全球分布和复发性发烧组Borrelia风险预测:数据审查与建模分析
Tian Tang1, Ying Zhu2, Yuan-Yuan Zhang1
1State Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China.
The Lancet. Microbe
|March 11, 2024
概括
新兴的复发性发烧组Borrelia (RFGB) 物种在全球范围内不断扩大,构成重大公共卫生风险. 本研究绘制了RFGB分布图,并确定了针对性监测和诊断的高风险区域,特别是在低收入地区.
科学领域:
- 医学昆虫学 医学昆虫学
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 包括Borrelia miyamotoi在内的新兴复发性发烧组Borrelia (RFGB) 种类,代表着日益严重的公共卫生问题.
- 与这些RFGB物种相关的全球分布和感染风险存在不确定性.
研究的目的:
- 绘制RFGB物种的多样性和全球分布图.
- 评估RFGB对人类,动物和载体构成的潜在感染风险.
- 确定影响RFGB发生的环境和社会经济因素.
主要方法:
- 在多个数据库 (PubMed,科学网等) 中进行全面的文献搜索. 从1874年开始到2022年.
- 在载体,动物和人类中检测RFGB的数据提取,以及临床数据.
- 机器学习算法的应用,以基于环境,生态气候,生物和社会经济因素来建模主要RFGB物种的分布.
主要成果:
- 在全球范围内记录了29种RFGB物种,其中16种被确定为引起人类感染的物种 (26,583例).
- 波雷利亚复发性菌和波雷利亚百年菌是人类感染的最常见原因.
- Borrelia miyamotoi表现出最广泛的分布,预测适合面积为692万平方公里;的息地适合性和气候是主要的分布因素.
结论:
- 预计RFGB的高风险地区比以前报告的要大.
- 确定RFGB感染的识别,监测和诊断的优先考虑在确定高风险地区至关重要.
- 在RFGB感染管理方面,应特别关注低收入地区.
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