Transactions of The Royal Society of Tropical Medicine and Hygiene最新文献

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The cognition, behaviours and social environment related to Clonorchis sinensis infection in China: a qualitative study. 中国华支睾吸虫感染相关认知、行为和社会环境的定性研究。
IF 1.9 4区 医学
Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2025-05-01 DOI: 10.1093/trstmh/trae133
Yun-Ting He, Qing-Sheng Zeng, Si-Yue Huang, Lai-De Li, Cong-Xing Shi, Yin-Fang Chen, Men-Bao Qian, Yue-Yi Fang, Ying-Si Lai
{"title":"The cognition, behaviours and social environment related to Clonorchis sinensis infection in China: a qualitative study.","authors":"Yun-Ting He, Qing-Sheng Zeng, Si-Yue Huang, Lai-De Li, Cong-Xing Shi, Yin-Fang Chen, Men-Bao Qian, Yue-Yi Fang, Ying-Si Lai","doi":"10.1093/trstmh/trae133","DOIUrl":"10.1093/trstmh/trae133","url":null,"abstract":"<p><strong>Background: </strong>Cognition, behaviours and social environment are associated with Clonorchis sinensis infection, a prevalent liver fluke disease in China. This study aimed to use social cognitive theory (SCT) to investigate these three aspects and their interaction in an endemic area.</p><p><strong>Methods: </strong>We conducted three semi-structured focus group discussions in Da'ao town, Jiangmen city, Guangdong Province, China. Thematic analysis was used to extract themes.</p><p><strong>Results: </strong>Twenty-four people were interviewed. The participants exhibited inadequate knowledge about C. sinensis infection and were unaware of the health risks. Although some have reduced their consumption of raw fish, some continue to consume it frequently. Compared with stopping eating raw fish, receiving tests and taking medicines were easier behaviours to adopt. Guided by the SCT, we considered the reciprocal determinism between people and the social environment as the basis of the persistent raw fish consumption behaviour. While the social environment could influence the cognition and behaviours of people, people also can reshape the social environment. Based on the reciprocal determinism, we proposed an integrated intervention framework.</p><p><strong>Conclusions: </strong>Our study unveiled a reciprocal determinism between the cognition, behaviours and social environment related to C. sinensis infection in high-endemic areas of China, providing insights for establishing control strategies.</p>","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":"479-486"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is therapeutic plasma exchange effective in leptospirosis-associated severe pulmonary haemorrhagic syndrome? A systematic review. 治疗性血浆置换对钩端螺旋体病相关严重肺出血综合征有效吗?系统综述。
IF 1.9 4区 医学
Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2025-05-01 DOI: 10.1093/trstmh/trae107
J M R P Bandara, A Rosairo, G S Ranasinghe, T D De Silva, I B Gawarammana
{"title":"Is therapeutic plasma exchange effective in leptospirosis-associated severe pulmonary haemorrhagic syndrome? A systematic review.","authors":"J M R P Bandara, A Rosairo, G S Ranasinghe, T D De Silva, I B Gawarammana","doi":"10.1093/trstmh/trae107","DOIUrl":"10.1093/trstmh/trae107","url":null,"abstract":"<p><p>Leptospirosis is a re-emerging zoonosis fast becoming a global burden. Pulmonary haemorrhages are a deadly complication, with case fatality rates >50%. Systemic vasculitis is thought to be the pathological process responsible for pulmonary haemorrhages and therapeutic plasma exchange (TPE) is one of the treatments offered. This systematic review aims to evaluate the effectiveness of TPE in managing leptospirosis-associated severe pulmonary haemorrhagic syndrome (SPHS). A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis protocol. The search used Medical Subject Headings in PubMed with keywords 'Leptospirosis' OR 'Leptospira' OR 'Weil disease' AND 'plasmapheresis' OR 'plasma exchange' AND 'pulmonary haemorrhage' OR 'alveolar haemorrhage'. The search was widened to include the Google Scholar database. The review was confined to English-language articles and focused on primary research studies. Nineteen articles were considered for analysis. There were no randomized controlled trials. A non-randomized trial and a retrospective cohort documented recovery following adjuvant TPE treatment. Most case reports mention significant improvement and complete recovery following administration of TPE. One case reported the death of a patient despite treatment. However, this review revealed a lack of strong evidence endorsing the routine application of TPE as a therapeutic intervention for cases of SPHS. Thus we recommend the initiation of a well-structured randomized controlled trial to ensure an accurate assessment of the efficacy of TPE.</p>","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":"453-463"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Entomological investigation after an outbreak of dengue at the riverside of Rio Doce, Espírito Santo State, Brazil. 巴西圣州Espírito里约热内卢Doce河畔登革热暴发后的昆虫学调查。
