Wilderness Medical Society Clinical Practice Guidelines on Water Treatment for Wilderness, International Travel, and Austere Situations: 2024 Update.

IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Wilderness & Environmental Medicine Pub Date : 2024-03-01 Epub Date: 2023-12-27 DOI:10.1177/10806032231218722
Howard D Backer, Robert W Derlet, Vincent R Hill
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Abstract

To provide guidance to medical providers, wilderness users, and travelers, the Wilderness Medical Society convened an expert panel to develop evidence-based guidelines for treating water in situations where the potability of available water is not assured, including wilderness and international travel, areas impacted by disaster, and other areas without adequate sanitation. The guidelines present the available methods for reducing or eliminating microbiological contamination of water for individuals, groups, or households; evaluation of their effectiveness; and practical considerations. The evidence base includes both laboratory and clinical publications. The panel graded the recommendations based on the quality of supporting evidence and the balance between benefits and risks/burdens according to the criteria published by the American College of Chest Physicians.

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荒野医学会关于荒野、国际旅行和恶劣环境下水处理的临床实践指南。
为了给医疗服务提供者、野外使用者和旅行者提供指导,野外医学会召集了一个专家小组,制定了在可用水源的可饮用性无法保证的情况下处理水的循证指南,包括野外和国际旅行、受灾害影响的地区以及其他卫生条件不足的地区。该指南介绍了减少或消除个人、团体或家庭用水微生物污染的可用方法;对其有效性的评估;以及实际考虑因素。证据基础包括实验室和临床出版物。专家小组根据美国胸科医师学会公布的标准,根据支持证据的质量以及效益与风险/负担之间的平衡对建议进行了分级。
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来源期刊
Wilderness & Environmental Medicine
Wilderness & Environmental Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.10
自引率
7.10%
发文量
96
审稿时长
>12 weeks
期刊介绍: Wilderness & Environmental Medicine, the official journal of the Wilderness Medical Society, is the leading journal for physicians practicing medicine in austere environments. This quarterly journal features articles on all aspects of wilderness medicine, including high altitude and climbing, cold- and heat-related phenomena, natural environmental disasters, immersion and near-drowning, diving, and barotrauma, hazardous plants/animals/insects/marine animals, animal attacks, search and rescue, ethical and legal issues, aeromedial transport, survival physiology, medicine in remote environments, travel medicine, operational medicine, and wilderness trauma management. It presents original research and clinical reports from scientists and practitioners around the globe. WEM invites submissions from authors who want to take advantage of our established publication''s unique scope, wide readership, and international recognition in the field of wilderness medicine. Its readership is a diverse group of medical and outdoor professionals who choose WEM as their primary wilderness medical resource.
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