환자와 보균자의 조기발견과 격리
② 음료수의 위생유지 : 가열섭취, 소독
③ 식품취급자의 개인위생 : 청결, 위생복장, 예방접종, 위생교육
④ 매개체의 구제와 방지
⑤ 식품,식기류의 위생유지 : 증기소독, 중성비누(역성비누)살균제
<인축공통 전염병>
사람과 동물이 같은 병원체에 의하여 발생
FUO 양상의 감염질환
- 결핵, 농양이 가장 흔함
- 그 중 결핵(폐외 결핵, 속립 결핵, 폐결핵) 이 단일 질환 중 가장 흔하다!!!
- 잠복 농양은 최근의 수술환자, 당뇨, 면역 억제자에서 복강 및 골반 내에 발생한다.
FUO 양상의 결체조직질환
-juvenile rheumatoid arthritis (JRA, formerly called Still's disease) in younger pa
Socioeconomic Factors
No significant differences were found between cases and controls on most of the variables.
employment groups (p = 0.029)
meat consumption (p = 0.012)
chicken consumption (p = 0.034)
Malnutrition
세포매개면역을 저하시킨다.
higher point prevalence of infection in undernourished patients or community dwellers
worse and more frequent complications of infect
Gram’s stain sensitivity = 60 - 90%
Depends on organism, experience, #
Culture sensitivity = 80 - 90%
Latex agglutination becoming more widely used due to simplicity and accuracy
the next week, then tapered off over 5 weeks
Steroids may be of benefit in peritonitis, miliary disease, laryngeal TB, lymphadenitis and genitourinary disease
routine use of steroids cannot be recommended.
-> should be considered by the attending physician.
Thalidomide may be of benefit in TB meningitis and has been used in cases where patients have failed to respond to steroid treatment