在动物间传播的衍毒素产生的Corynebacterium ulcerans
Adeline Hillan1, Tristan Gibbs2,3, Graham Weaire-Buchanan2
1Metropolitan Communicable Disease Control, North Metropolitan Health Service, Perth, Western Australia, Australia.
Zoonoses and public health
|November 14, 2023
概括
澳大利亚罕见的白喉病例再次出现,凸显了对Corynebacterium ulcerans的持续公共卫生管理的需要,这是一种可能由物传播的动物性疾病.
科学领域:
- 动物传染性传染病是动物传播的传染病.
- 公共卫生微生物学
- 流行病学 流行病学
背景情况:
- 由产生毒素的Corynebacterium ulcerans引起的白血病是一种重新出现的疾病,具有潜在的局部和全身影响.
- 澳大利亚的高疫苗接种覆盖率使得毒源性白喉病变得罕见,但皮肤C. ulcerans病例的管理在各司法管辖区之间有所不同.
- 对C. ulcerans的公共卫生反应与更常见的Corynebacterium diphtheriae的公共卫生反应不同.
研究的目的:
- 在澳大利亚报告一例动物感染的Corynebacterium ulcerans病例.
- 审查有关C. ulcerans.动物性传染病库和传播事件的证据.
- 检查当前公共卫生指导方针,以管理人类和动物接触C. ulcerans.
主要方法:
- 人类C.病例的详细案例调查,治疗和公共卫生管理.
- 采用了接触追踪和动物试验的系统方法.
- 全基因组测序 (WGS) 用于确认人类病例与动物来源之间的联系.
主要成果:
- 伴侣犬被确定为动物性C.Ulcerans感染的可能来源.
- 世界动物学会证实了人类病例与已识别的犬类来源之间的流行病学联系.
- 已经确立了C. ulcerans与家禽的动物性感染联系,但与动物接触的管理仍然与指导方针不一致.
结论:
- 对于Corynebacterium ulcerans病例,需要采取一致的公共卫生管理方法.
- 系统地阐明疾病来源和更好地了解传播是至关重要的.
- 需要标准化的指导方针来管理人类C.病例中的动物接触.
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