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接触者追踪在控制2014年埃博拉疫情中的作用:综述

Role of contact tracing in containing the 2014 Ebola outbreak: a review.

作者信息

Saurabh Shrivastava, Prateek Shrivastava

机构信息

Shri Sathya Sai Medical College & Research Institute, Community Medicine.

出版信息

Afr Health Sci. 2017 Mar;17(1):225-236. doi: 10.4314/ahs.v17i1.28.

Abstract

BACKGROUND

The 2014 outbreak of Ebola virus disease which emerged in the month of March in the year 2014 in Guinea has been declared as a public health emergency of international concern.

OBJECTIVES

The objectives of the review article are to assess the role of contact tracing in the Ebola outbreak and to identify the challenges faced by the health workers while performing contact tracing.

METHODS

An extensive search of all materials related to the Ebola outbreak and contact tracing was carried out in PubMed, Medline, World Health Organization website and Google Scholar search engines. Keywords used in the search included Ebola virus disease, West-Africa, contact tracing, World Health Organization. Overall 60 articles were selected and included in the discussion.

RESULTS

Contact tracing is an important strategy in epidemiology and refers to the identification and diagnosis of those individuals who have come in contact with an infected person. It ultimately aims to reduce the time span required to detect and treat a case of an infectious disease and hence significantly minimize the risk of transmission to the subsequent susceptible individuals. In-fact, contact tracing continues to remain an important measure, as it aids the epidemiologist in containing the infection.

CONCLUSION

The strategy of contact tracing has a great potential to significantly reduce the incidence of cases of Ebola virus disease. However, its success is eventually determined by the level of trust between the community and the public health system and the quality of the diagnostic & treatment services.

摘要

背景

2014年3月在几内亚出现的埃博拉病毒病疫情已被宣布为国际关注的突发公共卫生事件。

目的

这篇综述文章的目的是评估接触者追踪在埃博拉疫情中的作用,并确定卫生工作者在进行接触者追踪时所面临的挑战。

方法

在PubMed、Medline、世界卫生组织网站和谷歌学术搜索引擎中对所有与埃博拉疫情和接触者追踪相关的材料进行了广泛搜索。搜索中使用的关键词包括埃博拉病毒病、西非、接触者追踪、世界卫生组织。总共筛选出60篇文章并纳入讨论。

结果

接触者追踪是流行病学中的一项重要策略,指的是识别和诊断那些与感染者有过接触的个体。其最终目的是缩短检测和治疗传染病病例所需的时间跨度,从而显著降低传播给后续易感个体的风险。事实上,接触者追踪仍然是一项重要措施,因为它有助于流行病学家控制感染。

结论

接触者追踪策略有很大潜力显著降低埃博拉病毒病的病例发病率。然而,其成功最终取决于社区与公共卫生系统之间的信任程度以及诊断和治疗服务的质量。

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