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索马里西北部三个农村社区的发热流行情况和管理。

Fever prevalence and management among three rural communities in the North West Zone, Somalia.

机构信息

Malaria Public Health and Epidemiology Group, Centre for Geographic Medicine, KEMRI-Wellcome Trust Collaborative Programme, Nairobi, Kenya.

出版信息

East Mediterr Health J. 2010 Jun;16(6):595-601.

PMID:20799585
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2930812/
Abstract

Between March and August 2008 we undertook 2 cross-sectional surveys among 1375 residents of 3 randomly selected villages in the district of Gebiley in the North-West Zone, Somalia. We investigated for the presence of malaria infection and the period prevalence of self-reported fever 14 days prior to both surveys. All blood samples examined were negative for both species of Plasmodium. The period prevalence of 14-day fevers was 4.8% in March and 0.6% in August; the majority of fevers (84.4%) were associated with other symptoms including cough, running nose and sore throat; 48/64 cases had resolved by the day of interview (mean duration 5.4 days). Only 18 (37.5%) fever cases were managed at a formal health care facility: 7 within 24 hours and 10 within 24-72 hours of onset. None of the fevers were investigated for malaria; they were treated with antibiotics, antipyretics and vitamins.

摘要

2008 年 3 月至 8 月期间,我们在索马里西北部热比耶区的 3 个随机选定村庄中,对 1375 名居民进行了 2 次横断面调查。我们调查了疟疾感染的存在情况以及两次调查前 14 天自我报告的发热期患病率。所有检查的血液样本均未发现疟原虫和间日疟原虫。3 月的 14 天发热期患病率为 4.8%,8 月为 0.6%;大多数发热(84.4%)伴有其他症状,包括咳嗽、流鼻涕和喉咙痛;64 例发热中有 48 例(87.5%)在采访当天已缓解(平均持续 5.4 天)。只有 18 例(37.5%)发热病例在正规医疗机构就诊:7 例在发病后 24 小时内就诊,10 例在发病后 24-72 小时内就诊。没有一例发热进行疟疾调查;他们接受了抗生素、解热药和维生素治疗。

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本文引用的文献

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2
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Riv Malariol. 1958 Jun;37(1-3):73-5.
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Estimating the needs for artesunate-based combination therapy for malaria case-management in Africa.估算非洲基于青蒿琥酯的联合疗法用于疟疾病例管理的需求。
Trends Parasitol. 2003 Aug;19(8):363-9. doi: 10.1016/s1471-4922(03)00168-5.
4
Where health care has no access: the nomadic populations of sub-Saharan Africa.医疗服务难以覆盖之地:撒哈拉以南非洲的游牧人口。
Trop Med Int Health. 1999 Oct;4(10):695-707. doi: 10.1046/j.1365-3156.1999.00473.x.