马博克斯感染对孕产妇和胎儿的影响:目前的证据
Stefany Silva Pereira1, Antonio Braga2,3,4, Beatriz Bussi Rosolen1
1Discipline of Woman Health, Municipal University of São Caetano do Sul (USCS), São Caetano do Sul 09521-160, SP, Brazil.
Journal of clinical medicine
|January 10, 2026
概括
病毒性动物传染性感染Mopox已经在全球范围内传播,呈现出各种症状. 这篇评论详细介绍了它的病毒学,诊断和管理,强调了怀孕中的挑战.
科学领域:
- * 病毒学和流行病学
- * 公共卫生和传染病
背景情况:
- *Mopox是一种新兴的动物性病毒感染,由Orthopoxvirus的Monkeypox病毒引起.
- *2022年跨国疫情标志着从本土传播转向持续的人与人传播,主要是通过密切接触.
研究的目的:
- * 审查目前关于Mpox病毒学,临床表现,诊断,预防和管理的证据.
- *强调产科方面的考虑和公共卫生方面的影响,特别是在怀孕方面.
主要方法:
- * 关于Mpox研究的综合文献综述.
- *综合有关病毒基因组,临床表现,诊断技术 (PCR,基因组测序) 和治疗选择 (抗病毒药物,疫苗) 的数据.
主要成果:
- *Mpox呈现出发烧,淋巴腺病变和粘膜皮肤病变,严重程度因病毒类和宿主因素而异.
- *Clade IIb (2022年爆发) 通常会比Clade I引起较轻的疾病,但在脆弱人群中可能会出现严重的结果.
- * Tecovirimat是严重病例/高风险群体的潜在抗病毒药物,在怀孕期间安全性数据有限但有利.
结论:
- *Mpox管理在很大程度上是支持性的,抗病毒药物和疫苗接种是关键干预措施.
- * 由于潜在的垂直传播和不良的围产期结果,怀孕带来了独特的挑战.
- *针对性的疫苗接种和对抗病毒安全性的仔细考虑对于管理Mpox至关重要,特别是在孕妇中.
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