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病毒与炎症性肠病之间的复杂关系——SARS-CoV-2大流行期间日常临床决策的综述与实用建议

The complex relationship between viruses and inflammatory bowel disease - review and practical advices for the daily clinical decision-making during the SARS-CoV-2 pandemic.

作者信息

Farkas Klaudia, Pigniczki Daniella, Rutka Mariann, Szántó Kata Judit, Resál Tamás, Bor Renáta, Fábián Anna, Szepes Zoltán, Lázár György, Molnár Tamás

机构信息

First Department of Medicine, University of Szeged, Szeged, Hungary.

Department of Surgery, University of Szeged, Szeged, Hungary.

出版信息

Therap Adv Gastroenterol. 2021 Apr 12;14:1756284820988198. doi: 10.1177/1756284820988198. eCollection 2021.

DOI:10.1177/1756284820988198
PMID:33953797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8044573/
Abstract

The coronavirus disease 2019 (COVID-19) outbreak emerged in December 2019 in China and rapidly spread worldwide. Inflammatory bowel disease (IBD) patients are likely to be more susceptible to viral infections, and this is significantly influenced by the type of therapy they receive. Thus, issues specifically concerning the medical treatment of IBD patients were shortly addressed at the beginning of the pandemic. However, recently available data on the occurrence and outcome of SARS-CoV-2 infection in IBD patients does not address the concerns raised at the beginning of the pandemic. Growing evidence and the rapid changes happening over the past few weeks have helped elucidate the current situation, contribute to our understanding of the disease, and many previously raised questions could now be answered. We hereby summarise available evidence regarding viral infections and IBD, focusing on SARS-CoV infections, and we provide practical recommendations related to patient management during the COVID-19 pandemic era.

摘要

2019年12月,新型冠状病毒肺炎(COVID-19)疫情在中国爆发,并迅速在全球蔓延。炎症性肠病(IBD)患者可能更容易受到病毒感染,这受到他们所接受治疗类型的显著影响。因此,在疫情初期就迅速解决了与IBD患者医疗治疗相关的具体问题。然而,最近关于IBD患者中严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染的发生情况和结果的数据并未解决疫情初期提出的担忧。越来越多的证据以及过去几周迅速发生的变化有助于阐明当前形势,增进我们对该疾病的了解,许多之前提出的问题现在可以得到解答。我们在此总结关于病毒感染和IBD的现有证据,重点关注SARS-CoV感染,并提供在COVID-19大流行时代与患者管理相关的实用建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3399/8044573/94d5a49dac9b/10.1177_1756284820988198-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3399/8044573/e1dbd02df3d5/10.1177_1756284820988198-fig1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3399/8044573/8f6e1bb89479/10.1177_1756284820988198-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3399/8044573/94d5a49dac9b/10.1177_1756284820988198-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3399/8044573/e1dbd02df3d5/10.1177_1756284820988198-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3399/8044573/090b82f70e8f/10.1177_1756284820988198-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3399/8044573/6536ff7c7945/10.1177_1756284820988198-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3399/8044573/8f6e1bb89479/10.1177_1756284820988198-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3399/8044573/94d5a49dac9b/10.1177_1756284820988198-fig5.jpg

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本文引用的文献

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Epidemiology and the Impact of Therapies on the Outcome of COVID-19 in Patients With Inflammatory Bowel Disease.炎症性肠病患者 COVID-19 的流行病学及治疗对结局的影响。
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The COVID-19 Cytokine Storm; What We Know So Far.
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From the American Epicenter: Coronavirus Disease 2019 in Patients with Inflammatory Bowel Disease in the New York City Metropolitan Area.从美国震中地区看纽约大都市区炎症性肠病患者中的 2019 年冠状病毒病。
Inflamm Bowel Dis. 2021 Apr 15;27(5):662-666. doi: 10.1093/ibd/izaa162.
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Increased incidence of systemic serious viral infections in patients with inflammatory bowel disease associates with active disease and use of thiopurines.炎症性肠病患者全身性严重病毒感染发生率增加与疾病活动和使用硫嘌呤类药物相关。
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