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医护人员自述的治疗方法可能导致落基山斑点热患者死亡。

Self-reported treatment practices by healthcare providers could lead to death from Rocky Mountain spotted fever.

机构信息

The Ohio State University, College of Veterinary Medicine, Columbus, OH.

Rickettsial Zoonoses Branch, Division of Vector-borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA.

出版信息

J Pediatr. 2014 Feb;164(2):416-8. doi: 10.1016/j.jpeds.2013.10.008. Epub 2013 Nov 16.

DOI:10.1016/j.jpeds.2013.10.008
PMID:24252781
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4699435/
Abstract

Among 2012 Docstyle survey respondents, 80% identified doxycycline as the appropriate treatment for Rocky Mountain spotted fever in patients ≥ 8 years old, but only 35% correctly chose doxycycline in patients <8 years old. These findings raise concerns about the higher pediatric case-fatality rate of Rocky Mountain spotted fever observed nationally. Targeted education efforts are needed.

摘要

在 2012 年 Docstyle 调查受访者中,80%的人认为多西环素是治疗≥8 岁 Rocky Mountain 斑疹热患者的合适药物,但只有 35%的人在治疗<8 岁的患者时正确选择了多西环素。这些发现令人担忧,因为全国范围内观察到的 Rocky Mountain 斑疹热儿童病死率较高。需要有针对性的教育工作。

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本文引用的文献

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2
Fatal Rocky Mountain spotted fever in the United States, 1999-2007.1999-2007 年美国致死性落矶山斑点热。
Am J Trop Med Hyg. 2012 Apr;86(4):713-9. doi: 10.4269/ajtmh.2012.11-0453.
3
Rocky mountain spotted fever in the United States, 2000-2007: interpreting contemporary increases in incidence.美国 2000-2007 年落基山斑点热:解读发病率的当代增长。
Am J Trop Med Hyg. 2010 Jul;83(1):174-82. doi: 10.4269/ajtmh.2010.09-0752.
4
The use and safety of doxycycline hyclate and other second-generation tetracyclines.盐酸多西环素及其他第二代四环素类药物的使用与安全性。
Expert Opin Drug Saf. 2008 Sep;7(5):571-7. doi: 10.1517/14740338.7.5.571.
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Absence of tooth staining with doxycycline treatment in young children.幼儿使用强力霉素治疗后未出现牙齿染色情况。
Clin Pediatr (Phila). 2007 Mar;46(2):121-6. doi: 10.1177/0009922806290026.
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