巴基斯坦地震灾区儿童脓疱疮的治疗
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摘要
目的总结中国国际救援队在巴基斯坦地震后针对脓疱疮患儿采取的综合干预措施,希望对震后疾病防控工作有所借鉴。方法 0．5％碘伏充分消毒后刺破疱壁排出脓液,外敷红霉素软膏,给疱疹面积较大的3例患儿口服头孢拉定胶囊治疗,同时进行卫生宣教讲解脓疱疮的发病原因、传播方式,防止脓疱疮的进一步传播。结果治疗后第2天,4例脓疱疮患儿病灶渗出明显减轻,部分开始结痂;第5天,共 10例患儿病灶全部结痂,部分开始脱落,剩余2例患儿皮损面积明显减少,部分开始结痂。该难民营未发生新发脓疱疮患儿,所有患儿在治疗过程中无任何不良反应。结论地震等重大灾害发生后,短时间内出现大量伤病员加上灾区卫生状况较差,灾区的医疗卫生需求迅速增加,外来医疗救援队如何利用有限的医疗资源开展医疗救援十分重要。
Objective To summarize the medical treatment of impetigo in children in a Pakistan refugee camp after earthquake. Methods The impetigo in children was treated with 0.5% iodine and erythromycin ointment, and the three serious children were given oral cefradine. At the same time, general hygiene was publicized to prevent the transmission of impetigo. Results Infected lesions focus in ten children changed into scab at five days after treatment, the other two children improved, and there were no other children infected in this refugee camp. Conclusion A large number of patients would appear after a disaster, medical services will be in large demand. It is important to use the limited medical resource effectively.
Objective To summarize the medical treatment of impetigo in children in a Pakistan refugee camp after earthquake. Methods The impetigo in children was treated with 0.5% iodine and erythromycin ointment, and the three serious children were given oral cefradine. At the same time, general hygiene was publicized to prevent the transmission of impetigo. Results Infected lesions focus in ten children changed into scab at five days after treatment, the other two children improved, and there were no other children infected in this refugee camp. Conclusion A large number of patients would appear after a disaster, medical services will be in large demand. It is important to use the limited medical resource effectively.
引文
[1] Ye D,Traore A,Ouedraogo TR,et al.Impetigo in a child in a tropical environment [J].Ann Dermatol Venereol,2003,130 (3): 58-59.
[2]George A,Rubin G.A systematic review and meta-analysis of treatments for impetigo [J].Br J Gen Pract,2003,53(491): 480-487.
[3]李向晖,杨造成,侯世科,等．印尼海啸的紧急医疗救援 [J]．中华急诊医学杂志,2005,14(7):555-556． Li Xianghui,Yang Zaocheng,Hou Shike,et al.Emergency medical rescue in indonesia tsunma [J].Chin J Emerg Med,2005,14(7): 555-556.
[4]李向晖,程纪群,刘爱兵,等．印尼海啸灾区救援中的卫生防 疫工作[J]．中国急救医学,2005,25(4):275-276． Li Xianghui,Cheng Jiqun,Liu Aibing,et al.Sanitary and antiepidemic work in Indonesia distress area [J].Chin J Crit Care Med,2005,25(4):275-276.
[5]Sweeney B,Jasper E,Gates E.Large-scale urban disaster drill involving an explosion:lessons learned by an academic medical center [J].Disaster Manag Response,2004,2(3):87-90.
[6]刘爱兵,刘元明,李向晖,等．印尼海啸灾区患者血红蛋白血 糖及疟原虫检验现状分析[J]．中国急救医学,2005,25 (4):257． Liu Aibing,Liu Yuanming,Li Xianghui,et al.Analysis of haematoglobin and blood glucose and haemoplasmodium in indonesia distress area [J].Chin J Crit Care Med,2005,25 (4):257.
[7]Koning S,van der Wouden.Treatment for impetigo [J].BMJ, 2004,329 (7468):695-696.
