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通过食物和环境传播的主要人类呼吸道和肠道病毒的最小感染剂量

Minimum Infective Dose of the Major Human Respiratory and Enteric Viruses Transmitted Through Food and the Environment.

作者信息

Yezli Saber, Otter Jonathan A

机构信息

Bioquell UK Ltd, 52 Royce Close, West Portway, Andover, Hampshire, SP10 3TS, UK.

出版信息

Food Environ Virol. 2011 Mar;3(1):1-30. doi: 10.1007/s12560-011-9056-7. Epub 2011 Mar 16.

Abstract

Viruses are a significant cause of morbidity and mortality around the world. Determining the minimum dose of virus particles that can initiate infection, termed the minimum infective dose (MID), is important for the development of risk assessment models in the fields of food and water treatment and the implementation of appropriate infection control strategies in healthcare settings. Both respiratory and enteric viruses can be shed at high titers from infected individuals even when the infection is asymptomatic. Presence of pre-existing antibodies has been shown to affect the infectious dose and to be protective against reinfection for many, but not all viruses. Most respiratory viruses appear to be as infective in humans as in tissue culture. Doses of <1 TCID of influenza virus, rhinovirus, and adenovirus were reported to infect 50% of the tested population. Similarly, low doses of the enteric viruses, norovirus, rotavirus, echovirus, poliovirus, and hepatitis A virus, caused infection in at least some of the volunteers tested. A number of factors may influence viruses' infectivity in experimentally infected human volunteers. These include host and pathogen factors as well as the experimental methodology. As a result, the reported infective doses of human viruses have to be interpreted with caution.

摘要

病毒是全球发病和死亡的重要原因。确定能够引发感染的病毒颗粒最小剂量,即最小感染剂量(MID),对于食品和水处理领域风险评估模型的开发以及医疗机构中适当感染控制策略的实施至关重要。即使感染无症状,呼吸道病毒和肠道病毒都可能从受感染个体中高滴度排出。已证明预先存在的抗体可影响感染剂量,并对许多(但不是所有)病毒的再次感染具有保护作用。大多数呼吸道病毒在人类中的感染性似乎与在组织培养中一样。据报道,流感病毒、鼻病毒和腺病毒的剂量<1 TCID可感染50%的受试人群。同样,低剂量的肠道病毒,如诺如病毒、轮状病毒、埃可病毒、脊髓灰质炎病毒和甲型肝炎病毒,至少在一些受试志愿者中引起了感染。许多因素可能会影响病毒在实验感染的人类志愿者中的感染性。这些因素包括宿主和病原体因素以及实验方法。因此,对所报道的人类病毒感染剂量必须谨慎解读。

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