A combined tropical medicine and psychiatry approach to patients with possible delusional infestation.

Autor:	Squire SB; Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK.; Tropical and Infectious Diseases Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool L7 8YE, UK., Taegtmeyer M; Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK.; Tropical and Infectious Diseases Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool L7 8YE, UK., Javed Q; Merseycare NHS Foundation Trust, Aintree University Hospital, Liverpool L9 7AL, UK., O'Dempsey T; Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK.; Tropical and Infectious Diseases Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool L7 8YE, UK., Kullu C; Merseycare NHS Foundation Trust, Aintree University Hospital, Liverpool L9 7AL, UK., Lepping P; Wrexham Maelor Hospital Psychiatric Liaison Team, Wrexham LL13 7TD, UK.; Bangor University, Bangor, UK.; Mysore Medical College and Research Institute, Mysore, India.
Jazyk:	angličtina
Zdroj:	Transactions of the Royal Society of Tropical Medicine and Hygiene [Trans R Soc Trop Med Hyg] 2024 Dec 03; Vol. 118 (12), pp. 808-813.
DOI:	10.1093/trstmh/trae054
Abstrakt:	Background: Delusional infestation (DI) is a well-recognized delusional disorder presenting as the persisting belief of being infested. Combined clinics have been run by dermatology and psychiatry in a small number of centres. In this article we focus on our Liverpool University Hospitals NHS Foundation Trust clinic hosted at the Liverpool School of Tropical Medicine, UK, where we run a specialist clinic for DI. Methods: We describe the specific set-up and approach of our clinic as a guide for clinicians working in specialties likely to see patients with DI (including tropical medicine, infectious diseases and dermatology) who may either want to set up similar clinics or be better equipped to manage DI patients promptly within existing practice. Results: We describe the details of the clinic's approach. Between 2018 and 2023, the service saw 208 patients, of which 82.7% could be assessed and 55.7% had DI. The female:male ratio was 2:1. Conclusion: Interdisciplinary combined clinics with medical and psychiatry consultants working together offer an approach to managing this rare, challenging and high-consequence condition. (© The Author(s) 2024. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.)
Databáze:	MEDLINE
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