诊断延迟诱导严重的进口型疟疾:在COVID-19共流动期间的两个进口病例的时间敏感性比较
1Chongming District Infectious Disease Hospital, Shanghai, China.
Malaria journal
|December 10, 2025
概括
在COVID-19期间疟疾的诊断延迟增加了疾病的严重程度. 在返回旅行者中,迅速对疟疾和SARS-CoV-2进行检测至关重要,以防止严重的后果.
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:
- 随着COVID-19大流行,进口疟疾的诊断面临着挑战.
- 重叠的症状和SARS-CoV-2查优先于疟疾诊断.
- 联合循环期间的诊断延迟会影响疟疾的严重程度.
研究的目的:
- 分析诊断延迟对疟疾严重程度的影响.
- 突出COVID-19期间延迟疟疾诊断的临床影响.
- 倡导并行测试策略.
主要方法:
- 在COVID-19隔离期间对两例进口疟疾病例的比较分析.
- 详细介绍临床过程,诊断时间表和结果.
- 对诊断挑战和影响的审查.
主要成果:
- 一个96小时的诊断延迟导致严重的 *Plasmodium falciparum* 疟疾与多器官并发症在案例1.
- 在24小时内立即诊断导致没有并发症的疟疾,在病例2中立即治疗.
- 延迟诊断与疾病严重程度增加和重症监护需求相关.
结论:
- 诊断延迟显著增加了COVID-19期间严重疟疾的风险.
- 对于发烧的旅行者来说,疟疾和SARS-CoV-2的并行测试是必不可少的.
- 拟议的"48小时三层诊断响应系统"旨在减少诊断窗口.
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