人类结核病的不断发展的全球流行病学:叙述性审查
Francesca F Norman1,2,3, Barbra M Blair4,5, Sandra Chamorro-Tojeiro1,2
1National Referral Unit for Tropical Diseases, Infectious Diseases Department, Ramón y Cajal University Hospital, IRYCIS, 28034 Madrid, Spain.
Pathogens (Basel, Switzerland)
|November 27, 2024
概括
由于气候变化,由Burkholderia pseudomallei引起的梅病在全球范围内正在扩大. 医疗保健提供者必须识别各种表现,即使在非流行地区,以避免诊断延迟.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 环境健康 环境健康
背景情况:
- 由Burkholderia pseudomallei引起的梅病是45多个国家的流行病.
- 美国南部等新兴地区的近期病例表明其地理范围正在扩大.
- 气候变化和恶劣天气事件与性腺炎发病率的增加有关.
研究的目的:
- 为了更新全球的流行病学. melioidosis.
- 突出新兴的地理区域和进口案例.
- 讨论不寻常的表现,共同感染和不太频繁的传播途径.
主要方法:
- 全球梅里欧症流行病学的文献综述.
- 专注于新诊断的地理区域和与旅行相关的病例.
- 对临床表现,共感染和传播方式的分析.
主要成果:
- Burkholderia pseudomallei的范围正在扩大,报告了新的特有病例和与旅行相关的病例.
- 多样化和延迟的临床表现很常见,导致诊断挑战.
- 不寻常的传播途径包括实验室暴露和进口动物/产品.
结论:
- 医疗保健专业人员必须考虑结核病,即使在非传统的风险区域.
- 对于及时诊断至关重要的是意识到不断扩大的地理分布和多样化的呈现.
- 持续监测和了解传播动态对于公共卫生至关重要.
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