在为淋巴性 filariasis,萨摩亚2018-2019年基于ivermectin的大规模药物管理后疹的流行率
Gabriela A Willis1, Therese Kearns2, Helen J Mayfield1,3
1Research School of Population Health, Australian National University, Canberra, Australia.
PLoS neglected tropical diseases
|August 22, 2023
概括
在萨摩亚,在为淋巴性 filariasis 进行大规模药物管理 (MDA) 后,疹患病率增加,特别是影响幼儿. 建议进行持续的监测,以监测这种常见的皮肤感染.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 皮肤病学 皮肤病学
背景情况:
- 是一种由Sarcoptes scabiei虫引起的传染性皮肤感染.
- 用于淋巴性 filariasis 大量药物管理 (MDA) 的 Ivermectin 也是一种有效的治疗方法.
- 2018年,萨摩亚首个基于ivermectin的MDA针对5岁及以上的个体.
研究的目的:
- 在2018年基于ivermectin的MDA之后,确定萨摩亚的病流行率.
- 确定与MDA后发病率相关的人口和家庭因素.
主要方法:
- 在MDA后1.5-3.5个月和6-8个月进行了两个人口代表的家庭调查.
- 临床检查评估了类似的皮疹,使用国际控制联盟的标准.
- 多变量后勤回归分析了与发病率相关的因素.
主要成果:
- 在这两次调查期间,病发病率从2.4%上升到4.4%.
- 年龄较小 (0-4岁),女性性别,家庭规模较大,不接受MDA与更高的患病率有关.
- 还观察到流行率的区域差异.
结论:
- 在MDA后检测到中度的流行,并观察到日益增长的趋势.
- 幼儿和特定的人口/家庭因素的风险更高.
- 对的持续监测至关重要,特别是在脆弱人群中.
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