猴痘感染入门:对全球公共卫生的新威胁

IF 3.4 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL
Rasanpreet Kaur , Saurabh Gupta , Shreya Pathak , Manish Sharma , Deepak Parashar , Bhuvnesh Prasad Sharma , Vivek Kashyap , Jitendra Singh , Chakresh Jain , Prem Shankar
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引用次数: 0

摘要

猴痘是由一种与天花病毒密切相关的痘病毒引起的。它通过人与动物的亲密接触传播。事先接种天花疫苗只能提供部分预防m痘的保护。最近,世界卫生组织宣布麻疹为全球突发公共卫生事件。麻疹的特点是短暂的发热性疾病,伴有淋巴结病变,随后出现分阶段的皮疹,有斑疹、丘疹、囊泡和脓疱,呈离心扩散。大多数患者在两到四周内康复。儿童、孕妇和免疫功能低下的人更容易出现并发症。精确的实验室诊断可以通过使用分子方法,如聚合酶链反应(PCR)来检测检测样本中的病毒DNA。大多数治疗是对症的,支持性护理通常对中度、自限性m痘病例就足够了。然而,抗病毒药物,如替科维莫、brincidofovir和西多福韦,以及牛痘免疫球蛋白静脉注射(VIGIV),都是可用的治疗选择。对于高危人群,如卫生保健专业人员和密切接触者,建议接种目前可用的天花疫苗。本文综述了麻疹的历史、病因学、流行病学、结构、宿主、传播、病毒系统发育、基因组组织、临床病例和症状、诊断、治疗和预防的最新进展。因此,必须采取多方面的方法,包括改进监测、早期诊断、隔离指示病例、免疫接种和采用“同一个健康”方法来预防痘暴发。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Primer on Monkeypox Infection: An Emerging Threat to Global Public Health
Monkeypox (mpox) is caused by a poxvirus closely related to the smallpox virus. It spreads by intimate contact between humans and animals. Prior immunization against smallpox only provides partial protection against mpox. Recently, the WHO declared mpox as a global public health emergency. Mpox is characterized by a brief febrile illness with lymphadenopathy, followed by a rash that develops in phases of macules, papules, vesicles, and pustules, spreading centrifugally. Most patients recover within two to four weeks. Children, pregnant women, and immunocompromised individuals are more likely to experience complications. A precise laboratory diagnosis can be made by using a molecular method, such as polymerase chain reaction (PCR) to detect viral DNA in the tested sample. Most of the treatment is symptomatic, and supportive care is usually sufficient for moderate, self-limited cases of mpox. However, antiviral medications, such as tecovirimat, brincidofovir, and cidofovir, as well as vaccinia immune globulin intravenous (VIGIV), are available as therapeutic options. For high-risk groups, such as healthcare professionals and close contacts, vaccination with currently available smallpox vaccines is advised. This review emphasizes an overview of the history, etiology, epidemiology, structure, reservoirs, transmission, virus phylogeny, genome organization, clinical cases and symptoms, diagnosis, treatment, and prevention of mpox with recent updates. Therefore, a multifaceted approach is essential and includes improved surveillance, early diagnosis, isolation of index cases, immunization, and adoption of a “One Health” approach to prevent an mpox outbreak.
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来源期刊
Archives of Medical Research
Archives of Medical Research 医学-医学:研究与实验
CiteScore
12.50
自引率
0.00%
发文量
84
审稿时长
28 days
期刊介绍: Archives of Medical Research serves as a platform for publishing original peer-reviewed medical research, aiming to bridge gaps created by medical specialization. The journal covers three main categories - biomedical, clinical, and epidemiological contributions, along with review articles and preliminary communications. With an international scope, it presents the study of diseases from diverse perspectives, offering the medical community original investigations ranging from molecular biology to clinical epidemiology in a single publication.
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