病毒性胃肠炎
Krisztián Bányai1, Mary K Estes2, Vito Martella3
1Institute for Veterinary Medical Research, Centre for Agricultural Research, Hungarian Academy of Sciences, Budapest, Hungary.
Lancet (London, England)
|July 21, 2018
概括
罗塔病毒疫苗显著减少了五岁以下儿童因胃肠炎住院的情况. 诺罗病毒的预防重点是卫生和环境消毒,疫苗仍在开发中.
科学领域:
- 病毒学
- 公共卫生
- 流行病学
背景情况:
- 肠道病毒,特别是轮状病毒和诺病毒是导致胃肠炎的主要原因.
- 罗塔病毒不成比例地影响幼儿,造成严重的死亡率和住院病例,特别是在发展中国家.
- 诺罗病毒是所有年龄段的食物传播疾病和疫情的主要原因.
研究的目的:
- 审查轮状病毒疫苗对住院患者的影响.
- 讨论目前针对诺罗病毒感染的预防策略.
- 突出诺罗病毒疫苗开发和病毒性胃肠炎治疗的现状.
主要方法:
- 分析不同国家实施轮状病毒疫苗的数据.
- 审查已建立的诺罗病毒预防措施.
- 目前正在进行的诺罗病毒疫苗临床试验摘要.
主要成果:
- 在两年内,轮状病毒疫苗接种导致轮状病毒相关住院病例减少了49-89%,所有原因的胃肠炎病例减少了17-55%.
- 目前的诺罗病毒控制依赖于卫生和消毒;疫苗对各种菌株的疗效尚不确定.
- 液体和电解质替代仍然是病毒性胃肠炎的主要治疗方法.
结论:
- 罗塔病毒疫苗在减少儿童胃肠炎住院的情况方面非常有效.
- 需要有效的诺罗病毒疫苗,并且必须保持目前的预防策略.
- 对于持久的诺病毒疫苗和改善胃肠炎的治疗需要进一步的研究.
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