喀拉拉邦Thiruvananthapuram一家家庭保健中心野外地区Weil病死亡调查和疫情控制措施

Pranav V. Vasisht
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摘要

简介:韦尔综合征是一种罕见的传染性疾病,是由钩端螺旋体引起的一种严重的细菌感染,称为钩端螺旋体病。Weil综合征的特征是肾脏和肝脏功能障碍,肝脏异常肿大(肝肿大),皮肤、粘膜、眼白(黄疸)持续变黄,和/或意识改变。在大多数情况下,威尔综合征发生在接触受感染动物的个体中。病例介绍和总结:死亡调查由一个由医生、初级卫生检查员和该地区ASHA工作人员组成的小组完成。我们对死者的妻子和儿媳进行了深度访谈的定性方法来收集数据。病人的姓名和其他细节因匿名而未透露。本病例报告没有使用特别的统计分析。撰写本报告时遵循了CARE指南。结论:钩端螺旋体病是一种具有暴发潜力的疾病,病死率高。及时发现病例和制定预防措施对预防疫情非常重要。在该地区进行的调查未发现任何即将或正在爆发钩端螺旋体病的迹象。
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Weil’s Disease Death Investigation and Outbreak Control Measures Instituted in the Field Area of a Family Health Center in Thiruvananthapuram, Kerala—A Case Report
Introduction: Weil syndrome, a rare infectious disorder, is a severe form of the bacterial infection caused by Leptospira bacteria known as leptospirosis. Weil syndrome is characterized by dysfunction of the kidneys and liver, abnormal enlargement of the liver (hepatomegaly), persistent yellowing of the skin, mucous membranes, whites of the eyes (jaundice), and/or alterations in consciousness. In most cases, Weil syndrome occurs among individuals who are exposed to affected animals. Case Presentation and Summary: The investigation of death was done by a team consisting of doctor, junior health inspector, and ASHA workers of the area. We did a qualitative approach of in-depth interview of the wife and daughter-in-law of the deceased for data collection. The patient’s name and other details are not revealed for anonymity. No particular statistical analyses are used for this case reporting. The CARE guidelines were followed for writing this report. Conclusion: Leptospirosis is a disease of outbreak potential and has high case fatality rate. Timely identification of cases and institution of preventive measures is very important in preventing outbreaks. The surveys conducted in the area did not reveal any signs of an imminent or ongoing outbreak of leptospirosis.
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期刊介绍: Indian Association of Clinical Medicine is an academic body constituted in the year 1992 by a group of clinicians with the main aim of reaffirming the importance of clinical medicine in this era of high-tech diagnostic modalities. There is no doubt that modern investigational methods have contributed a lot to the present day medical practice but that does not render clinical acumen and examination less important. The art and science of clinical medicine helps up to make proper and judicious use of investigations and not these be the sole basis of our practice. That is the basic idea behind this ''Association''. We presently have members and fellows of the association from all over the country. In August, 2002 the body was registered as "Indian Association of Clinical Medicine" by the Registrar of Societies, Delhi.
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