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我的病人在哪里出生?热带医学与移民健康的交集。

Where was my patient born? The Intersection of tropical medicine and migrant health.

机构信息

Department of Medicine, NYC Health and Hospitals/Jacobi, Albert Einstein College of Medicine.

Division of Infectious Disease, Albert Einstein College of Medicine, Bronx, New York.

出版信息

Curr Opin Infect Dis. 2021 Oct 1;34(5):447-454. doi: 10.1097/QCO.0000000000000773.

Abstract

PURPOSE OF REVIEW

There is unprecedented movement of people across international borders and parasitic infections, previously restricted to endemic regions, are now encountered in nonendemic areas of the world.

RECENT FINDINGS

Migrants may import parasitic infections acquired in their countries of origin. Increasingly, clinicians in nonendemic regions are faced with patients with neglected diseases such as Chagas disease, malaria and strongyloidiasis. There are gaps in knowledge among physicians in nonendemic regions, which lead to missed opportunities for preventive strategies and early treatment. Both primary care and infectious disease physicians should have a broad knowledge of common parasitic infections to improve health outcomes and decrease healthcare disparities through early identification and treatment of disease encountered in migrants.

SUMMARY

Migrant health is still a young field in medicine; clinicians should be aware of diseases seen in migrants, and access both educational and clinical resources, including experts in tropical medicine, in order to reduce health disparities among migrants. Collaboration between primary care and infectious disease/tropical medicine experts should be strengthened.

摘要

目的综述

国际间人口流动前所未有,以前局限于流行地区的寄生虫感染现在也出现在世界非流行地区。

最近的发现

移民可能会从原籍国带来寄生虫感染。在非流行地区,越来越多的临床医生面临着诸如恰加斯病、疟疾和类圆线虫病等被忽视疾病的患者。非流行地区的医生在知识上存在差距,导致预防策略和早期治疗的机会被错失。初级保健医生和传染病医生都应该广泛了解常见寄生虫感染,通过早期发现和治疗移民中遇到的疾病,改善健康结果并减少医疗保健差距。

总结

移民健康仍然是医学中的一个新兴领域;临床医生应该了解移民中出现的疾病,并获得教育和临床资源,包括热带医学专家,以减少移民中的健康差距。应加强初级保健医生和传染病/热带医学专家之间的合作。

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