[8]Guha A,Eisenhut M,Shears P,et al.Impetigo neonatorum associated with late onset group B streptococcal meningitis [J].J Infect,2003,47 (2):185-187.
[9]Brown J,Shriner DL,Schwartz RA,et al.Impetigo: an update [J].Int J Dermatol,2003,42 (4):251-255.
[10]Nishijim S,Ohshima S,Higashida T,et al.Antimicrobial resistance of Staphylococcus aureus isolated from impetigo patients between 1994 and 2000 [J].Int J Dermatol,2003,42(1):23-25.
[11]Esbitt D.The strategic national stockpile:roles and responsibilities of health care professionals for receiving the stockpile assets [J]. Disaster Manag Response,2003,1(3):68-70.
[12]Epps RE.Impetigo in pediatrics [J].Cutis,2004,73 (5 Suppl): 25-26.
[13]黄芳,郑凤君,陈殷钰,等．强台风袭击后大批伤员的救护 管理[J]．中华急诊医学杂志,2005,14(6):523． Huang Fang,Zheng Fengjun,Chen Yinjue,et al.Rescue and management after typhoon assault [J].Chin J Emerg Med,2005, 14(6):523.
[2]George A,Rubin G.A systematic review and meta-analysis of treatments for impetigo [J].Br J Gen Pract,2003,53(491): 480-487.
[3]李向晖,杨造成,侯世科,等．印尼海啸的紧急医疗救援 [J]．中华急诊医学杂志,2005,14(7):555-556． Li Xianghui,Yang Zaocheng,Hou Shike,et al.Emergency medical rescue in indonesia tsunma [J].Chin J Emerg Med,2005,14(7): 555-556.
[4]李向晖,程纪群,刘爱兵,等．印尼海啸灾区救援中的卫生防 疫工作[J]．中国急救医学,2005,25(4):275-276． Li Xianghui,Cheng Jiqun,Liu Aibing,et al.Sanitary and antiepidemic work in Indonesia distress area [J].Chin J Crit Care Med,2005,25(4):275-276.
[5]Sweeney B,Jasper E,Gates E.Large-scale urban disaster drill involving an explosion:lessons learned by an academic medical center [J].Disaster Manag Response,2004,2(3):87-90.
[6]刘爱兵,刘元明,李向晖,等．印尼海啸灾区患者血红蛋白血 糖及疟原虫检验现状分析[J]．中国急救医学,2005,25 (4):257． Liu Aibing,Liu Yuanming,Li Xianghui,et al.Analysis of haematoglobin and blood glucose and haemoplasmodium in indonesia distress area [J].Chin J Crit Care Med,2005,25 (4):257.
[7]Koning S,van der Wouden.Treatment for impetigo [J].BMJ, 2004,329 (7468):695-696.
[8]Guha A,Eisenhut M,Shears P,et al.Impetigo neonatorum associated with late onset group B streptococcal meningitis [J].J Infect,2003,47 (2):185-187.
[9]Brown J,Shriner DL,Schwartz RA,et al.Impetigo: an update [J].Int J Dermatol,2003,42 (4):251-255.
[10]Nishijim S,Ohshima S,Higashida T,et al.Antimicrobial resistance of Staphylococcus aureus isolated from impetigo patients between 1994 and 2000 [J].Int J Dermatol,2003,42(1):23-25.
[11]Esbitt D.The strategic national stockpile:roles and responsibilities of health care professionals for receiving the stockpile assets [J]. Disaster Manag Response,2003,1(3):68-70.
[12]Epps RE.Impetigo in pediatrics [J].Cutis,2004,73 (5 Suppl): 25-26.
[13]黄芳,郑凤君,陈殷钰,等．强台风袭击后大批伤员的救护 管理[J]．中华急诊医学杂志,2005,14(6):523． Huang Fang,Zheng Fengjun,Chen Yinjue,et al.Rescue and management after typhoon assault [J].Chin J Emerg Med,2005, 14(6):523.
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