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普马拉病毒引起的汉塔病毒病爆发,克罗地亚,2021年
Mari Rončević Filipović1,2, Zlatko Trobonjača2, Đurđica Cekinović Grbeša1,2
1Clinical Hospital Center Rijeka, Rijeka, Croatia.
概括
2021年在克罗地亚爆发的汉塔病毒病爆发突出了识别和管理方面的挑战,特别是在非流行地区. 早期检测,预防和合作对于控制汉塔病毒病 (HAVID) 爆发至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 2021年,克罗地亚发生了一次重大汉塔病毒病 (HAVID) 爆发,与COVID-19浪潮相吻合.
- 疫情扩散到以前非特有地区,使HAVID的识别和患者护理复杂化.
- 这项研究重点关注疫情期间在里耶卡临床医院中心接受治疗的患者.
研究的目的:
- 分析2021年在里耶卡医疗中心治疗的HAVID患者的临床和流行病学数据.
- 了解疫情的特征,包括患者人口统计,暴露来源和疾病严重程度.
- 为了确定影响HAVID识别和管理的因素,同时流行期间.
主要方法:
- 从254名HAVID患者的临床和流行病学数据的回顾性分析.
- 数据收集包括患者人口统计,居住地,职业暴露,动物观察和血清学确认 (Puumala病毒).
- 在不同年龄组和性别之间比较疾病严重程度.
主要成果:
- 在96.9%的患者中发现了Puumala病毒抗体.
- 大多数患者居住在特有地区 (83.5%),有显著的职业暴露 (36.6%) 或动物观察 (33.9%).
- 男性,特别是45岁以下的男性,患病严重程度更高 (OR=2.27). 14.6%的病例没有向公共卫生当局报告.
结论:
- 有效的HAVID监测和疫情预防需要强有力的暴露预防措施.
- 早期发现病例和及时通知公共卫生当局至关重要.
- 初级,二级和公共卫生部门之间的密切合作对于管理HAVID疫情至关重要.
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