丹麦成年人传染性脑炎:2015年至2023年的全国前性队列研究
Anna Maria Florescu1, Thomas Bryrup2, Carsten Schade Larsen3
1Department of Infectious Diseases, Copenhagen University Hospital - Rigshospitalet, Esther Møllers Vej 6, 2100, Copenhagen, Denmark. anna.maria.florescu@regionh.dk.
Journal of neurology
|March 3, 2025
概括
丹麦的性脑炎 (TBE) 发病率有所上升,成年人的临床表现和结果与其他欧洲研究相一致. 大多数患者经历了残留症状,如疲劳和认知障碍.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 传染性脑炎 (TBE) 是欧洲的一个重大问题.
- 描述TBE在丹麦的临床影响和发病率对于公共卫生至关重要.
- 了解TBE表现和结果有助于管理这种神经侵入性疾病.
研究的目的:
- 描述丹麦成年TBE患者的临床表现和结果.
- 确定2015年至2023年丹麦TBE的发病率和检测趋势.
- 为了比较TBE患者的结果与单纯疹病毒1型 (HSV-1) 脑炎的结果.
主要方法:
- 一项全国范围的前性队列研究,针对住院患有TBE的成年人 (2015-2023年).
- 纳入年龄和性别匹配的HSV-1脑炎患者队列,以进行结果比较.
- 收集关于临床表现,治疗,结果和发病率的数据.
主要成果:
- 分析了52名TBE患者,56%在丹麦被感染,只有2%接种了疫苗.
- 48%的人出现脑膜炎,52%的人出现脑炎,6%的人出现额外的髓炎或根炎.
- 每10万人口中的TBE发病率从0.03上升到0.48;32%的人在3个月后出现不良结果,常见的后果包括头痛,认知障碍和疲劳.
结论:
- 丹麦的TBE发病率显著增加.
- 临床特征和患者结果与其他欧洲TBE报告一致.
- 该研究强调了TBE在丹麦日益增长的公共卫生重要性.
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