IF 1.9 4区 医学
Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2025-05-01 DOI: 10.1093/trstmh/trae123
Helder Ricas Rezende, Creuza Rachel Vicente, Samira Chahad-Ehlers, Orlei Amaral Cardoso, Crispim Cerutti, Camila Malta Romano, Caio Santos de Souza, Giovana Santos Caleiro, Bruno Luiz Miranda Guedes, Lucas Mendes Ferreira, Filomena Euridice Carvalho de Alencar
{"title":"Entomological investigation after an outbreak of dengue at the riverside of Rio Doce, Espírito Santo State, Brazil.","authors":"Helder Ricas Rezende, Creuza Rachel Vicente, Samira Chahad-Ehlers, Orlei Amaral Cardoso, Crispim Cerutti, Camila Malta Romano, Caio Santos de Souza, Giovana Santos Caleiro, Bruno Luiz Miranda Guedes, Lucas Mendes Ferreira, Filomena Euridice Carvalho de Alencar","doi":"10.1093/trstmh/trae123","DOIUrl":"10.1093/trstmh/trae123","url":null,"abstract":"<p><strong>Background: </strong>In 2019, a dengue outbreak involving Aedes albopictus occurred in a rural area of Espírito Santo, Brazil, motivating our study in Sooretama and Linhares.</p><p><strong>Methods: </strong>We set traps to sample immature mosquito larvae at 40 sites, with weekly inspections from July 2022 to January 2023. Adult specimens were collected monthly at 19 sites, each collection lasting 15 min. The collections were performed during daylight using a Castro vacuum device, a small electric vacuum suction device, a net capture device and insect cages. We conducted molecular analyses of adult Aedes to identify arbovirus infection.</p><p><strong>Results: </strong>Among 20 217 immature forms, we identified Aedes aegypti (n=16 340), Aedes albopictus (n=3403), Culex quinquefasciatus (n=426) and Limatus durhami Theobald 1901 (n=48). Of the 3026 adult specimens, there were C. quinquefasciatus (n=2857), A. aegypti (n=141) and A. albopictus (n=28). Each site had an average of 159 adult specimens, 16 per house. Among the 159 specimens, 150 were C. quinquefasciatus. The average frequency of adult A. aegypti per house was 1.2 (0.08 per minute of collection). Adult Aedes were not infected.</p><p><strong>Conclusions: </strong>Entomological surveillance should consider A. albopictus and A. aegypti in rural areas, providing proper vector control strategies to prevent the spread of arboviruses.</p>","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":"472-478"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Financial assistance for snakebite envenoming by OECD nations. 经济合作与发展组织国家对毒蛇咬伤事件的财政援助。
IF 1.9 4区 医学
Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2025-05-01 DOI: 10.1093/trstmh/trae066
Richenda J Rae
{"title":"Financial assistance for snakebite envenoming by OECD nations.","authors":"Richenda J Rae","doi":"10.1093/trstmh/trae066","DOIUrl":"10.1093/trstmh/trae066","url":null,"abstract":"<p><strong>Background: </strong>The World Health Organization re-established snakebite as a neglected tropical disease in 2017. An overview is provided on snakebite financial assistance in relation to the policy landscape change.</p><p><strong>Methods: </strong>The Organisation for Economic Co-operation and Development Creditor Reporting System database was searched and 184 results obtained from 1999 to 2022 underwent simple Excel analysis.</p><p><strong>Results: </strong>Contributions increased from $0.05 million in 1999 to a peak of $100.8 million in 2020. Most assistance was directed towards treatment research.</p><p><strong>Conclusions: </strong>Contributions increased since snakebite was reprioritised by global health stakeholders, aligning with policy landscape changes. Financial reprioritisation of strategic priorities beyond treatment research may be required for established goals to be met.</p>","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":"563-565"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
