Beeckman D S A, Vanrompay D C G
Department of Molecular Biotechnology, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium.
Clin Microbiol Infect. 2009 Jan;15(1):11-7. doi: 10.1111/j.1469-0691.2008.02669.x.
Human psittacosis is a zoonotic infectious disease which is caused by the obligate intracellular bacterium Chlamydophila psittaci. Transmission of the disease usually originates from close contact with infected birds, most frequently in the context of the poultry industry, and from contact with Psittaciformes (cockatoos, parrots, parakeets and lories). Due to a low awareness of the disease and a variable clinical presentation psittacosis is often not recognised as such by general practitioners. This review therefore gives an overview of the epidemiology, symptoms, diagnosis and possible treatments for psittacosis in humans. The current case definition for epidemiological surveillance, as issued by the CDC, is discussed, as well as the possible emergence of Cp. psittaci antibiotic-resistant strains. There is an urgent need for information and for awareness campaigns directed at professional health care workers and the general public. In addition, a broader use of new diagnostic methods in medical laboratories and the development of prophylactics are called for.
人类鹦鹉热是一种人畜共患传染病，由专性细胞内细菌鹦鹉热衣原体引起。该疾病的传播通常源于与受感染鸟类的密切接触，最常见于家禽业，以及与鹦鹉目鸟类（凤头鹦鹉、鹦鹉、长尾小鹦鹉和吸蜜鹦鹉）的接触。由于对该疾病的认识不足以及临床表现多样，全科医生往往无法识别鹦鹉热。因此，本综述概述了人类鹦鹉热的流行病学、症状、诊断和可能的治疗方法。讨论了美国疾病控制与预防中心发布的当前用于流行病学监测的病例定义，以及鹦鹉热衣原体抗生素耐药菌株可能的出现情况。迫切需要针对专业医护人员和公众的信息及宣传活动。此外，还呼吁在医学实验室更广泛地使用新的诊断方法并开发预防措施。
