在非特有地区的旅行相关的病症:系统性审查和元分析
Jongkonnee Thanasai1, Atthaphong Phongphithakchai2, Moragot Chatatikun3,4
1Faculty of Medicine, Mahasarakham University, Mahasarakham 44000, Thailand.
International journal of environmental research and public health
|January 28, 2026
概括
旅行相关的乳腺炎是一种罕见但严重的进口感染. 大多数病例起源于东南亚,死亡率和复发率显著,突出了在非流行地区迅速识别和治疗的需要.
科学领域:
- 传染性疾病 传染性疾病
- 全球健康 全球健康
- 流行病学 流行病学
背景情况:
- 由Burkholderia pseudomallei引起的与旅行相关的乳腺炎,由于全球旅行,在非流行地区越来越多地被诊断出.
- 了解进口病例对于早期识别和管理在非常见的乳腺炎地区至关重要.
研究的目的:
- 分析人口统计学,临床和结局模式的旅行相关的结核病在流行地区以外诊断.
- 为了确定进口乳腺炎病例中死亡率的预测因素.
主要方法:
- 系统地搜索PubMed,Embase和Scopus的文献,寻找旅行相关的性腺炎病例报告和系列.
- 提取有关患者人口统计,并发病,临床特征和结果的数据.
- 描述性和回归分析以探索死亡率预测因素.
主要成果:
- 包括来自104项研究的143例病例,主要是在高收入,非流行国家的诊断.
- 东南亚,特别是泰国是感染的主要地区.
- 肺部疾病和败血症是最常见的表现,总死亡率为12.6%,复发率为7%.
结论:
- 旅行相关的乳腺炎是一种罕见但显著的进口感染,死亡率很高.
- 肺部和败血病呈现最频繁,强调在非流行性环境中需要保持警.
- 早期识别,适当的治疗和随访对于改善结果至关重要.
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