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甲型H1N1流感(护理)

H1N1 Influenza (Nursing)

作者信息

Jilani Talha N., Jamil Radia T., Nguyen Andrew D., Siddiqui Abdul H., Doerr Chaddie

机构信息

HCA Healthcare Sunrise Health Graduate Medical Education Program

Allama Iqbal Medical College

Abstract

H1N1 Swine flu is a subtype of influenza A virus (a communicable viral disease), which causes upper, and potentially, lower respiratory tract infections in the host it infects, resulting in symptoms such as nasal secretions, chills, fever, decreased appetite, and possibly lower respiratory tract disease. H1N1 swine influenza is a common infection in pigs worldwide, and that is why it is also known as swine flu. H1N1 swine flu leads to respiratory disease that can potentially infect the respiratory tract of pigs. Sometimes, people who are closely associated with pigs or in the proximity of pigs have developed swine flu (zoonotic swine flu). Swine influenza viruses can potentially cause infections in humans if antigenic characteristics of the virus change through reassortment. When this happens, transmission from person-to-person is usually inefficient. Influenza A pandemics such as the ones in 1918 and 2009 can occur if the transmission from person-to-person becomes efficient.  In 1918, a deadly influenza pandemic caused by H1N1 influenza virus, also known as the Spanish flu, infected approximately 500 million people around the world and resulted in the deaths of 50 to 100 million people (3% to 5% of the world population) worldwide, distinguishing it as one of the most deadly pandemics in human history. In 2009, a new strain H1N1 swine flu spread fast around the world among humans, and the World Health Organization (WHO) labeled it a pandemic. However, the 2009 H1N1 virus was not zoonotic swine flu because it was not transferred from pigs to humans. Instead, it spread through airborne droplets from human to human, and potentially, through human contact with inanimate objects contaminated with the virus and transferred to the eyes or nose. This virus caused similar symptoms to those seen in swine, possibly due to reassortment of the viral RNA structure, which allowed human-to-human transfer.  Despite the name, an individual cannot acquire swine flu from eating pig products such as bacon, ham, and other pig products.

摘要

甲型H1N1流感是甲型流感病毒的一种亚型(一种传染性病毒性疾病),它会在受感染的宿主中引起上呼吸道感染,甚至可能引发下呼吸道感染,导致诸如鼻分泌物、寒战、发热、食欲减退等症状,还可能引发下呼吸道疾病。甲型H1N1流感在全球范围内的猪群中是一种常见感染,这就是它也被称为猪流感的原因。甲型H1N1流感会导致呼吸道疾病,可能感染猪的呼吸道。有时,与猪密切接触或在猪附近的人会感染猪流感(人畜共患猪流感)。如果病毒的抗原特性通过重配发生变化,猪流感病毒有可能导致人类感染。当这种情况发生时,人际传播通常效率不高。如果人际传播变得高效,就可能发生甲型流感大流行,比如1918年和2009年的大流行。1918年,由甲型H1N1流感病毒引起的致命流感大流行,也被称为西班牙流感,感染了全球约5亿人,导致全球5000万至1亿人死亡(占世界人口的3%至5%),使其成为人类历史上最致命的大流行之一。2009年,一种新型甲型H1N1猪流感在全球人类中迅速传播,世界卫生组织(WHO)将其列为大流行。然而,2009年的甲型H1N1病毒不是人畜共患猪流感,因为它不是从猪传播给人类的。相反,它通过空气飞沫在人与人之间传播,也可能通过人类接触被病毒污染的无生命物体并转移到眼睛或鼻子而传播。这种病毒引起的症状与猪身上看到的症状相似,可能是由于病毒RNA结构的重配,从而实现了人际传播。尽管有这个名字,但一个人不会因为食用猪肉制品如培根、火腿和其他猪肉制品而感染猪流感。

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