足菌肿管理:最佳实践指南

A. Fahal, A. Elkhawad
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引用次数: 6

摘要

足菌肿是一个严重的健康问题,在许多热带和亚热带地区流行,其特点是破坏性畸形、残疾和高发病率。在世界范围内,这是一种被严重忽视的疾病。迄今为止,足菌肿的真实发病率、流行率和感染途径尚不清楚;同样,它的易感性,耐药性和对医疗的反应,这对患者的管理产生了负面影响。事实证明,目前的治疗方法,特别是针对真菌肿的治疗方法,相当无效,而且有严重的副作用,对流行地区的患者和卫生当局来说费用昂贵。一般来说,真菌性肿的治疗结果令人失望,并且与低治愈率、高截肢率和复发率有关。由于缺乏健康教育,患者社会经济地位差和治疗依从性差,患者出现晚是足菌肿的主要问题。由于缺乏国家和国际疾病意识,这种情况更加严重,这导致了大规模的疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Managing mycetoma: guidelines for best practice
Mycetoma is a serious health problem that is endemic in many tropical and subtropical regions and characterized by devastating deformities, disability and high morbidity. It is a badly neglected disease worldwide. To date, mycetoma’s true incidence, prevalence and route of infection are not well understood; likewise, its susceptibility, resistance and response to medical treatment, which negatively affects patient management. Current treatment, in particular for eumycetoma, has proven to be quite ineffective, have serious side effects and is expensive for patients and health authorities in endemic areas. In general, the eumycetoma treatment outcome is disappointing and is associated with a low cure rate and high amputation and recurrence rates. Late patient presentation is a major problem in mycetoma due to the lack of health education, poor patient socioeconomic status and poor treatment compliance. This is aggravated by a lack of national and international disease awareness, which has led to a massive k...
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