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[猴痘与儿童——瑞典视角]

[Mpox and children - a Swedish perspective].

作者信息

Alfvén Tobias, Arthur Rhedin Samuel, Mia Ekström Anna, Elfving Kristina, Sondén Klara

机构信息

professor, överläkare, institutionen för global folkhälsa, Karolinska institutet; barn- och ungdomsmedicin, Sachsska barn- och ungdomssjukhuset, Stockholm.

med dr, ST-läkare, Sachsska barn- och ungdomssjukhuset, Stockholm; institutionen för medi-cinsk epidemiologi och biostatistik, Karolinska institutet.

出版信息

Lakartidningen. 2023 Jun 19;120:23009.

Abstract

Mpox (monkeypox) is an infection caused by the monkeypox virus, which belongs to the same family as the smallpox virus. Sporadic infections in humans have been known since the 1970s. Since spring 2022 there has been a global epidemic. The large majority of the mpox cases in the ongoing epidemic have been reported in adult men, the number of infected children is small.  The typical manifestation of mpox includes a rash that initially presents as maculopapular lesions and then develops into vesicles and eventually crusts. Transmission of the virus primarily occurs through close contact with infected individuals, particularly through contact with unhealed blisters or wounds, as well as through sexual contacts and exposure to body fluids.  In cases of documented close contact with an infected individual, post-exposure prophylaxis is recommended and may also be administered to children whose guardians have contracted mpox.

摘要

猴痘是一种由猴痘病毒引起的感染,该病毒与天花病毒属于同一家族。自20世纪70年代以来,已知人类中存在散发性感染。自2022年春季以来,出现了全球流行。在当前的疫情中,绝大多数猴痘病例报告发生在成年男性中,受感染儿童数量较少。猴痘的典型表现包括皮疹,最初表现为斑丘疹病变,然后发展为水疱,最终结痂。病毒传播主要通过与受感染个体密切接触,特别是接触未愈合的水疱或伤口,以及通过性接触和接触体液。在有记录与受感染个体密切接触的情况下,建议进行暴露后预防,也可对其监护人感染猴痘的儿童进行预防。

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