实用方法对一个发烧的病人进行治疗,他去过热带地区
1Department of Tropical and Parasitic Diseases, Institute of Maritime and Tropical Medicine, Medical University of Gdansk, Gdynia, Poland. anna.kuna@gumed.edu.pl
Polish archives of internal medicine
|January 16, 2024
概括
在国际旅行者中诊断发烧至关重要. 根据旅行史,迅速识别热带疾病,如疟疾和登革热,确保及时治疗和更好的健康结果.
科学领域:
- 旅行 医学 旅行 医学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 预计到2030年,国际旅行预计每年将达到20亿次.
- 从发展中国家返回的旅行者中患病率很高 (43-79%).
- 发烧是返回旅行者的常见和潜在的严重症状.
研究的目的:
- 强调国际旅行者准确发烧诊断的重要性.
- 突出常见的热带疾病及其地理流行情况.
- 为了强调旅行史在诊断中的作用.
主要方法:
- 综合旅行史评估.
- 基于目的地的风险识别.
- 了解流行热带疾病的知识.
主要成果:
- 疟疾 (Plasmodium falciparum) 是撒哈拉以南非洲旅行者的发烧的主要原因 (50/1000例).
- 登革热在东南亚 (50-60/1000例) 普遍存在,发病率不断增加.
- 其他重大问题包括奇孔古尼亚,寨卡病毒,伤寒热,阿米巴肝,病毒性出血热,SARS-CoV-2和流感.
结论:
- 准确诊断旅行者的发烧需要详细的旅行史.
- 了解疾病的地理分布是识别潜在病原体的关键.
- 诊断算法可以帮助选择测试,并为发烧的旅行者规划治疗.
相关概念视频
Methods of reducing fever
664
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Pharmacological Methods of Reducing Fever:
664
Increased Body Temperature
674
A body temperature above 38°C (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in...
674
Patterns of Fever
2.6K
Before understanding the types and patterns of fever, it is essential to know its phases.
2.6K
Decreased Body Temperature
618
A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...
618
Types of Fever
371
Fever can be triggered by several factors, including infections, nervous system disorders, certain cancers, blood diseases like leukemia, embolism, thrombosis, heatstroke, dehydration, surgical trauma, crushing injuries, and allergic reactions.
Here are the different types of fever:
Here are the different types of fever:
371
Factors Affecting Body Temperature
4.2K
As a nurse, it is vital to understand the factors affecting body temperature to monitor variations and effectively evaluate deviations from regular.
Factors may include:
Factors may include:
4.2K


