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甲型肝炎:病毒结构、分类、生命周期、临床症状、诊断失误及疫苗接种

Hepatitis A: Viral Structure, Classification, Life Cycle, Clinical Symptoms, Diagnosis Error, and Vaccination.

作者信息

Gholizadeh Omid, Akbarzadeh Sama, Ghazanfari Hashemi Mohamad, Gholami Marjan, Amini Parya, Yekanipour Zahra, Tabatabaie Raheleh, Yasamineh Saman, Hosseini Parastoo, Poortahmasebi Vahdat

机构信息

Department of Bacteriology and Virology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Infectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Can J Infect Dis Med Microbiol. 2023 Jan 4;2023:4263309. doi: 10.1155/2023/4263309. eCollection 2023.

Abstract

Hepatitis A virus (HAV) is one of the well-known viruses that cause hepatitis all around the globe. Although this illness has decreased in developed countries due to extensive immunization, numerous developing and under-developed countries are struggling with this virus. HAV infection can be spread by oral-fecal contact, and there are frequent epidemics through nutrition. Improvements in socioeconomic and sanitary circumstances have caused a shift in the disease's prevalence worldwide. Younger children are usually asymptomatic, but as they become older, the infection symptoms begin to appear. Symptoms range from slight inflammation and jaundice to acute liver failure in older individuals. While an acute infection may be self-limiting, unrecognized persistent infections, and the misapplication of therapeutic methods based on clinical guidelines are linked to a higher incidence of cirrhosis, hepatocellular carcinoma, and mortality. Fortunately, most patients recover within two months of infection, though 10-15% of patients will relapse within the first six months. A virus seldom leads to persistent infection or liver damage. The mainstay of therapy is based on supportive care. All children from 12-23 months, as well as some susceptible populations, should receive routine vaccinations, according to the Centers for Disease Control and Prevention and the American Academy of Pediatrics. Laboratory diagnosis of HAV is based on antigen detection, checking liver enzyme levels, and antibody screening. Furthermore, polymerase chain reaction (PCR) technology has identified HAV in suspected nutrition sources; therefore, this technique is used for preventative measures and food-related laws.

摘要

甲型肝炎病毒(HAV)是全球范围内引发肝炎的知名病毒之一。尽管由于广泛接种疫苗,这种疾病在发达国家已有所减少,但许多发展中国家和欠发达国家仍在与该病毒作斗争。HAV感染可通过粪口接触传播,并且经常通过营养途径引发疫情。社会经济和卫生状况的改善导致了该疾病在全球范围内的流行趋势发生变化。年幼儿童通常没有症状,但随着年龄增长,感染症状开始显现。症状从轻微炎症和黄疸到老年人的急性肝衰竭不等。虽然急性感染可能是自限性的,但未被识别的持续性感染以及基于临床指南的治疗方法应用不当与肝硬化、肝细胞癌的发病率升高和死亡率有关。幸运的是,大多数患者在感染后两个月内康复,不过10%至15%的患者会在头六个月内复发。该病毒很少导致持续性感染或肝损伤。治疗的主要方法是支持性护理。根据疾病控制与预防中心和美国儿科学会的建议,所有12至23个月大的儿童以及一些易感人群都应接受常规疫苗接种。HAV的实验室诊断基于抗原检测、检查肝酶水平和抗体筛查。此外,聚合酶链反应(PCR)技术已在疑似营养源中检测到HAV;因此,该技术用于预防措施和与食品相关的法律。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c24/9833905/823e7d333183/CJIDMM2023-4263309.001.jpg

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