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巴基斯坦近期白喉疫情;简短通讯

Recent outbreak of diphtheria in Pakistan; short communication.

作者信息

Aaqil Syeda Ilsa, Ochani Sidhant, Hasibuzzaman Md Al

机构信息

Department of Medicine, Jinnah Sindh Medical University, Karachi.

Department of Medicine, Khairpur Medical College, Khairpur Mir's, Pakistan.

出版信息

Ann Med Surg (Lond). 2023 May 10;85(6):3243-3244. doi: 10.1097/MS9.0000000000000832. eCollection 2023 Jun.

Abstract

Diphtheria, a vaccine-preventable bacterial infection caused by usually starts with sore throat and fever and often results in breathing difficulties, heart rhythm problems, and rarely membranous pharyngitis. Although nursing these complications can help most people survive diphtheria, but it can be deadly in 5-10% of cases with higher death rates observed in children under 5 years of age or adults above 40. For the year 2022, 92 cases have been reported by seven European countries. Sixty-six of the reported cases presented with cutaneous diphtheria caused by while cases of respiratory diphtheria have also been reported, including one fatal case. The increase in diphtheria cases can be linked to an increased volume of migrants from diphtheria-endemic countries causing transmission of pathogens from countries of origin to recipient countries. Today the authors can treat diphtheria infections by using antibiotics and also prevent the disease with a vaccine. General population should be given awareness and educated in regard to disease prevention and appropriately implement administration of Diphtheria and Tetanus Toxoids and Pertussis Vaccines among people at risk for their own protection and urgently call for an action to eliminate the disease before its further spread as an outbreak.

摘要

白喉是一种可通过疫苗预防的细菌感染,通常始于喉咙痛和发烧,常导致呼吸困难、心律问题,很少导致膜性咽炎。尽管护理这些并发症可帮助大多数白喉患者存活,但在5%-10%的病例中可能致命,5岁以下儿童或40岁以上成人的死亡率更高。2022年,七个欧洲国家报告了92例病例。报告的病例中有66例为皮肤白喉,同时也报告了呼吸道白喉病例,包括1例死亡病例。白喉病例增加可能与来自白喉流行国家的移民数量增加有关,导致病原体从原籍国传播到接收国。如今,作者可以使用抗生素治疗白喉感染,也可以通过疫苗预防该疾病。应提高普通民众对疾病预防的认识并进行教育,并在有风险的人群中适当实施白喉、破伤风类毒素和百日咳疫苗接种,以保护自身,并迫切呼吁采取行动,在疾病进一步爆发传播之前消除该疾病。

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