Wong Samson Sai-Yin, Wong Sally Cheuk-Ying
Department of Microbiology, Research Centre for Infection and Immunology, Faculty of Medicine, University of Hong Kong, Pok Fu Lam, Hong Kong.
Department of Microbiology, Queen Mary Hospital, Pok Fu Lam, Hong Kong.
J Formos Med Assoc. 2015 May;114(5):384-98. doi: 10.1016/j.jfma.2015.01.012. Epub 2015 Apr 13.
The 2014 West African outbreak of Ebola virus disease was unprecedented in its scale and has resulted in transmissions outside endemic countries. Clinicians in nonendemic countries will most likely face the disease in returning travelers, either among healthcare workers, expatriates, or visiting friends and relatives. Clinical suspicion for the disease must be heightened for travelers or contacts presenting with compatible clinical syndromes, and strict infection control measures must be promptly implemented to minimize the risk of secondary transmission within healthcare settings or in the community. We present a concise review on human filoviral disease with an emphasis on issues that are pertinent to clinicians practicing in nonendemic countries.
2014年西非爆发的埃博拉病毒病规模空前,导致病毒在流行国家以外传播。非流行国家的临床医生很可能会在回国的旅行者中遇到这种疾病,这些旅行者可能是医护人员、侨民,或者是探亲访友的人。对于出现符合该病临床综合征的旅行者或接触者,必须提高临床怀疑度,并且必须立即实施严格的感染控制措施,以尽量降低在医疗机构或社区内发生二次传播的风险。我们对人类丝状病毒病进行简要综述,重点关注与在非流行国家执业的临床医生相关的问题。