False-positive dengue non-structural protein 1 in pregnancy. 妊娠期登革热非结构蛋白1假阳性。
IF 1.9 4区 医学
Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2025-05-01 DOI: 10.1093/trstmh/trae134
Tonnii Sia, Tze-Cheng Wong, Yee-Chiing Ong
{"title":"False-positive dengue non-structural protein 1 in pregnancy.","authors":"Tonnii Sia, Tze-Cheng Wong, Yee-Chiing Ong","doi":"10.1093/trstmh/trae134","DOIUrl":"10.1093/trstmh/trae134","url":null,"abstract":"<p><p>Dengue is a vector-borne infection, which contributes to significant morbidity and mortality in endemic areas. It manifests rapidly within 2 wk from febrile, critical to recovery phase. The point-of-care test (POCT) comprises the non-structural protein 1 (NS1) antigen, IgM and IgG, which aids rapid diagnosis, leading to timely treatment. Despite the high specificity of various POCTs, a few false-positive NS1 cases have been reported. We report the first case of false-positive NS1 antigen in pregnancy. A 24-y-old female in her second trimester of pregnancy presented with fever and chills for 9 d and a non-productive cough for 3 d. The dengue POCT showed NS1 antigen positive, IgM and IgG negative. Her symptoms were resolved with treatment of urinary tract infection with cefuroxime. Urine culture subsequently yielded Escherichia coli. Her recovery and delivery were uneventful. Her NS1 antigen was persistently positive for 18 d. The confirmatory real time-PCR for dengue and pan-Flaviviruses was negative.</p>","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":"534-537"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vector incrimination studies of lymphatic filariasis in rural areas of endemic Datia district of Madhya Pradesh, India. 印度中央邦流行的达蒂亚区农村地区淋巴丝虫病病媒的归罪研究。
IF 1.9 4区 医学
Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2025-04-29 DOI: 10.1093/trstmh/traf045
Kumaramangalath Anjal, Vagisha Rawal, Satyendra Pandey, Manjini Harshavarthini, Anil K Verma, Braj Mohan, Shraddha Gurha, Gayatri Sondhiya, Afzal Ansari, Subbiah Kombiah, Suyesh Shrivastava, Pradip V Barde, Pushpendra Singh
{"title":"Vector incrimination studies of lymphatic filariasis in rural areas of endemic Datia district of Madhya Pradesh, India.","authors":"Kumaramangalath Anjal, Vagisha Rawal, Satyendra Pandey, Manjini Harshavarthini, Anil K Verma, Braj Mohan, Shraddha Gurha, Gayatri Sondhiya, Afzal Ansari, Subbiah Kombiah, Suyesh Shrivastava, Pradip V Barde, Pushpendra Singh","doi":"10.1093/trstmh/traf045","DOIUrl":"https://doi.org/10.1093/trstmh/traf045","url":null,"abstract":"<p><strong>Background: </strong>Lymphatic filariasis is a neglected tropical disease caused by infections from Wuchereria bancrofti, Brugia malayi or Brugia timori. These infections are spread by mosquito species such as Culex, Anopheles, Aedes and Mansonia. With >50 million cases in 44 countries, it is the most important parasitic disease next to malaria. India initiated a mass drug administration (MDA) program in 2004 and a gradual reduction was seen in the cases; however, few pockets continue to record new cases. We conducted this study in Datia district of Madhya Pradesh, known to be endemic for filariasis, to understand the ongoing transmission and vector incrimination.</p><p><strong>Methods: </strong>Mosquitoes were collected from rural and urban localities of Datia district. Mosquitoes were identified, segregated and pooled. The pools were tested for the presence of W. bancrofti using molecular tools. The polymerase chain reaction (PCR) products were sequenced for confirmation of results.</p><p><strong>Results: </strong>Of 974 tested female mosquitoes, 45.8% were Culex quinquefasciatus and 50.8% were Anopheles subpictus. The mosquitoes were segregated in 55 pools; 8 (14.54%) pools were found positive for W. bancrofti by real-time PCR. All the positive pools were of C. quinquefasciatus and the species-specific pool positivity rate was 24.24%. All the positive pools were from Sarsai village. The sequencing results confirmed the presence of W. bancrofti.</p><p><strong>Conclusions: </strong>This study confirms ongoing transmission of W. bancrofti and C. quinquefasciatus as the vector species in the rural parts of district. The intervention protocols such as MDA and vector control activities need to be strengthened in rural parts of endemic districts to halt the transmission.</p>","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Haemoconcentration in diagnosing dengue haemorrhagic fever: evidence from a rural Sri Lankan observational study. 血液浓缩诊断登革出血热:来自斯里兰卡农村观察性研究的证据。
