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2022 年多国儿童不明来源急性重症肝炎爆发。

Multi-country outbreak of severe acute hepatitis of unknown origin in children, 2022.

机构信息

Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

Department of Epidemiology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.

出版信息

Acta Paediatr. 2023 Jun;112(6):1148-1156. doi: 10.1111/apa.16685. Epub 2023 Feb 7.

Abstract

AIM

To describe epidemiological characteristics of multi-country outbreak of severe acute hepatitis of unknown origin in children in 2022.

METHODS

A descriptive epidemiological study design was used. The review based on the available information concerning this multi-country outbreak aims to summarise the current knowledge about the severe acute hepatitis of unknown origin in children, highlights the suggested working hypotheses, introduces some of the potential explanations for its occurrence and reports on public health measures undertaken to control the disease.

RESULTS

Since the first 10 cases of severe acute hepatitis of unknown origin in children in the United Kingdom on 5 April 2022, and up until the 29 August 2022, more than 1000 probable cases have been reported in 35 countries in the world. Up to today, 22 children died in this multi-country outbreak. Despite the numerous theories that have been suggested on the possible underlying causes of the outbreak, an association with hepatitis A-E viruses has been excluded. Adenovirus serotype 41 has been detected in numerous cases, which makes it the most likely underlying cause of the disease.

CONCLUSION

Efficient surveillance and comprehension advancements of the epidemiology of this disease are especially important for effective prevention and outbreak response.

摘要

目的

描述 2022 年儿童不明来源急性严重肝炎多国暴发的流行病学特征。

方法

采用描述性流行病学研究设计。本综述基于目前有关该多国暴发的可用信息,旨在总结目前对儿童不明来源急性严重肝炎的认识,重点介绍了一些可能的发病假说,介绍了其发生的一些潜在解释,并报告了为控制该病而采取的公共卫生措施。

结果

自 2022 年 4 月 5 日英国报告首例 10 例儿童不明来源急性严重肝炎以来,截至 2022 年 8 月 29 日,全球 35 个国家报告了 1000 多例疑似病例。截至目前,该多国暴发已导致 22 名儿童死亡。尽管针对该暴发的可能潜在原因提出了许多理论,但已排除与肝炎 A-E 型病毒有关的假设。在许多病例中检测到腺病毒 41 型,这使其成为最可能的致病原因。

结论

高效的监测和对该病流行病学的深入理解对于有效预防和暴发应对尤为重要。

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