Infectious Diseases Fellow University of Texas Health Science Center San Antonio, Mail Code 7881, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.
Expert Rev Anti Infect Ther. 2009 Dec;7(10):1223-34. doi: 10.1586/eri.09.107.
It is estimated that over 300,000 people with Chagas disease are living in the USA, with more than 30,000 cases of Chagas cardiomyopathy expected per year. The epidemiology of Chagas disease in Central and South America differs from that of the USA, where particular attention must focus on blood bank screening, organ donation and vertical transmission. It is essential that healthcare practitioners have heightened awareness of Chagas disease in the differential diagnosis of certain patients and are aware of recommendations for the management of these patients in the USA. Ongoing attention must focus on trials that determine whether all patients will benefit from treatment as well as studies of new agents for therapy.
据估计，美国有超过 30 万人患有恰加斯病，每年预计有超过 3 万例恰加斯心肌病。中美洲和南美洲的恰加斯病流行病学与美国不同，在美国，必须特别关注血库筛查、器官捐赠和垂直传播。医疗保健从业者在某些患者的鉴别诊断中必须高度警惕恰加斯病，并了解美国管理这些患者的建议。必须持续关注确定所有患者是否都将从治疗中受益的试验，以及研究新的治疗药物。
