Incidence of surgically drained cutaneous abscess in relation to climate in Mayotte, Comoros

Incidence of surgically drained cutaneous abscess in relation to climate in Mayotte, Comoros
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DOI:
10.1177/0049475513515653
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发表时间:
2014-04-01
期刊:
影响因子:
0.6
通讯作者:
Steer, Andrew
Steer, Andrew
中科院分区:
医学4区
文献类型:
--
作者:
Guerrier, Gilles;de Montera, Anne-Marie;Steer, Andrew

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尽管皮肤感染在热带国家很常见,但很少有数据量化与气候条件的关系。这项研究的目的是评估科摩罗马约特皮肤脓肿的发病率和季节性。我们收集了2009年1月至2010年12月期间需要手术引流的皮肤脓肿患者的数据。总共记录了3423个脓肿。总的年发病率为每10万人785例(95%可信区间754-814)。儿童和脓肿的发病率在雨季最高(每10万人每6个月有964例)。昆虫叮咬的频率更高、敏感度较低以及缺乏适当的卫生条件是这些发现的潜在解释。一项以社区为基础的干预战略应以易受伤害的儿童为目标,以抗击这种疾病。
Although skin infections are common in tropical countries, there is scant data quantifying the relationship with climate conditions. The aim of this study was to assess the incidence and seasonality of skin abscess in Mayotte, Comoros. We collected data on patients with cutaneous abscesses requiring surgical drainage from January 2009 to December 2010. A total of 3423 abscesses were recorded. The overall annualized incidence was 785 cases per 100,000 population (95% confidence interval 754-814). The incidence rate peaked in children and abscesses were highest during the rainy season (964 cases per 100,000 population per 6 months). A greater frequency of insects bites, a lower level of sensitization and lack of access to adequate hygiene are potential explanations for these findings. A community-based intervention strategy should target vulnerable children in order to combat this disease.