从索马里返回的美国海军陆战队员患疟疾
J A Newton1, G A Schnepf, M R Wallace
1Department of Internal Medicine, Naval Medical Center, San Diego, Calif. 92134-5000.
JAMA
|August 3, 1994
概括
不遵守疟疾化学预防和保护措施导致美国海军陆战队员从索马里返回时发生了严重的疫情. 这凸显了全国各地医疗保健提供者需要提高对进口疟疾风险的认识.
科学领域:
- 热带医学 热带医学
- 传染性疾病 传染性疾病
- 军人卫生保健 军人卫生保健
背景情况:
- 1993年从索马里返回的美国海军陆战队员经历了一场大规模的进口疟疾疫情.
- 这项研究旨在确定疟疾病例并评估化疗预防的遵守性.
研究的目的:
- 在从索马里返回的美国海军陆战队员中识别疟疾病例.
- 为了确定疟疾化学预防的遵守率.
主要方法:
- 采用了一个案例系列设计.
- 从106名在索马里部署后被诊断患有疟疾的美国海军陆战队员收集了数据.
- 分析了发病率,临床特征和化学预防的遵守.
主要成果:
- 在106名海军陆战队员中发现了112例进口疟疾病例.
- 活菌是最常见的物种 (87%),其次是菌 (7%).
- 自我报告的化疗预防遵从率为56%,只有50%接受了最佳的治疗方案.
结论:
- 化学预防和保护措施的不遵守导致了疟疾爆发.
- 全国各地的医疗保健提供者必须意识到从索马里进口的疟疾,特别是在返回的军事人员中.
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