欧洲狂犬病:流行病学,临床管理和预防
Deutsches Arzteblatt international
|December 16, 2025
概括
狂犬病仍然是全球性的威胁,超过99%的病例来自狗. 早期暴露后预防 (PEP) 和暴露前预防 (PrEP) 对于预防这种几乎肯定是致命的疾病至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
背景情况:
- 狂犬病是一种动物传染性疾病,在欧洲存在诊断和预防方面的挑战,因为这种疾病的罕见性和医疗经验有限.
- 不确定性经常围绕着适当使用暴露前预防 (PrEP) 和暴露后预防 (PEP).
研究的目的:
- 审查当前关于狂犬病流行病学,诊断,治疗和预防的知识.
- 澄清欧洲狂犬病预防的指示和方法.
主要方法:
- 在PubMed的选择性文献搜索 (2000-2025) 和来自全球卫生组织 (WHO,CDC,ECDC) 的数据.
- 包括德国疫苗常务委员会 (STIKO) 的建议.
主要成果:
- 在全球范围内,狂犬病每年造成约6万人的死亡,主要发生在亚洲和非洲,狗是主要的传播媒介 (>99%).
- 虽然陆地狂犬病在欧盟几乎被消除,但蝙蝠lyssaviruses在进口病例之外构成剩余风险.
- 现代狂犬病疫苗 (PrEP) 提供96-100%的保护,副作用最小;PEP在正确及时使用时非常有效,报告的突破性感染很少.
结论:
- 在欧洲,对于不明确的动物暴露,特别是涉及蝙蝠或前往特有地区的旅行,必须考虑狂犬病.
- 对于复杂的PEP病例,建议与传染病专家或狂犬病中心进行专家咨询.
更多相关视频
04:10A Trap-Vaccinate-Release Protocol for Immunization of Skunks and Additional Rabies Vectors Against Rabies
Published on: November 29, 2024
1.2K
07:40Field Postmortem Rabies Rapid Immunochromatographic Diagnostic Test for Resource-Limited Settings with Further Molecular Applications
Published on: June 29, 2020
14.4K
相关概念视频
Preclinical Development: Overview
5.7K
Preclinical development consists of a series of tests that ensure the safety and efficacy of a new therapeutic compound before it is tested in humans. There are four main phases to this process. First, safety pharmacology tests are conducted to ensure the drug does not produce any acutely harmful effects. These tests examine parameters such as bronchoconstriction, cardiac dysrhythmias, blood pressure changes, and ataxia. Next, preliminary toxicological testing is performed to determine the...
5.7K
Acute Pancreatitis II: Clinical Manifestations and Management
702
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
702
Introduction to Epidemiology
1.6K
Epidemiology, known as the cornerstone of public health, involves studying the distribution and determinants of health-related events in defined populations and applying these insights to control health issues. This is essential for understanding how diseases spread, identifying populations at greater risk, and implementing measures to control or prevent outbreaks. Epidemiology addresses not only infectious diseases but also non-communicable conditions like cancer and cardiovascular disease,...
1.6K
