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病毒性腮腺炎:在接种疫苗人群中的发生率不断增加。

Viral mumps: Increasing occurrences in the vaccinated population.

机构信息

Oral and Maxillofacial Surgery, Allegheny General Hospital, Pittsburg, PA, USA.

Division of Oral and Maxillofacial Surgery, Icahn Mount Sinai School of Medicine, New York, NY, USA.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol. 2019 Oct;128(4):386-392. doi: 10.1016/j.oooo.2019.06.012. Epub 2019 Jun 27.

Abstract

Before the introduction of the vaccine, mumps was the most common salivary gland disease and was one of the most common infectious diseases in children globally. Following the introduction of the mumps vaccine in 1967, the disease was almost nonexistent in the United States and was only found to occur in nonvaccinated patients, and even then, it did not present in epidemic portions because of the extent of vaccination in the population at large. Beginning in the early 2000s, viral mumps began to present itself in vaccinated populations, and currently, outbreaks are continuing to increase in number. This article presents information on the various outbreaks, a review of the virus and the disease, including symptoms and comorbidities, and new recommendations for management. Dental practitioners should be aware of the increasing incidence and prevalence of this disease, be able to recognize it, and make appropriate referrals for management.

摘要

在疫苗问世之前,腮腺炎是最常见的唾液腺疾病,也是全球儿童中最常见的传染病之一。1967 年引入腮腺炎疫苗后,这种疾病几乎在美国消失,仅在未接种疫苗的患者中发现,即使在这种情况下,由于人群中疫苗接种的广泛程度,它也不会以流行的方式出现。从 21 世纪初开始,病毒性腮腺炎开始出现在接种疫苗的人群中,目前,疫情数量仍在持续增加。本文介绍了各种疫情的信息,对病毒和疾病进行了回顾,包括症状和合并症,并提出了新的管理建议。牙科医生应该了解这种疾病发病率和患病率的增加,能够识别它,并为管理提供适当的转介。

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