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尼日利亚拉沙病毒感染:临床视角概述。

Lassa virus infection in Nigeria: clinical perspective overview.

机构信息

Visiting Professorship Program, University of Port Harcourt College of Health Sciences, Nigeria.

出版信息

J Natl Med Assoc. 2010 Dec;102(12):1243-6. doi: 10.1016/s0027-9684(15)30780-x.

Abstract

Lassa fever is a severe, often fatal, hemorrhagic fever caused by Lassa virus, an Arenavirus that can be transmitted to humans from asymptomatically infected multimammate rats. The speculation is that Lassa viral infection may affect between 2 to 3 million people each year in certain portions of the West African region, causing a mortality of about 10000 during the same period. Lassa fever is one of the endemic zoonosis in Nigeria with a high probability for nosocomial transmission due to several health care sector challenges. Although treatment is available for Lassa fever, early diagnosis is still difficult in almost all Nigerian health care institutions. The intention of this clinical overview is to: (1) summarize the pertinent literature for clinicians in primary, secondary, and tertiary health care centers; and (2) suggest a need to use the information from basic research and laboratory diagnosis to incorporate international best practices into public health and clinical practice guidelines.

摘要

拉沙热是一种由拉沙病毒引起的严重、常致命的出血热,拉沙病毒是一种沙粒病毒科,可从无症状感染的多乳鼠传播给人类。据推测,每年在西非某些地区,拉沙病毒感染可能影响 200 万至 300 万人,同期死亡率约为 10000 人。拉沙热是尼日利亚地方性人畜共患病之一,由于医疗保健部门面临若干挑战,院内传播的可能性很高。尽管有拉沙热的治疗方法,但在尼日利亚几乎所有的医疗保健机构中,早期诊断仍然很困难。本临床综述的目的是:(1)为初级、二级和三级保健中心的临床医生总结相关文献;(2)建议利用基础研究和实验室诊断的信息,将国际最佳做法纳入公共卫生和临床实践指南。

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