Blood-Siegfried Jane, Zeantoe G Clinton, Evans Lauren J, Bondo John, Forstner James R, Wood Kathryn
Duke University School of Nursing, Durham, NC.
Winifred J. Harley College of Health Sciences, United Methodist University, Ganta, Liberia.
Public Health Nurs. 2015 Nov-Dec;32(6):680-701. doi: 10.1111/phn.12149. Epub 2014 Sep 17.
Although Neglected Tropical Diseases (NTDs) are largely endemic in the developing nations of Africa, Asia, and South and Central America, they are reemerging with increasing frequency in developed countries. Their diagnosis, treatment, and control are an increasing public health concern that requires a different awareness by health care providers. Neglected tropical diseases (NTDs) are chronic infectious diseases which disproportionately burden poor, rural, and marginalized populations with significant mortality and high morbidity (disability, disfigurement, impaired childhood growth and cognitive development, increased vulnerability to coinfection) that reinforces their poverty. What can we learn from the nurses in developing countries already battling NTD's that could be useful in the developed world? This article provides an overview of distribution, pathophysiology, symptoms, and management of 13 NTDs, with particular attention to the role of nurses in delivering cost-effective integrated interventions. Case studies of schistosomiasis, Chagas disease, and leishmaniasis address recognition and treatment of infected individuals in developed nations where NTD infection is limited primarily to immigrants and travelers.
尽管被忽视的热带病（NTDs）主要在非洲、亚洲以及南美洲和中美洲的发展中国家流行，但它们在发达国家正日益频繁地重新出现。其诊断、治疗和控制成为日益受到关注的公共卫生问题，这需要医疗服务提供者具备不同的认识。被忽视的热带病（NTDs）是慢性传染病，给贫困、农村和边缘化人群带来了不成比例的负担，导致大量死亡和高发病率（残疾、毁容、儿童生长和认知发育受损、更容易合并感染），从而加剧了他们的贫困。我们能从已经在与被忽视的热带病作斗争的发展中国家护士身上学到什么对发达国家有用的东西呢？本文概述了13种被忽视的热带病的分布、病理生理学、症状和管理，特别关注护士在提供具有成本效益的综合干预措施中的作用。血吸虫病、恰加斯病和利什曼病的案例研究涉及在发达国家对受感染个体的识别和治疗，在这些国家，被忽视的热带病感染主要限于移民和旅行者。
