Sheele Johnathan M, Gaines Stephanie, Maurer Nicholas, Coppolino Katirina, Li Jennifer S, Pound Amy, Luk Jeffrey H, Mandac Ed
University Hospitals Cleveland Medical Center, Case Western Reserve University, Department of Emergency Medicine, 11100 Euclid Ave., B-517, Cleveland, OH 44106, USA.
University Hospitals Cleveland Medical Center, Case Western Reserve University, Department of Emergency Medicine, 11100 Euclid Ave., B-517, Cleveland, OH 44106, USA.
Am J Emerg Med. 2017 May;35(5):697-698. doi: 10.1016/j.ajem.2016.12.076. Epub 2017 Jan 3.
Bed bugs are one of the most important human ectoparasites in the United States, and a growing problem in the emergency department. We evaluated 40 emergency department (ED) patients found with a bed bug. The data show that ED patients with bed bugs are statistically more likely to be male, older, more likely to be admitted to the hospital, have higher triage emergency severity index (ESI) scores, and arrive by ambulance than the general ED patient population (p<0.05). On average bed bugs were found 108min after a patient arrived to the ED, after 35% of subjects had already received a blood draw, and after 23% had already received a radiology study; putting other ED patients and staff at risk for acquiring the infestation. We found that 13% and 18% of subjects had wheezing and a papular rash, respectively on physical exam. Of those patients found with a bed bug in the ED, 42% reported having bed bugs at home and 21% reporting having a possible home infestation.
臭虫是美国最重要的人类体表寄生虫之一，且在急诊科成为一个日益严重的问题。我们评估了40名在急诊科发现感染臭虫的患者。数据显示，与普通急诊科患者群体相比，感染臭虫的急诊科患者在统计学上更可能为男性、年龄更大、更有可能住院、分诊急诊严重程度指数（ESI）得分更高且通过救护车送达（p<0.05）。平均而言，在患者抵达急诊科108分钟后发现臭虫，此时35%的受试者已经接受了采血，23%已经接受了放射学检查；这使其他急诊科患者和工作人员有感染臭虫的风险。我们发现，在体格检查中，分别有13%和18%的受试者出现喘息和丘疹性皮疹。在急诊科发现感染臭虫的患者中，42%报告家中有臭虫，21%报告家中可能有臭虫滋生。
