在INDOPACOM中暴露的士兵中的淋巴状丝腺炎
G Dennis Shanks1,2, James K Smith1,3
1Australian Defence Force Malaria and Infectious Disease Institute, Enoggera, Queensland.
MSMR
|September 10, 2024
概括
美国印太司令部 (INDOPACOM) 对 filariasis 的军事预防性化疗可能是不必要的. 历史数据显示,士兵的临床 filariasis 病例很少,这表明必须停止常规治疗.
科学领域:
- 热带医学 热带医学
- 军人卫生保健 军人卫生保健
- 传染性疾病 传染性疾病
背景情况:
- 在历史上,淋巴状细菌病在第二次世界大战期间影响了太平洋地区的军事人员.
- 在越南和东帝汶,美军军人患有 Filariasis 的病例很少见.
- 大规模的药物管理已经降低了INDOPACOM地区的 filariasis 流行率.
研究的目的:
- 在INDOPACOM.COM.中审查在美国军事组织中假定 filariasis 治疗的历史基础.
- 评估目前在部署的士兵中预防性化学疗法的必要性.
主要方法:
- 在太平洋和东南亚的各种冲突中,军事人员中临床 filariasis 病例的历史审查.
- 对美国和澳大利亚士兵 filariasis 的流行病学数据的分析.
- 评估INDOPACOM地区大规模药物使用后的 filariasis 患病率.
主要成果:
- 在第二次世界大战期间,美国海军陆战队在波利尼西亚的海军陆战队记录了临床 filariasis.
- 在美拉尼西亚,越南和东帝汶的美国和澳大利亚士兵中报告了少数 filariasis 病例.
- 最近的部署显示了罕见的血清转化,但没有临床 filariasis,特别是在大规模药物管理后.
结论:
- 对于INDOPACOM返回的士兵来说,假定的 filariasis 治疗可能不再是合理的.
- 由于大规模药物管理而减少的疾病暴露,支持停止预防性化疗.
- 未来的军事卫生战略应该考虑该地区 filariasis 的风险下降.
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