新兴的细菌性动物性和媒介性疾病. 生态和流行病学因素
D H Walker1, A G Barbour, J H Oliver
1Department of Pathology, University of Texas Medical Branch at Galveston 77555-0609, USA.
JAMA
|February 14, 1996
概括
新兴的细菌性动物性疾病和媒介性疾病构成重大威胁,通常带有非特异性症状. 流行病学线索对于诊断这些危及生命的感染至关重要,当实验室测试没有确定性时.
科学领域:
- 新兴的传染病新出现的传染病.
- 细菌学 细菌学是一门学科.
- 动物传染病和媒介传播的疾病.
背景情况:
- 动物和节肢动物宿主中的细菌生物是新兴传染病的重要原因.
- 在美国,主要的新兴细菌性动物性和媒介性疾病包括莱姆病,埃尔利基病,伤寒,巴顿氏病和瘟疫.
- 这些感染可能危及生命,并且在急性,最易治疗的阶段经常出现非特异性,类似流感的症状.
研究的目的:
- 突出诊断新出现的细菌性动物性和媒介性疾病的挑战.
- 强调流行病学因素在诊断中的重要性.
- 强调需要改进诊断方法,监测和研究.
主要方法:
- 美国显著新出现的细菌性动物性和载体传播疾病的综述.
- 分析疾病急性阶段的诊断挑战.
- 讨论流行病学在识别致病原体方面的作用.
主要成果:
- 临床症状和实验室检测往往不足以早期诊断这些新出现的感染.
- 从了解细菌生态学中得出的流行病学因素是关键的诊断指标.
- 几个特定的疾病被确定为主要问题,包括莱姆病,埃尔利基病,伤寒,巴顿氏病和瘟疫.
结论:
- 改进的实验室诊断方法,强有力的监测和传播研究是必不可少的.
- 未来的国家战略需要及时识别,诊断,治疗和控制新型细菌感染.
- 了解细菌宿主的生态是管理这些不断变化的公共卫生威胁的关键.
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