南美洲的骨髓炎病毒感染:系统审查和元分析
Sílvia C S Oloris1, Valquíria F Neves1, Felipe C M Iani2
1Fundação Ezequiel Dias (FUNED), Diretoria de Pesquisa e Desenvolvimento, Divisão de Ciência e Inovação, 80 Conde Pereira Carneiro Street, Gameleira, Belo Horizonte, MG, CEP: 30.510-010, Brasil.
Archives of virology
|August 26, 2024
概括
2010年至2022年间,在南美洲4.4%的个体中发生了人类骨质疏松病毒感染. 目前有四种基因变异在流传,这凸显了对这种动物传播疾病的最新监测的必要性.
科学领域:
- 传染性疾病 传染性疾病
- 病毒学 病毒学
- 流行病学 流行病学
背景情况:
- орто汉塔病毒是引起人类严重疾病的动物性病原体.
- 了解它们在南美洲的发生对于公共卫生至关重要.
- 此前关于该地区人类骨质疏通病毒流行情况的数据有限.
研究的目的:
- 估计从2010年到2022年在南美发生的人类骨质疏通病毒感染的发生率.
- 为了识别该地区循环的orthohantavirus遗传变异.
- 为动物传播疾病监测提供最新的流行病学数据.
主要方法:
- 在四个数据库中进行系统的文献搜索.
- 使用随机效应模型计算聚合频率的元分析.
- 亚组分析和元回归来研究异质性.
主要成果:
- 在七个南美国家,在35,548人中发现了1,962例确诊病例.
- 据估计,整体发生的 ортохантавирусной感染是4.4% (95% CI: 2.9-6.2%).
- 在阿根廷,巴西,玻利维亚,智利,哥伦比亚和秘鲁流传的四种不同的orthohantavirus遗传变异被确定.
结论:
- 脊髓炎病毒感染在南美洲是一个重大的公共卫生问题.
- 总体发生率约为4.0%,强调了这些动物病的特有性质.
- 更新的监测和实验室诊断能力对于有效控制和监测脊髓炎病毒的传播至关重要.
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