流行性脑膜炎,脑膜炎,脑膜炎和内菌脑膜炎
David S Stephens1, Brian Greenwood2, Petter Brandtzaeg3
1Emory University School of Medicine, Atlanta, GA, USA; Research Service (151I), Atlanta VA Medical Center, Decatur, GA, USA.
Lancet (London, England)
|July 3, 2007
概括
脑膜炎球菌在全球范围内造成毁灭性的脑膜炎和败血症. 针对脑膜炎球菌血清组的新疫苗为消除疾病提供了希望,但发展中国家的公平接入仍然是一个挑战.
科学领域:
- 微生物学 微生物学
- 流行病学 流行病学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 脑膜炎球菌是全球流行性脑膜炎和败血症的主要原因.
- 在了解其生物学,流行病学和病变发生方面取得了重大进展.
- 目前的诊断,治疗和化疗预防策略是基于最近的科学进展.
研究的目的:
- 审查在脑膜炎球菌疾病的理解和控制方面的进展.
- 突出下一代疫苗的潜在影响.
- 为了确定全球疫苗实施的挑战.
主要方法:
- 关于脑膜炎球菌生物学,流行病学和临床方面的文献综述.
- 分析当前和新兴的诊断和治疗方法.
- 评估疫苗开发和实施战略.
主要成果:
- 对脑膜炎球菌病原体和流行病学的理解有了显著的进步.
- 针对多个血清组和血清组B的下一代联合疫苗正在接近可用性.
- 现有的诊断,治疗和化疗预防的方法得到了改进.
结论:
- 新的脑膜炎球菌疫苗有望在工业化国家消除疾病.
- 在发展中国家,特别是撒哈拉以南非洲,公平地引入这些疫苗是一个关键的挑战.
- 持续的研究和战略实施对于全球脑膜炎球菌病控制至关重要.
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