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预防猴痘疫情:聚焦诊断、护理、治疗及疫苗接种。

Preventing monkeypox outbreaks: Focus on diagnosis, care, treatment, and vaccination.

作者信息

Ghaseminia Moslem

机构信息

Department of Microbiology & Virology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

J Clin Transl Sci. 2023 Feb 3;7(1):e60. doi: 10.1017/cts.2023.11. eCollection 2023.

Abstract

The first human case of monkeypox virus (Mpox) was reported in 1970. In the years after 1970, human infection with Mpox and human-to-human transmission was not widely observed, and more cases were seen in endemic areas. In that year, Mpox spread was confirmed through the export of infected animals to other parts of the world. Every few years, sporadic infections were reported in different parts of the world from human contamination and human-to-human transmission. In recent years, with the slow decline of the COVID-19 pandemic, the outbreak of Mpox was observed in many countries of the world. To deal with the spread of this viral infection, we need to know the ways to diagnose the infection, treat the infection, care for the patients, and implement a wide program of vaccination. Currently, there are no specific drugs available for this virus, but according to previous studies related to smallpox, drugs such as tecovirimat, cidofovir, and brincidofovir, which were used for smallpox and other orthopoxviruses in the past, can be considered to deal with Mpox. Also, some vaccines such as JYNNEOS, IMVAMUNE, and MoVIHvax that have been used against smallpox can be useful to some extent in preventing Mpox.

摘要

1970年报告了首例人类猴痘病毒(Mpox)病例。1970年之后的几年里,未广泛观察到人类感染猴痘病毒及人际传播情况,更多病例出现在流行地区。同年,猴痘病毒通过将受感染动物出口到世界其他地区而得以传播。每隔几年,世界各地就会报告因人类接触和人际传播导致的散发病例。近年来,随着新冠疫情的缓慢消退,世界许多国家都出现了猴痘疫情。为应对这种病毒感染的传播,我们需要了解诊断感染、治疗感染、护理患者以及实施广泛疫苗接种计划的方法。目前,针对这种病毒没有特效药物,但根据以往与天花相关的研究,昔多福韦、西多福韦和布林西多福韦等过去用于治疗天花和其他正痘病毒的药物可考虑用于应对猴痘。此外,一些曾用于预防天花的疫苗,如JYNNEOS、IMVAMUNE和MoVIHvax,在一定程度上对预防猴痘可能有用。

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