Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.
Top Antivir Med. 2023 May;31(3):510-519.
The 2023 Conference on Retroviruses and Opportunistic Infections (CROI) emphasized emerging infectious diseases such as COVID-19 and mpox. Despite emerging from countries in which it was endemic only 9 months before the conference, mpox was well covered, with more than 60 presentations addressing various topics. There was a focus on the rapid development and implementation of tests to reduce the time to diagnosis, as well as multiplex panels to increase the accuracy of differential diagnosis. Presenters also highlighted the ability to diagnose mpox from multiple compartments, such as with rectal and pharyngeal swabs, and provided crucial information on the duration of positivity that may impact isolation requirements. Clinical experiences were described, including risk factors for severe disease and syndemic management. High rates of concomitant sexually transmitted infection (STI) were reported. Finally, prevention was a key topic, with presenters pointing to the contributions of individual behavioral changes and vaccine efficacy to reducing new cases.
2023 年逆转录病毒和机会性感染会议(CROI)强调了 COVID-19 和猴痘等新发传染病。尽管猴痘仅在会议前 9 个月在流行国家出现,但会议对其进行了充分的报道,有 60 多个演讲涉及各种主题。会议重点关注快速开发和实施检测方法以缩短诊断时间,以及多重检测面板以提高鉴别诊断的准确性。演讲者还强调了从多个部位(如直肠和咽部拭子)诊断猴痘的能力,并提供了可能影响隔离要求的阳性持续时间的重要信息。描述了临床经验,包括严重疾病的危险因素和综合征管理。报告了高比例的同时发生的性传播感染(STI)。最后,预防是一个关键主题,演讲者指出个人行为改变和疫苗效力对减少新发病例的贡献。
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