人間のスキストソミアシス ( schistosomiasis)
Bruno Gryseels1, Katja Polman, Jan Clerinx
1Institute for Tropical Medicine Antwerp, Nationalestraat 155 B-2000, Antwerp, Belgium. bgryseels@itg.be
Lancet (London, England)
|September 26, 2006
まとめ
シュイストソミアシス (Schistosomiasis) は,シュイストソマワームによって引き起こされる熱帯性疾患で,世界中で2億人に感染しています. 制御は化学療法に依存していますが,ワクチンは利用できません.
科学分野:
- トロピカルメディシンは,熱帯医学です.
- 感染症 感染症は感染症です.
- 寄生虫学とは,寄生虫学である.
背景:
- スキストソミアシス (Schistosomiasis) またはビルハルジア (bilharzia) は,汚染された水と淡水カタツムリによって伝染するスキストソモサワームによって引き起こされる熱帯病です.
- 世界中で推定2億人に影響し,重要な障害調整寿命,焦点流行病学,および子供の割合が高くなります.
- 疾患の表れは,排尿 (S. haematobium) や腸,肝臓の障害 (S. mansoni,S. japonicum) が卵の堆積によるものである.
研究 の 目的:
- 感染,流行病学,病理学,診断,治療,制御を含む,スキストソミアシスの概要を提供すること.
- スキストソミアシスが公衆衛生に及ぼす影響,特に流行地域における影響を強調する.
- 統合失調症のコントロールにおける現在の課題と進歩について議論する.
主な方法:
- 統合失調症の伝播,臨床的表れ,および制御戦略に関する文献レビュー.
- 疫学データの分析と疾病負担の推定.
- 診断方法と治療の選択肢の要約,プラジクォンテールを含む.
主要な成果:
- スキストソミアシスは,複雑な伝播サイクルと免疫病理学を示し,慢性疾患につながります.
- 排泄物における卵の顕微鏡検出は標準的な診断方法である.
- プラジクォンテルは主要な治療法ですが,ワクチンはまだ利用できません.
結論:
- 集団ベースの化学療法は,統合失調症の制御を進めてきましたが,強力な保健システムと政治的意志が必要です.
- 疾病を全面的に根絶するためには,さらなる研究とワクチンの開発が必要である.
- 病気の流行病学と病理学を理解することは,効果的な公衆衛生の介入に不可欠です.
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