在马德里儿童旅行者中登革热的增加:一个多中心的回顾体验
Isabel Mellado-Sola1,2,3,4, Sonia Milkova Ivanova1,3,4, Milagros García López Hortelano1,3,5
1Pediatrics, Infectious Diseases and Tropical Medicine, University Hospital La Paz, 28046 Madrid, Spain.
Tropical medicine and infectious disease
|September 26, 2025
概括
进口登革热正在非流行地区上升,特别影响到访问朋友和亲戚的儿童. 由于气候驱动的载体扩张,提高临床意识和预防是至关重要的.
科学领域:
- 流行病学 流行病学
- 传染性疾病 传染性疾病
- 儿科 儿科 儿科
背景情况:
- 全球登革热发病率正在增加,扩散到以前非流行地区.
- 儿童登革热病例在非流行性环境中存在独特的挑战.
研究的目的:
- 描述西班牙马德里儿科登革热病例的流行病学和临床特征.
- 评估儿童登革热的严重程度和结果.
主要方法:
- 从2015年至2024年,在四家三级医院对确诊的儿科登革热病例 (16岁以下) 进行了回顾性观察研究.
- 数据收集包括流行病学,临床和实验室发现.
- 严重性评估遵循2009年世界卫生组织 (WHO) 的标准.
主要成果:
- 确定了46例儿科登革热病例,近年来病例显著增加 (72%在过去三年).
- 大多数病例 (56%) 涉及到访问朋友和亲属 (VFR) 的儿童.
- 常见的症状包括发烧 (100%),胃肠道问题 (78%),白血病 (72%),血小板缺血 (70%),高血 (74%). 五例 (10%) 是严重的,其中有一例死亡.
结论:
- 进口儿科登革热在马德里等非流行地区越来越令人担忧.
- 视频飞行规则 (VFR) 旅行者是一个特别脆弱的群体.
- 提高临床意识,诊断和预防策略至关重要,尤其是在气候变化影响载体分布的情况下.
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