在不丹急性发烧病患者中伤寒:一个横截面研究
Karma Norbu1, Karma Dema1, Kuenga Choden2
1Department of Pathology and Laboratory Medicine Yebilaptsa Hospital Zhemgang Bhutan.
Public health challenges
|June 11, 2025
概括
湿疹伤寒是不丹发烧性疾病的重要原因,在8.2%的患者中被诊断出. 在女性和夏季期间观察到更高的感染率,特别是在较低海拔地区的医院.
科学领域:
- 传染性疾病 传染性疾病
- 热带医学 热带医学
- 公共卫生 公共卫生
背景情况:
- 草风是诸如不丹等亚热带地区急性发烧疾病的主要原因.
- 早期诊断和治疗对于降低草原伤寒死亡率至关重要.
- 冈区,有着农民人口和温暖的气候,为灌木伤寒传播提供了合适的环境.
研究的目的:
- 为了确定在不丹的Zhemgang地区的灌木伤寒的流行率.
- 为了确定与灌木伤寒感染相关的危险因素.
- 根据医院位置,人口统计和季节来分析草原伤寒趋势.
主要方法:
- 在2019年1月至2020年12月期间,对患有急性发烧疾病的患者进行了一项横截面研究.
- 草伤寒快速诊断套件被用于测试.
- 使用后勤回归分析来评估风险因素.
主要成果:
- 总共进行了922项测试,灌木伤寒的阳性率为8.2%.
- 在潘邦医院 (56.6%) 观察到的阳性率最高.
- 在女性中 (57.9%) 和在9月份 (16.3%) 检测到的病例中,疹伤寒更为普遍.
- 与更高的阳性相关的因素包括较低的海拔医院,女性性别和特定的季节.
结论:
- 大约10%的急性发烧性疾病患者的检测结果呈阳性草伤寒.
- 夏季月份显示了更高比例的灌木伤寒感染.
- 医院的位置,年龄,性别和季节是影响草伤寒率的重要因素.
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