Crimean-Congo hemorrhagic fever: Pathogenesis, transmission and public health challenges.

Sita Kumari Karanam, Kandra Nagvishnu, Praveen Kumar Uppala, Sandhya Edhi, Srinivasa Rao Varri
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Abstract

The dangerous Crimean-Congo hemorrhagic fever virus (CCHFV), an encapsulated negative-sense RNA virus of the family Nairoviridae, is transmitted from person to person via ticks. With a case fatality rate between 10% to 40%, the most common ways that the disease may spread to humans are via tick bites or coming into touch with infected animals' blood or tissues. Furthermore, the transfer of bodily fluids between individuals is another potential route of infection. There is a wide range of symptoms experienced by patients throughout each stage, from myalgia and fever to extreme bruising and excess bleeding. Tick management measures include minimising the spread of ticks from one species to another and from people to animals via the use of protective clothing, repellents, and proper animal handling. In order to prevent the spread of illness, healthcare workers must adhere to stringent protocols. Despite the lack of an authorised vaccine, the main components of treatment now consist of preventative measures and supportive care, which may include the antiviral medicine ribavirin. We still don't know very much about the virus's mechanisms, even though advances in molecular virology and animal models have improved our understanding of the pathogenesis of CCHFV. A critical need for vaccination that is both safe and effective, as well as for quick diagnosis and efficient treatments to lessen the disease's impact in areas where it is most prevalent. Important steps towards lowering Crimean-Congo hemorrhagic fever mortality and morbidity rates were to anticipatethe future availability of immunoglobulin products.

克里米亚-刚果出血热:发病机制、传播和公共卫生挑战。
危险的克里米亚-刚果出血热病毒(CCHFV)是一种奈罗病毒科的封闭负义RNA病毒,通过蜱在人与人之间传播。这种疾病的致死率在10%到40%之间,最常见的传播方式是通过蜱虫叮咬或接触受感染动物的血液或组织。此外,人与人之间的体液转移是另一种潜在的感染途径。患者在每个阶段都有各种各样的症状,从肌痛和发烧到严重瘀伤和出血过多。蜱虫管理措施包括通过使用防护服、驱蚊剂和妥善处理动物,最大限度地减少蜱虫从一个物种到另一个物种以及从人到动物的传播。为了防止疾病传播,医护人员必须遵守严格的规程。尽管缺乏批准的疫苗,但目前治疗的主要组成部分包括预防措施和支持性护理,其中可能包括抗病毒药物利巴韦林。尽管分子病毒学和动物模型的进展提高了我们对CCHFV发病机制的理解,但我们对病毒的机制仍然知之甚少。迫切需要既安全又有效的疫苗接种,以及快速诊断和有效治疗,以减轻疾病最流行地区的影响。降低克里米亚-刚果出血热死亡率和发病率的重要步骤是预测免疫球蛋白产品的未来可用性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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