不丹楚卡格杜地区医院收治的恙虫病患者的现场流行病学、临床发现及转归
Field epidemiology, clinical findings and outcome of Scrub typhus patients admitted at Gedu District Hospital, Chhukha, Bhutan.
作者信息
Nepal Tej Nath, Chhetri Geeta
机构信息
Gedu Hospital, Chhukha, Bhutan.
Gedu Higher Secondary School, Chhukha, Bhutan.
出版信息
SAGE Open Med. 2023 May 20;11:20503121231175303. doi: 10.1177/20503121231175303. eCollection 2023.
OBJECTIVES
This study aimed to understand the field epidemiology, clinical findings, diagnostic reports and outcome of Scrub typhus patients admitted at Gedu District Hospital, Bhutan.
METHODS
The researcher extracted data from the records of patients admitted at the hospital from 1 January 2017 to 31 December 2020, with diagnosis of Scrub typhus. A total of 185 records were used to study the demographic distribution, results of rapid diagnostic test for Scrub typhus, presence of eschar, treatment outcome and duration of admission in the hospital.
RESULTS
The months of May to October had increased admissions of 137 (74%) patients with a peak in September. Three gewogs (sub-districts) had 173 (93.5%) patients; age range was 6 months to 84 years and a greater proportion of patients were females.
CONCLUSION
Scrub typhus is endemic in the district. The absence of recorded fever or a negative rapid diagnostic test report may not exclude the diagnosis of Scrub typhus.
目的
本研究旨在了解不丹格杜地区医院收治的恙虫病患者的现场流行病学、临床症状、诊断报告及治疗结果。
方法
研究人员从2017年1月1日至2020年12月31日期间在该医院收治的恙虫病确诊患者记录中提取数据。共使用185份记录来研究人口统计学分布、恙虫病快速诊断检测结果、焦痂的存在情况、治疗结果及住院时间。
结果
5月至10月入院患者增加，共137例（74%），9月达到高峰。三个宗（次分区）有173例（93.5%）患者；年龄范围为6个月至84岁，女性患者比例更高。
结论
恙虫病在该地区为地方病。未记录到发热或快速诊断检测报告为阴性并不能排除恙虫病的诊断。
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