A combined tropical medicine and psychiatry approach to patients with possible delusional infestation.

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2024-12-03 DOI:10.1093/trstmh/trae054

S B Squire, M Taegtmeyer, Q Javed, T O'Dempsey, C Kullu, P Lepping

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Abstract

Background: Delusional infestation (DI) is a well-recognized delusional disorder presenting as the persisting belief of being infested. Combined clinics have been run by dermatology and psychiatry in a small number of centres. In this article we focus on our Liverpool University Hospitals NHS Foundation Trust clinic hosted at the Liverpool School of Tropical Medicine, UK, where we run a specialist clinic for DI.

Methods: We describe the specific set-up and approach of our clinic as a guide for clinicians working in specialties likely to see patients with DI (including tropical medicine, infectious diseases and dermatology) who may either want to set up similar clinics or be better equipped to manage DI patients promptly within existing practice.

Results: We describe the details of the clinic's approach. Between 2018 and 2023, the service saw 208 patients, of which 82.7% could be assessed and 55.7% had DI. The female:male ratio was 2:1.

Conclusion: Interdisciplinary combined clinics with medical and psychiatry consultants working together offer an approach to managing this rare, challenging and high-consequence condition.

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采用热带医学和精神病学相结合的方法治疗可能有妄想症的患者。

背景：妄想被侵扰（DI）是一种公认的妄想症，表现为持续相信自己被侵扰。皮肤科和精神病科在少数中心开设了联合诊所。在本文中，我们将重点介绍利物浦大学医院 NHS 基金会信托基金会在英国利物浦热带医学院开设的妄想症专科门诊：我们介绍了诊所的具体设置和方法，为可能接诊 DI 患者的专科（包括热带医学、传染病学和皮肤病学）的临床医生提供指导，他们可能希望建立类似的诊所，或在现有的实践中更好地及时处理 DI 患者：我们介绍了该诊所的具体做法。2018 年至 2023 年期间，该诊所共接诊了 208 名患者，其中 82.7% 的患者可以接受评估，55.7% 的患者患有 DI。男女比例为 2:1：由医学和精神病学顾问共同合作的跨学科联合诊所为管理这种罕见、具有挑战性且后果严重的疾病提供了一种方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Transactions of The Royal Society of Tropical Medicine and Hygiene 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.00

自引率

9.10%

发文量

115

审稿时长

4-8 weeks

期刊介绍： Transactions of the Royal Society of Tropical Medicine and Hygiene publishes authoritative and impactful original, peer-reviewed articles and reviews on all aspects of tropical medicine.