IF 1.9 4区 医学
Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2025-04-18 DOI: 10.1093/trstmh/traf044
Chamara Sarathchandra, Ruwanthi Bandara, Kosala Weerakoon, Anjana Silva, Hemal Senanayake, Prasanna Weerawansa, Sisira Siribaddana
{"title":"Haemoconcentration in diagnosing dengue haemorrhagic fever: evidence from a rural Sri Lankan observational study.","authors":"Chamara Sarathchandra, Ruwanthi Bandara, Kosala Weerakoon, Anjana Silva, Hemal Senanayake, Prasanna Weerawansa, Sisira Siribaddana","doi":"10.1093/trstmh/traf044","DOIUrl":"https://doi.org/10.1093/trstmh/traf044","url":null,"abstract":"<p><strong>Background: </strong>One of the World Health Organization criteria for dengue haemorrhagic fever (DHF) is a 20% increase in haematocrit. This study on dengue hospitalised patients compares haematocrit levels at baseline, at the onset of the critical phase and the maximum during the critical phase in rural Sri Lanka.</p><p><strong>Methods: </strong>This observational study included patients with dengue in the febrile phase who progressed to the critical phase. Haematocrit was recorded and ultrasound scans were performed thrice daily when the platelet count dropped to <100 000/μl. The onset of the critical phase was confirmed by ultrasound-detected plasma leakage.</p><p><strong>Results: </strong>Forty-three patients were included in the final analysis. The mean haematocrit at baseline and at the onset of the critical phase was 40.6% (standard deviation [SD] 4.7) and 41.3% (SD 5.1), respectively, with no difference (p=0.14, paired t-test). None of the participants showed a 20% increase in haematocrit at the onset of the critical phase, with the maximum observed increase being 17.0%.</p><p><strong>Conclusion: </strong>A 20% increase in haematocrit was not observed during the critical phase, suggesting that haemoconcentration is unreliable for diagnosing DHF in hospitalised patients. This study recommends revisiting the WHO criterion of a 20% haematocrit increase for diagnosing plasma leakage in dengue patients. It suggests that frequent ultrasound scans may be a more reliable method for early detection of plasma leakage.</p>","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Snakebite cases and treatment outcomes in the Afar region, Ethiopia: a retrospective and prospective study approach. 蛇咬伤病例和治疗结果在阿法尔地区,埃塞俄比亚:回顾性和前瞻性研究方法。
IF 1.9 4区 医学
Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2025-04-18 DOI: 10.1093/trstmh/traf043
Abebe M Aga, Demise Mulugeta, Abera Motuma, Bilise Wakitole, Kedir Mohammed, Fanos Tadesse Woldemariyam, Henok Ferede, Zinash Teferi, Shambel Tadesse, Jemal Mohammed, Anberber Alemu, Dejene Getachew, Dassalegn Muleta, Dereje Nigussie
{"title":"Snakebite cases and treatment outcomes in the Afar region, Ethiopia: a retrospective and prospective study approach.","authors":"Abebe M Aga, Demise Mulugeta, Abera Motuma, Bilise Wakitole, Kedir Mohammed, Fanos Tadesse Woldemariyam, Henok Ferede, Zinash Teferi, Shambel Tadesse, Jemal Mohammed, Anberber Alemu, Dejene Getachew, Dassalegn Muleta, Dereje Nigussie","doi":"10.1093/trstmh/traf043","DOIUrl":"https://doi.org/10.1093/trstmh/traf043","url":null,"abstract":"<p><strong>Background: </strong>Snakebite envenomation remains a public health issue, particularly in rural areas. Quick and accurate case identification, coupled with timely treatment, is essential to prevent fatalities and complications.</p><p><strong>Methods: </strong>Retrospective and prospective data consisted of 245 snakebite cases admitted to hospitals in the Afar region, Ethiopia, from September 2023 to July 2024 (retrospective), while prospective data were collected from July to October 2024. The analysis focused on case prevalence, time to treatment, service availability, treatment received, length of hospital stays, recovery times and patient outcomes.</p><p><strong>Results: </strong>Of 245 cases, 66.1% (n=162) were retrospective and 33.9% (n=83) prospective. Most patients were male (71.6%); the largest age group was 15-29 y (59.6%); most patients required hospital stays of 2-3 d (56.7%). In the majority of cases, recovery took 4-7 d (36.23%). The fatality rate was 3.3%; >46.54% of patients received treatment >7 d after snakebite, mainly because of the long distance traveled to reach healthcare facilities with access to antivenom.</p><p><strong>Conclusions: </strong>It is essential to strengthen community health units by equipping them with trained personnel and sufficient antivenom supplies to ensure prompt care. Implementing public awareness and promoting local antivenom production could reduce treatment costs and improve patient outcomes.</p>","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reactivation of cutaneous leishmaniasis in the context of non-HIV immunosuppression: a literature analysis. 在非hiv免疫抑制的背景下皮肤利什曼病的再激活:文献分析。
