermatology
|June 21, 2023
概括
非洲皮肤真菌病的诊断能力有限,许多国家缺乏诸如皮肤活检和真菌培养等必要的测试. 改善对诊断的准入对于有效治疗被忽视的热带疾病至关重要.
科学领域:
- 菌类学 菌类学是指菌类学.
- 皮肤病学 皮肤病学
- 公共卫生 公共卫生
背景情况:
- 皮肤真菌感染很普遍,特别是在资源有限的环境和艾滋病毒感染者中.
- 准确识别真菌病原体对于有效治疗与皮肤相关的被忽视的热带疾病 (NTDs) 是必不可少的.
研究的目的:
- 评估各种非洲国家的皮肤真菌病的诊断能力.
- 识别诊断测试可用性和利用方面的差距.
主要方法:
- 一份全面的问卷被分发给国家代表,以收集有关诊断测试可用性,频率和位置的数据.
- 通过视频通话和电子邮件确认来验证收集的数据.
主要成果:
- 诊断服务存在重大局限性:15%的国家在公共部门缺乏皮肤活检,45%的国家在私营部门缺乏皮肤活检.
- 在42%的公共部门可以使用直接显微镜,而在44%的公共设施中进行真菌培养.
- 组织病理学检查在40%的国家使用,但成本仍然是患者获取医疗服务的主要障碍.
结论:
- 迫切需要在非洲各地提高对影响皮肤,头发和指甲的真菌感染的诊断测试的可用性和利用率.
- 解决诊断局限性对于改善患者的治疗结果和管理被忽视的热带疾病至关重要.
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