[2024年8月至11月在金沙萨(刚果民主共和国)科科罗卫生区监测期间发现的麻疹病例概况]。

Medecine tropicale et sante internationale Pub Date : 2025-03-25 eCollection Date: 2025-03-31 DOI:10.48327/mtsi.v5i1.2025.604
Levis Amisi Kengea, Blanche Ihekambangu Ngwakaha, Winnie Masamba Bikoki, Vally Ndumbi Temuangudi, Jean Claude Nsinga Bungiena, Jean-Jacques Kape Kalume, Anthony Mbuyi Mutombe, Angèle Wumba Mavinga
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引用次数: 0

摘要

金沙萨市(刚果民主共和国)科科洛军事卫生区是受猴痘影响的地区之一,存在猴痘病毒Ia和Ib两个亚分支。本研究介绍了该地区与天花有关的监测活动的结果。方法:对2024年8月至11月科科罗卫生区麻疹流行监测系统报告的数据进行描述性研究。结果:在国家生物医学研究所实验室采集的临床疑似m痘患者或已知病例接触者202份标本(男性143份,性别比0.71)中,PCR阳性25.2%(中位年龄25岁,IQR 11-31)。18岁及以上的受试者受影响最大,即41/51(80%)。在这51例确诊病例中,分别有13例(26%)和10例(20%)来自科科洛2卫生区和科科洛营地后勤基地。所有确诊病例均出现皮疹。其他报告的症状有肌痛(50/51,98%)、生殖器皮疹(42/51,82%)、关节痛(42/51,82%)和头痛(41/51,80%)。在m痘治疗中心的中位住院时间为10天(IQR: 7-9)。结论:本研究表明,在对疑似麻疹患者或已知病例接触者进行的202项检测中,25.2%的检测结果为PCR阳性。所有确诊病例均出现皮疹,并伴有其他常见症状,包括肌痛、生殖器皮疹、关节痛和头痛。这些结果强调需要加强监测和控制措施,以防止麻疹的传播,特别是在受影响最严重的卫生保健环境中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

[Profile of mpox cases identified during surveillance of the Kokolo health zone in Kinshasa (DRC) from August to November 2024].

[Profile of mpox cases identified during surveillance of the Kokolo health zone in Kinshasa (DRC) from August to November 2024].

[Profile of mpox cases identified during surveillance of the Kokolo health zone in Kinshasa (DRC) from August to November 2024].

[Profile of mpox cases identified during surveillance of the Kokolo health zone in Kinshasa (DRC) from August to November 2024].

Introduction: The Kokolo military health zone in the city of Kinshasa (DRC) is one of the areas affected by mpox, with the presence of two subclades Ia and Ib of the monkeypox virus. This study presents the results of mpox-related surveillance activities in this area.

Methods: Descriptive study of data reported by the surveillance system on the mpox epidemic in the Kokolo health zone between August and November 2024.

Results: Of 202 specimens (143 males, sex ratio 0.71) from individuals clinically suspected of having mpox or contacts of known cases, 25.2% were positive by PCR at the National Institute for Biomedical Research laboratory (median age 25 years, IQR 11-31). Subjects aged 18 years and older were most affected, i.e. 41/51 (80%). Of these 51 confirmed cases, 13 (26%) and 10 (20%) were from the Kokolo 2 health areas and the Kokolo camp logistics base, respectively. All confirmed cases presented with rash. Other reported symptoms were myalgia (50/51, 98%), genital rash (42/51, 82%), arthralgia (42/51, 82%), and headache (41/51, 80%). The median length of stay at the mpox treatment center was 10 days (IQR: 7-9).

Conclusions: This study showed that of 202 tests performed on persons suspected of having mpox or contacts of known cases, 25.2% were positive by PCR. All confirmed cases presented with rash, with other common symptoms including myalgia, genital rash, arthralgia, and headache. These results underscore the need to strengthen surveillance and control measures for the spread of mpox, particularly in the most affected health care settings.

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