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意大利皮埃蒙特大区东部甲型肝炎严重疫情

Outbreak of severe Hepatitis A in Eastern Piedmont, Italy.

作者信息

Rossati Antonella, Bargiacchi Olivia, Kroumova Vesselina, Nebbiolo Claudio, Tacca Maria Grazia, Pratillo Sonia, Garavelli Pietro Luigi

机构信息

Infectious Diseases Department, University Hospital "Maggiore della Carità", Novara, Italy.

Infection Control Unit, University Hospital "Maggiore della Carità", Novara, Italy.

出版信息

Infez Med. 2017 Dec 1;25(4):344-346.

PMID:29286013
Abstract

Hepatitis A (HA) is caused by a hepatovirus from the family Picornaviridae (Hepatitis A Virus, HAV). Transmission occurs mainly by the orofaecal route through food or water contaminated by faeces. Sexual transmission has also been reported among men who have sex with men (MSM). From February to May 2017, 14 patients with HA were hospitalized at the University Hospital "Maggiore della Carità", Novara (Eastern Piedmont), Italy. One patient was two years old and was therefore admitted to the Paediatric Unit, the remaining 13 to the Infectious Disease Unit. Two of the adults were female and the rest (11) were male. The male patients were MSM, and contracted the infection sexually; three of them were known to be HIV positive, while two had a new diagnosis of syphilis infection. Women contracted the infection from contaminated food.

摘要

甲型肝炎(HA)由微小核糖核酸病毒科的一种肝炎病毒(甲型肝炎病毒,HAV)引起。传播主要通过粪口途径,经被粪便污染的食物或水传播。男男性行为者(MSM)之间的性传播也有报道。2017年2月至5月,意大利诺瓦拉(皮埃蒙特大区东部)的“马焦雷慈善医院”大学医院收治了14例甲型肝炎患者。其中1例患者为2岁儿童,因此被收治入儿科病房,其余13例被收治入传染病病房。成年患者中有2名女性,其余11名(均)为男性。男性患者均为男男性行为者,通过性接触感染;其中3人已知感染艾滋病毒,2人新诊断出感染梅毒。女性则通过受污染食物感染。

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