莱什曼病治疗的审查:我们能通过树木看到森林吗?
Moshe Shmueli1, Shalom Ben-Shimol1,2
1Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva 8410501, Israel.
Pharmacy (Basel, Switzerland)
|February 23, 2024
概括
由于寄生虫多样性和缺乏证据,莱什曼病的治疗是复杂的. 本综述详细介绍了皮肤,粘膜皮肤和内脏莱什曼病的治疗选择,考虑了疗效,安全性和成本.
科学领域:
- 医学寄生虫学 医学寄生虫学
- 热带医学 热带医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 莱什曼病呈现为皮肤 (CL),粘膜皮肤 (MCL) 和内脏 (VL) 形式.
- MCL和VL需要全身治疗;CL有多种选择,包括局部和口服.
- 由于寄生虫的变异性,有限的证据和确定的治疗方法,治疗具有挑战性.
研究的目的:
- 审查不同莱什曼病临床表现的不同治疗方案.
- 讨论每种治疗方法的有效性,易用性,安全性和成本.
- 解决莱什曼病治疗的挑战,包括其被忽视的热带疾病 (NTD) 的地位.
主要方法:
- 对现有莱什曼病治疗方法的文献综述.
- 治疗考虑因素的分析:疗效,寄生虫种类,临床表现,耐药性.
- 评估因素:疗法定义,易用性,安全性和成本.
主要成果:
- 治疗的有效性因寄生虫物种和地理位置而异.
- 由于缺乏随机对照试验 (RCT),因此需要依赖病例报告/病例系列.
- 审美结果和治愈定义具有挑战性,特别是在CL和MCL.
结论:
- 医生必须平衡治疗有效性与患者的坚持,安全性和成本.
- 局部或口服治疗是CL的首选,因为易于使用和坚持.
- 需要进一步的研究,以建立基于证据的治疗指南,以此NTD.
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