印度和斯里兰卡的青素过敏管理:当前的挑战
Saibal Moitra1, Guwani Liyanage2, Sarah Tonkin-Crine3
1Division of Allergy and Immunology, Department of Respiratory Medicine, Apollo Multispecialty Hospitals, Kolkata, India.
概括
青素过敏标签在印度和斯里兰卡不太常见,但由于人口规模影响许多人. 改善青素过敏管理对于抗微生物药物管理至关重要.
科学领域:
- 临床医学 临床医学
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 关于印度和斯里兰卡的青素过敏标签 (PAL) 的数据有限.
- 虽然未经验证的PAL流行率 (1%-4%) 比高收入国家 (15%-20%) 低,但考虑到该地区的人口 (25%的全球人口),绝对数字是显著的.
- 在这些地区的过敏专家和结构化的青素过敏管理协议中存在很大的差距.
研究的目的:
- 审查目前印度和斯里兰卡的青素过敏标签 (PAL) 的负担和挑战.
- 识别与药物过敏管理相关的文献和卫生服务框架中的差距.
- 提出一个务实的方法,以改善针对PALs的抗菌药物管理.
主要方法:
- 关于印度和斯里兰卡的青素过敏标签现有文献的叙事综述.
- 分析挑战,包括缺乏专家,诊断试剂,培训和标准化协议.
- 检查对抗微生物药物管理对关键感染的影响.
主要成果:
- 与高收入国家相比,印度和斯里兰卡报告的未经验证的PAL患病率较低.
- 对过敏专家和正式的药物过敏培训的重大未满足需求.
- 由于资源限制和不受监管的做法,损害了青素过敏管理.
- 对诸如风湿性发烧和梅毒等疾病的抗微生物药物管理产生不良影响.
结论:
- 尽管报告率较低,但青素过敏标签在印度和斯里兰卡构成了重大挑战.
- 解决专家,培训和标准化协议的缺乏是必不可少的.
- 实施阶段性,务实的方法是必要的,以改善青素过敏管理和抗菌药物管理,与世卫组织的AWaRe指南保持一致.
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