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婴儿利什曼原虫引起的犬利什曼病与人类利什曼病的临床管理:将“同一健康”原则付诸实践。

Clinical management of canine leishmaniosis versus human leishmaniasis due to Leishmania infantum: Putting "One Health" principles into practice.

作者信息

Miró Guadalupe, López-Vélez Rogelio

机构信息

Department of Animal Health, Veterinary Faculty, Universidad Complutense de Madrid, Madrid, Spain.

National Referral Unit for Tropical Diseases, Infectious Diseases Department, Ramón y Cajal University Hospital, IRICYS, Madrid, Spain.

出版信息

Vet Parasitol. 2018 Apr 30;254:151-159. doi: 10.1016/j.vetpar.2018.03.002. Epub 2018 Mar 8.

Abstract

The initiative One World, "One Health" tries to rapidly detect emerging or reemerging human and animal infectious diseases and prevent epidemiological situations such as deforestation, some agricultural practices or the appearance of new foci of leishmaniosis due to Leishmania infantum with alternative reservoirs. With this objective in mind, we here consider leishmaniosis in the Mediterranean basin and compare its current clinical management from two perspectives: that of a veterinarian specialized in infectious and parasitic diseases, and that of a physician specialized in infectious tropical diseases. We thus prepared a list of 10 key questions from epidemiology to control of the disease in both species: dogs and humans. This issue requires a concise and clear response to help animal and human health clinicians to improve their clinical management and understanding of this important zoonosis. Our ultimate aim is to update and bring together the information available backed by sound scientific evidence.

摘要

“同一个世界,同一种健康”倡议旨在快速检测新出现或再次出现的人类和动物传染病,并预防诸如森林砍伐、某些农业活动或因婴儿利什曼原虫出现替代宿主而导致新的利什曼病疫源地出现等流行病学情况。出于这一目标,我们在此考虑地中海盆地的利什曼病,并从两个角度比较其当前的临床管理:一是专门从事传染病和寄生虫病的兽医的角度,二是专门从事热带传染病的医生的角度。因此,我们准备了一份从流行病学到该疾病在狗和人类这两个物种中的控制的10个关键问题清单。这个问题需要简洁明了的回答,以帮助动物和人类健康临床医生改善他们对这种重要人畜共患病的临床管理和理解。我们的最终目标是更新并汇集有可靠科学证据支持的现有信息。

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