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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Fatal rocky mountain spotted fever in the United States, 1999-2007
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Fatal rocky mountain spotted fever in the United States, 1999-2007

机译：1999-2007年美国致命的洛矶山脉斑疹热

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摘要

Death from Rocky Mountain spotted fever (RMSF) is preventable with prompt, appropriate treatment. Data from two independent sources were analyzed to estimate the burden of fatal RMSF and identify risk factors for fatal RMSF in the United States during 1999-2007. Despite increased reporting of RMSF cases to the Centers for Disease Control and Prevention, no significant changes in the estimated number of annual fatal RMSF cases were found. American Indians were at higher risk of fatal RMSF relative to whites (relative risk [RR] = 3.9), and children 5-9 years of age (RR = 6.0) and adults ≥ 70 years of age (RR = 3.0) were also at increased risk relative to other ages. Persons with cases of RMSF with an immunosuppressive condition were at increased risk of death (RR = 4.4). Delaying treatment of RMSF was also associated with increased deaths. These results may indicate a gap between recommendations and practice.
机译：如果及时采取适当的治疗措施，可以预防落基山斑疹热（RMSF）导致的死亡。分析了来自两个独立来源的数据，以估计致命RMSF的负担并确定1999-2007年美国致命RMSF的危险因素。尽管向疾病控制和预防中心报告的RMSF病例有所增加，但估计每年致命RMSF病例的估计数量没有显着变化。与白人相比，美洲印第安人的致命RMSF风险更高（相对风险[RR] = 3.9），并且5-9岁的儿童（RR = 6.0）和≥70岁的成年人（RR = 3.0）也处于相对于其他年龄段，风险增加。患有免疫抑制性疾病的RMSF病例的死亡风险增加（RR = 4.4）。延迟RMSF的治疗也与死亡增加有关。这些结果可能表明建议与实践之间存在差距。

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