What's Old Is New Again: Measles.

IF 6.2 2区 医学 Q1 PEDIATRICS
Caitlin Naureckas Li,Sheldon L Kaplan,Kathryn M Edwards,Gary S Marshall,Sarah Parker,C Mary Healy
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Abstract

Measles is resurging in the United States fueled by decreasing vaccination rates and rising vaccine hesitancy. Clinicians are confronted with a highly infectious vaccine-preventable disease that is unfamiliar to them since, as a result of routine childhood vaccination with measles, mumps, and rubella (MMR) vaccine, measles was declared non-endemic in the U.S. in 2000 and many pediatricians have never seen a case. In this article, we provide an update on measles presentation, clinical course, and outcomes by reviewing the literature and sharing the expertise of senior pediatric infectious disease physicians with experience in caring for children infected with measles. Measles typically presents with a recognizable clinical picture, allowing providers to appropriately triage cases, make the diagnosis, and implement infection control practices to mitigate transmission. Measles is associated with complications, including frequent pulmonary infections and central nervous system involvement which may result in morbidity and mortality. Since treatment options for measles are limited, prevention through vaccination and contact tracing are the mainstays in controlling measles outbreaks. Given the high infectivity of this virus, health care providers are an essential first line of defense for communities. Providers can protect children through advocacy for vaccination including effective communication techniques to educate parents and caregivers about measles infection and the benefits of vaccination. They can also maintain a high clinical index of suspicion so that appropriate infection prevention strategies are rapidly implemented when appropriate.
旧貌换新颜麻疹
由于疫苗接种率的下降和疫苗犹豫的增加,麻疹在美国重新抬头。临床医生面临着一种他们不熟悉的高传染性疫苗可预防疾病,由于常规儿童接种麻疹,腮腺炎和风疹(MMR)疫苗,2000年麻疹在美国被宣布为非地方性疾病,许多儿科医生从未见过一例。在这篇文章中,我们通过回顾文献和分享资深儿科传染病医生在照顾麻疹感染儿童方面的经验,提供麻疹表现、临床过程和结果的最新信息。麻疹通常具有可识别的临床图像,使提供者能够对病例进行适当分诊,做出诊断并实施感染控制措施以减轻传播。麻疹与并发症有关,包括频繁的肺部感染和中枢神经系统受累,这可能导致发病率和死亡率。由于麻疹的治疗选择有限,通过接种疫苗和追踪接触者进行预防是控制麻疹暴发的主要手段。鉴于这种病毒的高传染性,卫生保健提供者是社区必不可少的第一道防线。服务提供者可以通过宣传疫苗接种来保护儿童,包括使用有效的沟通技术,向父母和照料者宣传麻疹感染和疫苗接种的益处。它们还可以保持较高的临床怀疑指数,以便在适当的时候迅速实施适当的感染预防战略。
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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来源期刊
Pediatrics
Pediatrics 医学-小儿科
CiteScore
12.80
自引率
5.00%
发文量
791
审稿时长
2-3 weeks
期刊介绍: The Pediatrics® journal is the official flagship journal of the American Academy of Pediatrics (AAP). It is widely cited in the field of pediatric medicine and is recognized as the leading journal in the field. The journal publishes original research and evidence-based articles, which provide authoritative information to help readers stay up-to-date with the latest developments in pediatric medicine. The content is peer-reviewed and undergoes rigorous evaluation to ensure its quality and reliability. Pediatrics also serves as a valuable resource for conducting new research studies and supporting education and training activities in the field of pediatrics. It aims to enhance the quality of pediatric outpatient and inpatient care by disseminating valuable knowledge and insights. As of 2023, Pediatrics has an impressive Journal Impact Factor (IF) Score of 8.0. The IF is a measure of a journal's influence and importance in the scientific community, with higher scores indicating a greater impact. This score reflects the significance and reach of the research published in Pediatrics, further establishing its prominence in the field of pediatric medicine.
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