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斯洛伐克报告称欧洲发生食源性蜱传脑炎病例最多:2007-2016 年斯洛伐克蜱传脑炎疫情分析。

Slovakia reports highest occurrence of alimentary tick-borne encephalitis in Europe: Analysis of tick-borne encephalitis outbreaks in Slovakia during 2007-2016.

机构信息

Department of Epidemiology, Regional Authority of Public Health in Banská Bystrica, Slovakia.

Department of Epidemiology, Regional Authority of Public Health in Banská Bystrica, Slovakia.

出版信息

Travel Med Infect Dis. 2018 Nov-Dec;26:37-42. doi: 10.1016/j.tmaid.2018.07.001. Epub 2018 Jul 25.

Abstract

BACKGROUND

Slovakia is well-known for tick-borne encephalitis alimentary (TBE) outbreaks in Europe for a long time. Since the first known and largest TBE alimentary outbreak in 1951 (at territory of Slovakia) until today, none of the European countries report a comparable number of TBE alimentary outbreaks with probable and laboratory confirmed food transmission factor as Slovakia.

METHODS

We analyzed TBE outbreak confirmed cases reported in Slovakia from web-based Epidemiological Information System (EPIS) during the period 2007-2016.

RESULTS

During years 2007-2016 we recorded 26 TBE alimentary outbreaks. In most outbreaks (22 out of 26) the probable transmission factor of TBE virus was identified within epidemiological context. In 4 outbreaks the transmission factor was laboratory confirmed. The most common probable and confirmed transmission factor of alimentary TBE outbreaks was milk and milk products of goat origin.

CONCLUSION

There should be more effort of laboratory clarification of TBE transmission factor in Slovakia. It is important to be aware of the issue of Slovakia from the point of tourism and prevention, but also due to potential risks of consumption of raw milk and its products that became popular in recent years not only in Slovakia.

摘要

背景

斯洛伐克在欧洲以蜱传脑炎食源性(TBE)爆发而闻名已久。自 1951 年(斯洛伐克境内)首例已知且规模最大的 TBE 食源性爆发以来,欧洲没有任何一个国家报告过类似数量的 TBE 食源性爆发,其可能的和经实验室确认的食物传播因素与斯洛伐克相当。

方法

我们分析了 2007 年至 2016 年期间斯洛伐克通过基于网络的流行病学信息系统(EPIS)报告的 TBE 爆发确诊病例。

结果

在 2007 年至 2016 年期间,我们记录了 26 起 TBE 食源性爆发。在大多数爆发(26 起中的 22 起)中,TBE 病毒的可能传播因素在流行病学背景下得到了确定。在 4 起爆发中,传播因素得到了实验室确认。最常见的可能和经实验室确认的食源性 TBE 爆发传播因素是山羊来源的牛奶和奶制品。

结论

斯洛伐克应加大力度对 TBE 传播因素进行实验室澄清。鉴于旅游和预防的角度,以及近年来不仅在斯洛伐克而且在其他地区越来越受欢迎的生奶及其产品的潜在风险,了解斯洛伐克的相关情况非常重要。

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