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卫生领域的跨部门行动:在报告一例病例后预防鹦鹉热传播。

Intersectoral action for health: preventing psittacosis spread after one reported case.

作者信息

Ferreira V L, Silva M V, Bassetti B R, Pellini A C G, Raso T F

机构信息

Departamento de Patologia,Faculdade de Medicina Veterinária e Zootecnia, FMVZ/USP,Av. Prof. Dr. Orlando Marques de Paiva,87. Cidade Universitária 'Armando de Salles Oliveira',São Paulo-SP 05508-270,Brazil.

Instituto de Infectologia Emilio Ribas,Av. Dr. Arnaldo,165 - Pacaembu,São Paulo-SP 01246-900,Brazil.

出版信息

Epidemiol Infect. 2017 Aug;145(11):2263-2268. doi: 10.1017/S0950268817001042. Epub 2017 May 30.

Abstract

Zoonotic diseases are a significant health threat for humans and animals. To better understand the epidemiology, etiology, and pathology of infectious agents affecting humans and animals combined approaches are needed. Here we describe an epidemiological investigation conducted by physicians and veterinarians after a reported case of psittacosis. Upon admission suffering from respiratory distress syndrome in a hospital and with a history of bird contact, a female patient was serologically diagnosed with psittacosis. After the case notification, veterinarians were able to investigate the source of infection by detecting Chlamydia psittaci in her pet cockatiel. The bird was hospitalized and successfully treated. In addition, the establishment where the pet bird was purchased was traced and through molecular techniques other birds intended to be sold as pets tested positive for C. psittaci. As a result, sanitary measures were applied and the establishment then was closed down. The birds intended for the pet commerce were treated and retested with negative molecular results for C. psittaci, thus avoiding disease propagation. Reliable data about zoonotic diseases can only be generated through the application of multidisciplinary approaches which take into account the epidemiological factors and interactions of humans, animals and their environments as an integrated system.

摘要

人畜共患病对人类和动物的健康构成重大威胁。为了更好地了解影响人类和动物的传染病的流行病学、病因学和病理学,需要采用综合方法。在此,我们描述了医生和兽医在报告一例鹦鹉热病例后进行的一项流行病学调查。一名女性患者因接触鸟类病史,入院时患有呼吸窘迫综合征,血清学诊断为鹦鹉热。病例通报后,兽医通过检测其宠物鸡尾鹦鹉中的鹦鹉热衣原体,调查了感染源。这只鸟住院并成功治愈。此外,追踪了购买宠物鸟的场所,通过分子技术检测,其他打算作为宠物出售的鸟类鹦鹉热衣原体检测呈阳性。结果,采取了卫生措施,该场所随后被关闭。用于宠物交易的鸟类经过治疗并重新检测,鹦鹉热衣原体分子检测结果为阴性,从而避免了疾病传播。只有通过应用多学科方法,将人类、动物及其环境的流行病学因素和相互作用作为一个综合系统加以考虑,才能生成关于人畜共患病的可靠数据。

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