Jia Bei, Yan Xiaomin, Chen Yuxin, Wang Guiyang, Liu Yong, Xu Biyun, Song Peixin, Li Yang, Xiong Yali, Wu Weihua, Hao Yingying, Xia Juan, Zhang Zhaoping, Huang Rui, Wu Chao
Department of Infectious Diseases, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu, China.
Department of Laboratory Medicine, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu, China.
PLoS Negl Trop Dis. 2017 Sep 21;11(9):e0005909. doi: 10.1371/journal.pntd.0005909. eCollection 2017 Sep.
Severe fever with thrombocytopenia syndrome (SFTS) is an emerging epidemic infectious disease caused by the SFTS bunyavirus (SFTSV) with an estimated high case-fatality rate of 12.7% to 32.6%. Currently, the disease has been reported in mainland China, Japan, Korea, and the United States. At present, there is no specific antiviral therapy for SFTSV infection. Considering the higher mortality rate and rapid clinical progress of SFTS, supporting the appropriate treatment in time to SFTS patients is critical. Therefore, it is very important for clinicians to predict these SFTS cases who are more likely to have a poor prognosis or even more likely to decease. In the present study, we established a simple and feasible model for assessing the severity and predicting the prognosis of SFTS patients with high sensitivity and specificity. This model may aid the physicians to immediately initiate prompt treatment to block the rapid development of the illness and reduce the fatality of SFTS patients.
发热伴血小板减少综合征(SFTS)是一种由发热伴血小板减少综合征布尼亚病毒(SFTSV)引起的新发流行性传染病,估计病死率高达12.7%至32.6%。目前,中国大陆、日本、韩国和美国均有该病的报道。目前,针对SFTSV感染尚无特异性抗病毒治疗方法。鉴于SFTS的较高死亡率和快速的临床进展,及时为SFTS患者提供恰当的治疗至关重要。因此,对于临床医生而言,预测哪些SFTS病例更有可能预后不良甚至死亡非常重要。在本研究中,我们建立了一个简单可行的模型,用于评估SFTS患者的病情严重程度并预测其预后,该模型具有较高的敏感性和特异性。此模型可能有助于医生立即启动及时的治疗,以阻断疾病的快速发展并降低SFTS患者的死亡率。