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新西兰的耶尔森氏菌病。

Yersiniosis in New Zealand.

作者信息

Rivas Lucia, Strydom Hugo, Paine Shevaun, Wang Jing, Wright Jackie

机构信息

Christchurch Science Centre, Institute of Environmental Science and Research Limited, Ilam, Christchurch 8041, New Zealand.

National Centre for Biosecurity and Infectious Disease, Institute of Environmental Science and Research Limited, Upper Hutt, Wellington 5018, New Zealand.

出版信息

Pathogens. 2021 Feb 10;10(2):191. doi: 10.3390/pathogens10020191.

Abstract

The rate of yersiniosis in New Zealand (NZ) is high compared with other developed countries, and rates have been increasing over recent years. Typically, >99% of human cases in NZ are attributed to (YE), although in 2014, a large outbreak of 220 cases was caused by . Up until 2012, the most common NZ strain was YE biotype 4. The emergent strain since this time is YE biotype 2/3 serotype O:9. The pathogenic potential of some YE biotypes remains unclear. Most human cases of yersiniosis are considered sporadic without an identifiable source. Key restrictions in previous investigations included insufficient sensitivity for the isolation of spp. from foods, although foodborne transmission is the most likely route of infection. In NZ, YE has been isolated from a variety of sick and healthy domestic and farm animals but the pathways from zoonotic reservoir to human remain unproven. Whole-genome sequencing provides unprecedented discriminatory power for typing and is now being applied to NZ epidemiological investigations. A "One-Health" approach is necessary to elucidate the routes of transmission of and consequently inform targeted interventions for the prevention and management of yersiniosis in NZ.

摘要

与其他发达国家相比,新西兰的耶尔森氏菌病发病率较高,且近年来发病率一直在上升。通常情况下,新西兰99%以上的人类病例归因于小肠结肠炎耶尔森氏菌(YE),不过在2014年,一场由假结核耶尔森氏菌引起的220例大规模疫情爆发。直到2012年,新西兰最常见的菌株是YE生物型4。自那时起出现的菌株是YE生物型2/3血清型O:9。一些YE生物型的致病潜力仍不清楚。大多数耶尔森氏菌病人类病例被认为是散发性的,没有可识别的源头。以往调查中的主要限制包括从食物中分离耶尔森氏菌属的灵敏度不足,尽管食源性传播是最可能的感染途径。在新西兰,已从各种患病和健康的家养及农场动物中分离出YE,但从动物宿主到人类的传播途径仍未得到证实。全基因组测序为耶尔森氏菌分型提供了前所未有的鉴别能力,目前正应用于新西兰的流行病学调查。采用“同一健康”方法对于阐明耶尔森氏菌的传播途径、进而为新西兰耶尔森氏菌病的预防和管理提供有针对性的干预措施至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8dd/7916520/0d34b4de310f/pathogens-10-00191-g004.jpg

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