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寨卡病毒:一种新出现的虫媒病毒公共卫生问题。

Zika virus: a new arboviral public health problem.

作者信息

Demir Tulin, Kilic Selcuk

机构信息

Public Health Institution of Turkey, National Reference Laboratories of Microbiology, Ankara, Turkey.

出版信息

Folia Microbiol (Praha). 2016 Nov;61(6):523-527. doi: 10.1007/s12223-016-0467-6. Epub 2016 Jul 28.

Abstract

Zika virus (ZIKV) is a single-stranded RNA virus in the Flaviviridae family and transmitted to human through infected mosquitos (Aedes aegypti and Aedes albopictus). Virus is closely related with other flaviviruses; dengue virus, yellow fever virus, West Nile virus, and Japanese encephalitis virus phylogenetically. Due to the possible relationship between virus and clinical features including microcephaly, ventricule, and eye deformities, Guillain-Barre syndrome increases the interest on this virus gradually. Along with the vector-borne transmission, exposure via blood transfusion and sexual contact are further concerns. Since December 2015, CDC reported 440.000-1.300.000 possible cases in Brazil and as of 19 January 2016, El Salvador, Venezuela, Colombia, Brazil, Surinam, French Guana, Honduras, Mexico, and Panama are the countries with active epidemic. CDC recommends ZIKV screening for all pregnants including asymptomatic cases those living in the active epidemic areas. Recently, virus is detected in the USA and most European countries including UK, Netherlands, Denmark, Switzerland, and Italy as a travel-associated infection. Owing to the changing world with increased capabilities for transportation globally, this vector-borne infection represents a valuable marker for the ability of spreading of any infection from its original area that it was first seen. In this review, we summarized the up-to-date data and reports in terms of the importance of the ZIKV infection in the public health.

摘要

寨卡病毒(ZIKV)是黄病毒科的一种单链RNA病毒,通过受感染的蚊子(埃及伊蚊和白纹伊蚊)传播给人类。该病毒在系统发育上与其他黄病毒密切相关,包括登革热病毒、黄热病病毒、西尼罗河病毒和日本脑炎病毒。由于该病毒与包括小头畸形、脑室和眼部畸形等临床特征之间可能存在关联,格林-巴利综合征逐渐增加了人们对这种病毒的关注。除了媒介传播外,通过输血和性接触传播也备受关注。自2015年12月以来,美国疾病控制与预防中心(CDC)报告称巴西可能有44万至130万例病例,截至2016年1月19日,萨尔瓦多、委内瑞拉、哥伦比亚、巴西、苏里南、法属圭亚那、洪都拉斯、墨西哥和巴拿马是有活跃疫情的国家。CDC建议对所有孕妇进行寨卡病毒筛查,包括那些生活在活跃疫区的无症状孕妇。最近,在美国以及包括英国、荷兰、丹麦、瑞士和意大利在内的大多数欧洲国家都检测到了与旅行相关的寨卡病毒感染病例。鉴于全球交通能力不断增强,世界不断变化,这种媒介传播感染成为了衡量任何感染从其最初发现地区传播能力的一个重要指标。在本综述中,我们总结了有关寨卡病毒感染对公共卫生重要性的最新数据和报告。

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