Veenema Tener Goodwin
Center for High-Risk Children & Youth, University of Rochester School of Nursing, Department of Emergency Medicine, University of Rochester School of Medicine & Dentistry, Rochester, New York, USA.
Biol Res Nurs. 2003 Apr;4(4):295-304. doi: 10.1177/1099800403252389.
Smallpox continues to be a major national health concern as it poses the most serious bioterrorist threat to the US population at this time. Due to similarities in clinical presentation, smallpox may easily be confused with varicella (chickenpox) in young children. Management of a large-scale outbreak of smallpox in young children would require an intensive health care response. In addition, the current debate concerning potential revisions to the Centers for Disease Control and Prevention (CDC) interim guidelines for vaccination against smallpox has significant health implications for high-risk children and infants. As such, the diagnosis, management, and containment of smallpox in infants and children deserve special consideration.
天花仍然是国家主要的健康关注点，因为目前它对美国人口构成了最严重的生物恐怖主义威胁。由于临床表现相似，幼儿的天花很容易与水痘混淆。应对幼儿大规模天花疫情需要密集的医疗应对措施。此外，当前关于对疾病控制与预防中心（CDC）天花疫苗接种临时指南进行潜在修订的辩论，对高危儿童和婴儿有着重大的健康影响。因此，婴幼儿天花的诊断、管理和控制值得特别关注。
