7343. Rifampicin and clarithromycin (extended release) versus rifampicin and streptomycin for limited Buruli ulcer lesions: a randomised, open-label, non-inferiority phase 3 trial.
作者: Richard O Phillips.;Jérôme Robert.;Kabiru Mohamed Abass.;William Thompson.;Fred Stephen Sarfo.;Tuah Wilson.;Godfred Sarpong.;Thierry Gateau.;Annick Chauty.;Raymond Omollo.;Michael Ochieng Otieno.;Thaddaeus W Egondi.;Edwin O Ampadu.;Didier Agossadou.;Estelle Marion.;Line Ganlonon.;Mark Wansbrough-Jones.;Jacques Grosset.;John M Macdonald.;Terry Treadwell.;Paul Saunderson.;Albert Paintsil.;Linda Lehman.;Michael Frimpong.;Nanaa Francisca Sarpong.;Raoul Saizonou.;Alexandre Tiendrebeogo.;Sally-Ann Ohene.;Ymkje Stienstra.;Kingsley B Asiedu.;Tjip S van der Werf.; .
来源: Lancet. 2020年395卷10232期1259-1267页
Buruli ulcer is a neglected tropical disease caused by Mycobacterium ulcerans infection that damages the skin and subcutis. It is most prevalent in western and central Africa and Australia. Standard antimicrobial treatment with oral rifampicin 10 mg/kg plus intramuscular streptomycin 15 mg/kg once daily for 8 weeks (RS8) is highly effective, but streptomycin injections are painful and potentially harmful. We aimed to compare the efficacy and tolerability of fully oral rifampicin 10 mg/kg plus clarithromycin 15 mg/kg extended release once daily for 8 weeks (RC8) with that of RS8 for treatment of early Buruli ulcer lesions.
7346. Eating disorders.
Eating disorders are disabling, deadly, and costly mental disorders that considerably impair physical health and disrupt psychosocial functioning. Disturbed attitudes towards weight, body shape, and eating play a key role in the origin and maintenance of eating disorders. Eating disorders have been increasing over the past 50 years and changes in the food environment have been implicated. All health-care providers should routinely enquire about eating habits as a component of overall health assessment. Six main feeding and eating disorders are now recognised in diagnostic systems: anorexia nervosa, bulimia nervosa, binge eating disorder, avoidant-restrictive food intake disorder, pica, and rumination disorder. The presentation form of eating disorders might vary for men versus women, for example. As eating disorders are under-researched, there is a great deal of uncertainty as to their pathophysiology, treatment, and management. Future challenges, emerging treatments, and outstanding research questions are addressed.
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