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基层医疗中的猴痘诊断与管理。

Diagnosis and management of monkeypox in primary care.

机构信息

Institute of Medical and Biomedical Education, St George's University of London, London, SW17 0RE, UK.

Population Health Research Institute, St George's University of London, London, SW17 0RE, UK.

出版信息

J R Soc Med. 2022 Oct;115(10):384-389. doi: 10.1177/01410768221131914. Epub 2022 Nov 7.

Abstract

The monkeypox virus outbreak continues to evolve worldwide. While most people recover without treatment, primary care clinicians may be the first point of contact for those affected. Prompt assessment, diagnosis, isolation, treatment and prophylaxis will reduce the risk of community transmission. The current public health advice is to test suspected cases and monitor close contacts. If individuals test positive for the monkeypox virus, self-isolation at home is recommended for most people with mild symptoms. If patients report severe symptoms, referral and admission to hospital will be needed, where further interventions such as antivirals may be administered. The infection can spread through close contact; therefore, healthcare professionals must take precautions, such as using appropriate personal protective equipment for possible or probable cases.

摘要

猴痘病毒疫情在全球范围内持续演变。虽然大多数人无需治疗即可康复,但初级保健临床医生可能是受感染者的第一接触点。及时评估、诊断、隔离、治疗和预防措施将降低社区传播的风险。目前的公共卫生建议是对疑似病例进行检测并监测密切接触者。如果个体猴痘病毒检测呈阳性,大多数轻症患者建议在家中进行自我隔离。如果患者报告出现严重症状,则需要转介并住院治疗,在那里可能会给予抗病毒等进一步干预措施。感染可通过密切接触传播;因此,医护人员必须采取预防措施,例如对可能或确诊病例使用适当的个人防护设备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71f7/9720287/ed9d97c5dfca/10.1177_01410768221131914-fig1.jpg

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