文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

法属圭亚那皮肤利什曼病潜伏期的最新估计。

Updated estimation of cutaneous leishmaniasis incubation period in French Guiana.

机构信息

Cayenne Hospital Center, Dermatology Department, Cayenne, French Guiana.

UMR TBIP 1019 Tropical Biomes and Immunophysiopathology, University of French Guiana, Cayenne, French Guiana.

出版信息

PLoS Negl Trop Dis. 2023 Jun 14;17(6):e0011415. doi: 10.1371/journal.pntd.0011415. eCollection 2023 Jun.


DOI:10.1371/journal.pntd.0011415
PMID:37315094
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10298763/
Abstract

BACKGROUND: The cutaneous leishmaniasis (CL) incubation period (IP) is defined as the time between parasite inoculation by sandfly bite and the onset of the first CL lesion. IP distribution is difficult to assess for CL because the date of exposure to an infectious bite cannot be accurately determined in endemic areas. IP current estimates for CL range from 14 days to several months with a median around 30-60 days, as established by a few previous studies in both New and Old Worlds. METHODOLOGY: We estimated CL incubation period distribution using time-to-event models adapted to interval-censored data based on declared date of travels from symptomatic military personnel living in non-endemic areas that were exposed during their short stays in French Guiana (FG) between January 2001 and December 2021. PRINCIPAL FINDINGS: A total of 180 patients were included, of which 176 were men (97.8%), with a median age of 26 years. When recorded, the parasite species was always Leishmania guyanensis (31/180, 17.2%). The main periods of CL diagnosis spread from November to January (84/180, 46.7%) and over March-April (54/180, 30.0%). The median IP was estimated at 26.2 days (95% Credible Level, 23.8-28.7 days) using a Bayesian accelerated failure-time regression model. Estimated IP did not exceed 62.1 days (95% CI, 56-69.8 days) in 95% of cases (95th percentile). Age, gender, lesion number, lesion evolution and infection date did not significantly modify the IP. However, disseminated CL was significantly associated with a 2.8-fold shortening of IP. CONCLUSIONS: This work suggests that the CL IP distribution in French Guiana is shorter and more restricted than anticipated. As the incidence of CL in FG usually peaks in January and March, these findings suggest that patients are contaminated at the start of the rainy season.

摘要

背景:皮肤利什曼病(CL)潜伏期(IP)定义为沙蝇叮咬后寄生虫接种与首次 CL 病变出现之间的时间。由于在流行地区无法准确确定暴露于传染性叮咬的日期,因此难以评估 CL 的 IP 分布。目前,通过几项在新旧世界进行的研究,CL 的 IP 估计范围为 14 天至数月,中位数约为 30-60 天。 方法:我们根据居住在非流行地区的有症状军人申报的旅行日期,使用适应于区间 censored 数据的事件时间模型来估计 CL 潜伏期分布。这些军人在 2001 年 1 月至 2021 年 12 月期间在法属圭亚那停留期间短暂逗留期间接触到感染。 主要发现:共纳入 180 例患者,其中 176 例为男性(97.8%),中位年龄为 26 岁。当记录寄生虫种类时,始终为利什曼原虫圭亚那型(31/180,17.2%)。CL 诊断的主要时期从 11 月到 1 月(84/180,46.7%)和 3 月至 4 月(54/180,30.0%)。使用贝叶斯加速失效时间回归模型估计的 IP 中位数为 26.2 天(95%可信区间,23.8-28.7 天)。在 95%的病例中(95%置信区间,56-69.8 天),估计的 IP 不超过 62.1 天(95%CI,56-69.8 天)。年龄、性别、病变数量、病变演变和感染日期均未显著改变 IP。然而,播散性 CL 与 IP 缩短 2.8 倍显著相关。 结论:这项工作表明,法属圭亚那的 CL IP 分布比预期的更短且更受限。由于 FG 中 CL 的发病率通常在 1 月和 3 月达到高峰,因此这些发现表明患者在雨季开始时受到感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfc/10298763/2bb46575ecd6/pntd.0011415.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfc/10298763/76e4789497f2/pntd.0011415.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfc/10298763/0b9b7c6c7c32/pntd.0011415.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfc/10298763/718ad7e7669f/pntd.0011415.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfc/10298763/2bb46575ecd6/pntd.0011415.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfc/10298763/76e4789497f2/pntd.0011415.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfc/10298763/0b9b7c6c7c32/pntd.0011415.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfc/10298763/718ad7e7669f/pntd.0011415.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfc/10298763/2bb46575ecd6/pntd.0011415.g004.jpg

相似文献

[1]
Updated estimation of cutaneous leishmaniasis incubation period in French Guiana.

PLoS Negl Trop Dis. 2023-6

[2]
Use of the intramuscular route to administer pentamidine isethionate in Leishmania guyanensis cutaneous leishmaniasis increases the risk of treatment failure.

Travel Med Infect Dis. 2018-3-1

[3]
Clinical and parasitological features of Leishmania infection among gold miners in the Oiapoque basin, an international Brazil-French Guiana border.

PLoS Negl Trop Dis. 2024-6

[4]
American cutaneous leishmaniasis in French Guiana: an epidemiological update and study of environmental risk factors.

Int J Dermatol. 2019-9-16

[5]
Outbreak of Cutaneous Leishmaniasis among military personnel in French Guiana, 2020: Clinical, phylogenetic, individual and environmental aspects.

PLoS Negl Trop Dis. 2021-11

[6]
[Cutaneous leishmaniasis and leishmania species in French Guiana].

Med Trop (Mars). 1996

[7]
Clinical and immunological spectra of human cutaneous leishmaniasis in North Africa and French Guiana.

Front Immunol. 2023

[8]
Molecular epidemiology of Leishmania (Viannia) guyanensis in French Guiana.

J Clin Microbiol. 2006-2

[9]
Leishmaniasis among gold miners, French Guiana.

Emerg Infect Dis. 2006-7

[10]
Disseminated cutaneous leishmaniasis due to Leishmania guyanensis: case of a patient with 425 lesions.

Am J Trop Med Hyg. 2004-11

本文引用的文献

[1]
Outbreak of Cutaneous Leishmaniasis among military personnel in French Guiana, 2020: Clinical, phylogenetic, individual and environmental aspects.

PLoS Negl Trop Dis. 2021-11

[2]
Resistance Against Infection Depends on Microbiota-Guided Macrophage Activation.

Front Immunol. 2021

[3]
The Paradox of a Phagosomal Lifestyle: How Innate Host Cell- Interactions Lead to a Progressive Chronic Disease.

Front Immunol. 2021

[4]
The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.

BMJ. 2021-3-29

[5]
Validation of Swab Sampling and SYBR Green-Based Real-Time PCR for the Diagnosis of Cutaneous Leishmaniasis in French Guiana.

J Clin Microbiol. 2021-1-21

[6]
Assessment of Incubation Period of Cutaneous Leishmaniasis due to in Tunisia.

Am J Trop Med Hyg. 2020-11

[7]
Leishmania naiffi and lainsoni in French Guiana: Clinical features and phylogenetic variability.

PLoS Negl Trop Dis. 2020-8-14

[8]
American cutaneous leishmaniasis in French Guiana: an epidemiological update and study of environmental risk factors.

Int J Dermatol. 2019-9-16

[9]
Disseminated leishmaniasis: clinical, pathogenic, and therapeutic aspects.

An Bras Dermatol. 2019

[10]
Ecological aspects of Phlebotomines (Diptera: Psychodidae) and the transmission of American cutaneous leishmaniasis agents in an Amazonian/ Guianan bordering area.

Parasit Vectors. 2018-11-29

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索