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肠道病毒71型在全球的出现:一项系统综述

Global emergence of Enterovirus 71: a systematic review.

作者信息

Nayak Gayatree, Bhuyan Sanat Kumar, Bhuyan Ruchi, Sahu Akankshya, Kar Dattatreya, Kuanar Ananya

机构信息

Centre for Biotechnology, Siksha O Anusandhan (Deemed to Be) University, Kalinga Nagar, Ghatikia, Bhubaneswar, Odisha 751003 India.

Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to Be) University, Bhubaneswar, Odisha 751003 India.

出版信息

Beni Suef Univ J Basic Appl Sci. 2022;11(1):78. doi: 10.1186/s43088-022-00258-4. Epub 2022 Jun 13.

Abstract

BACKGROUND

Hand, foot, and mouth disease (HFMD) is a viral infection caused by a virus from the enterovirus genus of picornavirus family that majorly affects children. Though most cases of HFMD do not cause major problems, the outbreaks of Enterovirus 71 (EV71) can produce a high risk of neurological sequelae, including meningoencephalitis, lung difficulties, and mortality. In Asia, HFMD caused by EV71 has emerged as an acutely infectious disease of highly pathogenic potential, which demands the attention of the international medical community.

MAIN BODY OF THE ABSTRACT

Some online databases including NCBI, PubMed, Google Scholar, ProQuest, Scopus, and EBSCO were also accessed using keywords relating to the topic for data mining. The paid articles were accessed through the Centre Library facility of Siksha O Anusandhan University. This work describes the structure, outbreak, molecular epidemiology of Enterovirus 71 along with different EV71 vaccines. Many vaccines have been developed such as inactivated whole-virus live attenuated, subviral particles, and DNA vaccines to cure the patients. In Asia-Pacific nations, inactivated EV71 vaccination still confronts considerable obstacles in terms of vaccine standardization, registration, price, and harmonization of pathogen surveillance and measurements.

SHORT CONCLUSION

HFMD has emerged as a severe health hazard in Asia-Pacific countries in recent decades. In Mainland China and other countries with high HFMD prevalence, the inactivated EV71 vaccination will be a vital tool in safeguarding children's health. When creating inactivated EV71 vaccines, Mainland China ensured maintaining high standards of vaccine quality. The Phase III clinical studies were used to confirm the safety and effectiveness of vaccinations.

摘要

背景

手足口病(HFMD)是由微小核糖核酸病毒科肠道病毒属的一种病毒引起的病毒感染,主要影响儿童。尽管大多数手足口病病例不会引发重大问题,但肠道病毒71型(EV71)的爆发会产生较高的神经后遗症风险,包括脑膜脑炎、肺部问题和死亡。在亚洲,由EV71引起的手足口病已成为一种具有高致病潜力的急性传染病,这需要国际医学界的关注。

摘要正文

还使用与该主题相关的关键词访问了一些在线数据库,包括NCBI、PubMed、谷歌学术、ProQuest、Scopus和EBSCO进行数据挖掘。付费文章通过 Siksha O Anusandhan大学的中央图书馆设施获取。这项工作描述了肠道病毒71型的结构、爆发情况、分子流行病学以及不同的EV71疫苗。已经开发了许多疫苗,如灭活全病毒减毒活疫苗、亚病毒颗粒疫苗和DNA疫苗来治疗患者。在亚太国家,EV71灭活疫苗在疫苗标准化、注册、价格以及病原体监测和措施的协调方面仍然面临相当大的障碍。

简短结论

近几十年来,手足口病在亚太国家已成为一种严重的健康危害。在中国大陆和其他手足口病高发国家,EV71灭活疫苗将是保障儿童健康的重要工具。中国大陆在生产EV71灭活疫苗时确保维持高标准的疫苗质量。三期临床试验用于确认疫苗接种的安全性和有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b968/9188855/e7c44c81d8a9/43088_2022_258_Fig1_HTML.jpg

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