| 百色市一例境下输入性重症恶性疟流行病学调查 |
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| 引用本文： | 邓积广,陆夏瑜,余水兰,农智. 百色市一例境下输入性重症恶性疟流行病学调查[J]. 现代预防医学, 2018, 0(23): 4380-4382 |
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| 作者姓名： | 邓积广 陆夏瑜 余水兰 农智 |
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| 作者单位： | 百色市疾病预防控制中心，广西 百色 533000 |
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| 摘 要： | 目的 对百色市报告的1例输入性重症恶性疟病例进行流行病学调查，为巩固消除疟疾成果并防止输入性病例出现死亡提供参考依据。方法 对患者的流行病学史、诊疗经过等资料进行收集、整理和分析。结果 该例患者有明确的外出非洲史，驻地为疟疾流行区，回国后发病，血检、PCR证实恶性疟原虫感染阳性。百色市2009年至2017年未发现本地感染疟疾病例，推断病例为境外感染本地发病，回国后多次就诊未能及时诊断是导致患者发展成为重症疟疾的主要原因。结论 百色市辖区内需加强临床医生对疟疾知识的培训以及境外返乡人员的监测力度，尽早发现输入性疟疾病例并及时治疗，以防止输入性继发病例以及重症甚至死亡病例的出现。
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| 关 键 词： | 恶性疟 输入性病例 流行病学 调查 |
Epidemiological survey of an imported severe falciparum malaria case in Baise |
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| DENG Ji-guang,LU Xia-yu,YU Shui-lan,NONG Zhi. Epidemiological survey of an imported severe falciparum malaria case in Baise[J]. Modern Preventive Medicine, 2018, 0(23): 4380-4382 |
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| Authors: | DENG Ji-guang LU Xia-yu YU Shui-lan NONG Zhi |
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| Affiliation: | Center for Disease Control and Prevention of Baise, Baise, Guangxi 533000, China |
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| Abstract: | Objective To conduct an epidemiological investigation of one imported severe falciparum malaria patient in Baise, and to provide a reference for consolidating the malaria elimination and preventing death in imported cases. [WTHZ]Methods The epidemiological history, medical treatment and other data of the patient were collected, organized and analyzed. [WTHZ]Results The patient once lived in Africa where is a malaria epidemic area, and fell ill after coming back home from abroad. Blood tests and PCR confirmed that the P.falciparum infection was positive. Baise had not yet found the cases of local malaria infection from 2009. It was inferred that the case was an overseas local infection disease. The major reason for coma of the patient was without diagnosing and curing in time. [WTHZ]Conclusion Baise needs to strengthen the training of clinicians on malaria knowledge and the monitoring of returnees from overseas. Early detection of imported malaria cases and timely treatment can prevent the death of imported malaria cases and secure the achievements of eliminating malaria. |
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| Keywords: | P.falciparum Imported case Severe Epidemiology Investigation |
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