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莱姆病诊断的社会表征。

The social representations of diagnosing Lyme disease.

机构信息

UMR1296, Université Lyon 2, Lyon, France.

CHRU de Strasbourg, Strasbourg, France.

出版信息

PLoS One. 2023 Feb 9;18(2):e0276800. doi: 10.1371/journal.pone.0276800. eCollection 2023.


DOI:10.1371/journal.pone.0276800
PMID:36757987
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9910640/
Abstract

Social science studies on the controversy surrounding Lyme disease (LD) focused on the opposition between the "mainstream" and biomedical approach on one side and the "Lyme-literate" one on the other side, the latter claiming the existence of the chronic form of LD. The qualitative and exploratory study 'C18-48 Quali-Explo-PIQTIQ' (2019) investigated the social representations of LD in patients bitten by a tick. Twenty-four semi-structured interviews were conducted in three French medical units. Thematic and patient trajectory analyses were performed. Our results showed that, after the tick bite, some patients presented an "illness without disease" condition, characterised by uncertainty. In some cases, they consulted "Lyme-literate" health providers and received a diagnosis of chronic LD. This diagnosis was obtained by prescribing unassessed biological testing, providing an objective result and clinical categorisation. Unlike literature on the "Lyme-literate" approach, this diagnostic procedure involved some biomedical operations.

摘要

社会科学对莱姆病(LD)争议的研究主要集中在“主流”和生物医学方法一方与“莱姆病知识渊博”一方的对立上,后者声称存在慢性 LD 形式。定性和探索性研究“C18-48 Quali-Explo-PIQTIQ”(2019 年)调查了被蜱叮咬的患者对 LD 的社会表征。在三个法国医疗单位进行了 24 次半结构化访谈。进行了主题和患者轨迹分析。我们的结果表明,在蜱叮咬后,一些患者出现了“无病有病”的情况,表现出不确定性。在某些情况下,他们咨询了“莱姆病知识渊博”的医疗服务提供者,并被诊断为慢性 LD。这一诊断是通过开未经评估的生物测试得出的,提供了客观的结果和临床分类。与“莱姆病知识渊博”方法的文献不同,这一诊断程序涉及一些生物医学操作。

相似文献

[1]
The social representations of diagnosing Lyme disease.

PLoS One. 2023

[2]
[Risk of Lyme disease development after a tick bite].

Vojnosanit Pregl. 2010-5

[3]
A comprehensive clinical and laboratory evaluation of 224 patients with persistent symptoms attributed to presumed tick-bite exposure.

PLoS One. 2021

[4]
Tick bites and Lyme disease in an endemic setting: problematic use of serologic testing and prophylactic antibiotic therapy.

JAMA. 1998-1-21

[5]
Behavioral risk factors associated with reported tick exposure in a Lyme disease high incidence region in Canada.

BMC Public Health. 2022-4-22

[6]
Lyme disease following a dog bite--was there a tick?

BMJ Case Rep. 2011-8-17

[7]
Tick bite and Lyme disease-related emergency department encounters in New Hampshire, 2010-2014.

Zoonoses Public Health. 2017-12

[8]
[Ticks and the pediatrician].

Parassitologia. 2004-6

[9]
Functional neuroimaging in patients presenting with somatoform disorders: A model for investigating persisting symptoms after tick bites and post-treatment Lyme disease syndrome?

Med Mal Infect. 2019-2-5

[10]
Using risk group profiles as a lightweight qualitative approach for intervention development: an example of prevention of tick bites and lyme disease.

JMIR Res Protoc. 2013-10-30

引用本文的文献

[1]
Lyme borreliosis and medical wandering: what do patients think about multidisciplinary management? A qualitative study in the context of scientific and social controversy.

BMC Infect Dis. 2024-3-22

本文引用的文献

[1]
Lyme Disease and the Epistemic Tensions of "Medically Unexplained Illnesses".

Med Anthropol. 2020

[2]
Emergence of Lyme disease as a social problem: analysis of discourse using the media content.

Eur J Public Health. 2020-6-1

[3]
Lyme borreliosis and other tick-borne diseases. Guidelines from the French scientific societies (II). Biological diagnosis, treatment, persistent symptoms after documented or suspected Lyme borreliosis.

Med Mal Infect. 2019-5-31

[4]
Heterodox and Orthodox Discourses in the Case of Lyme Disease: A Synthesis of Arguments.

Qual Health Res. 2019-5-13

[5]
Lyme disease: Insight from social sciences.

Med Mal Infect. 2019-1-14

[6]
Living in Limbo: Contested Narratives of Patients With Chronic Symptoms Following Lyme Disease.

Qual Health Res. 2017-3

[7]
The case for a 'one health' approach to combating vector-borne diseases.

Infect Ecol Epidemiol. 2015-5-29

[8]
A diagnostic illusory? The case of distinguishing between "vegetative" and "minimally conscious" states.

Soc Sci Med. 2014-9

[9]
The classification and nomenclature of 'medically unexplained symptoms': conflict, performativity and critique.

Soc Sci Med. 2012-9-18

[10]
The negotiation of the sick role: general practitioners' classification of patients with medically unexplained symptoms.

Sociol Health Illn. 2012-3-5

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