IF 1.9 4区 医学
Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2025-04-16 DOI: 10.1093/trstmh/traf038
Regina Maia de Souza, Felipe Francisco Tuon, Leticia Ramos Dantas, Rui Imamura, Alexandre Pereira Funari, Beatriz Julieta Celeste, Valdir Sabbaga Amato
{"title":"Reactivation of cutaneous leishmaniasis in the context of non-HIV immunosuppression: a literature analysis.","authors":"Regina Maia de Souza, Felipe Francisco Tuon, Leticia Ramos Dantas, Rui Imamura, Alexandre Pereira Funari, Beatriz Julieta Celeste, Valdir Sabbaga Amato","doi":"10.1093/trstmh/traf038","DOIUrl":"https://doi.org/10.1093/trstmh/traf038","url":null,"abstract":"<p><strong>Background: </strong>Immunosuppression increases the risk of primary cutaneous leishmaniasis (CL) infection and its reactivation. This systematic review examined CL reactivation in immunosuppressed patients, including those with autoimmune diseases and solid organ transplant recipients.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted across multiple databases for studies published between May 1990 and May 2024.</p><p><strong>Results: </strong>Nine cases were selected, involving CL reactivation associated with immunosuppressive therapy for autoimmune diseases, such as rheumatoid arthritis, ankylosing spondylitis and psoriatic arthritis, or following renal transplantation.</p><p><strong>Conclusions: </strong>The management of CL during immunosuppressive therapy is challenging, necessitating different approaches for reactivation management.</p>","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Snakebite envenoming in India: it is time we look beyond the concept of the Big Four species. 印度毒蛇咬伤事件:是时候超越四大物种的概念了。
IF 1.9 4区 医学
Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2025-04-14 DOI: 10.1093/trstmh/traf042
Jaideep C Menon, T P Sreekrishnan, Sabarish B Nair, Vijay V Pillay, Srikanta Kanungo, M S Aravind, Omesh K Bharti, Joseph K Joseph, Sanghamitra Pati
{"title":"Snakebite envenoming in India: it is time we look beyond the concept of the Big Four species.","authors":"Jaideep C Menon, T P Sreekrishnan, Sabarish B Nair, Vijay V Pillay, Srikanta Kanungo, M S Aravind, Omesh K Bharti, Joseph K Joseph, Sanghamitra Pati","doi":"10.1093/trstmh/traf042","DOIUrl":"https://doi.org/10.1093/trstmh/traf042","url":null,"abstract":"<p><p>India faces substantial challenges from snakebite envenoming secondary to the high morbidity, mortality and financial burden, particularly in rural communities. While concentrated on the 'Big Four' venomous species, recent research indicates a necessity to expand the focus to encompass additional medically relevant species. This review emphasizes the geographic heterogeneity in venom among these snakes, which impacts antivenom effectiveness and necessitating region-specific formulations. This analysis highlights the shortcomings of current antivenoms and identifies non-Big Four species involved in snakebite envenoming, advocating for an urgent shift to inclusive antivenom strategies that integrate local venom profiles to enhance treatment effectiveness and thereby reduce snakebite-related morbidity and mortality. Improved training for healthcare providers and enhancements in anti-snake venom quality are essential for meeting the World Health Organization's 2030 Sustainable Development Goal objective of halving snakebite-related fatalities and disabilities. Incorporating snakebite management into national health programs and conducting epidemiological research systematically are crucial to mitigating this preventable health concern.</p>","PeriodicalId":23218,"journal":{"name":"Transactions of The Royal Society of Tropical Medicine and Hygiene","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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