We bring you the latest news from the healthcare about the health care in the United Kingdom.

donderdag 5 juli 2018

The Lancet: [Comment] Diagnosis, treatment, and control of scabies: can we do better?

[Comment] Diagnosis, treatment, and control of scabies: can we do better?
In 2017, the Department of Control of Neglected Tropical Diseases of WHO recommended that scabies be added to the neglected tropical disease portfolio and called for action to improve control efforts. Scabies affects around 200 million people at any one time,1 causes an intensely itchy rash, and leads to bacterial infection and autoimmune disease.2 Although the greatest burden is in disadvantaged populations in resource-limited and tropical settings, scabies also causes a substantial health-care burden via institutional outbreaks in high-income and temperate settings.
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[Comment] Viral meningitis in the UK: time to speed up
The differential diagnosis in patients with suspected CNS infection ranges from life-threatening disease (bacterial meningitis or herpes encephalitis) to typically less concerning disease (viral meningitis), or benign or no disease.1,2 In the diagnostic work-up of these patients, clinical characteristics fail to differentiate between CNS infections and other diagnoses, and cerebrospinal fluid (CSF) analysis is the main contributor to the final diagnosis.3 In view of the urgent nature of this testing in patients with suspected bacterial meningitis, physicians are advised to carry out lumbar puncture without delay.
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[Articles] Incidence, aetiology, and sequelae of viral meningitis in UK adults: a multicentre prospective observational cohort study
Viruses are the most commonly identified cause of meningitis in UK adults, and lead to substantial long-term morbidity. Delays in getting a lumbar puncture and unnecessary treatment with antivirals were associated with longer hospital stays. Rapid diagnostics and rationalising treatments might reduce the burden of meningitis on health services.
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[Personal View] Laboratory medicine in Africa since 2008: then, now, and the future
The Maputo Declaration of 2008 advocated for commitment from global stakeholders and national governments to prioritise support and harmonisation of laboratory systems through development of comprehensive national laboratory strategies and policies in sub-Saharan Africa. As a result, HIV laboratory medicine in Africa has undergone a transformation, and substantial improvements have been made in diagnostic services, networks, and institutions, including the development of a competent workforce, introduction of point-of-care diagnostics, and innovative quality improvement programmes that saw more than 1100 laboratories enrolled and 44 accredited to international standards.
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[Personal View] Advancing the public health applications of Chlamydia trachomatis serology
Genital Chlamydia trachomatis infection is the most commonly diagnosed sexually transmitted infection. Trachoma is caused by ocular infection with C trachomatis and is the leading infectious cause of blindness worldwide. New serological assays for C trachomatis could facilitate improved understanding of C trachomatis epidemiology and prevention. C trachomatis serology offers a means of investigating the incidence of chlamydia infection and might be developed as a biomarker of scarring sequelae, such as pelvic inflammatory disease.
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