Araf Yusha, Nipa Jannatul Ferdous, Naher Sabekun, Maliha Sumaiya Tasnim, Rahman Hasanur, Arafat Kazi Ifthi, Munif Mohammad Raguib, Uddin Md Jamal, Jeba Nurejunnati, Saha Sukumar, Zhai Jingbo, Hasan S M Nazmul, Xue Mengzhou, Hossain Md Golzar, Zheng Chunfu
Guangzhou Eighth People's Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Department of Biotechnology, Bangladesh Agricultural University, Mymensingh 2202, Bangladesh.
Vet Med Int. 2024 May 28;2024:8839830. doi: 10.1155/2024/8839830. eCollection 2024.
This review delves into the historical context, current epidemiological landscape, genomics, and pathobiology of monkeypox virus (MPXV). Furthermore, it elucidates the present vaccination status and strategies to curb the spread of monkeypox. Monkeypox, caused by the known as MPXV, is a zoonotic ailment. MPXV can be transmitted from person to person through respiratory droplets during prolonged face-to-face interactions. While many cases of monkeypox are self-limiting, vulnerable groups such as young children, pregnant women, and immunocompromised individuals may experience severe manifestations. Diagnosis predominantly relies on clinical presentations, complemented by laboratory techniques like RT-PCR. Although treatment is often not required, severe cases necessitate antiviral medications like tecovirimat, cidofovir, and brincidofovir. Vaccination, particularly using the smallpox vaccine, has proven instrumental in outbreak control, exhibiting an efficacy of at least 85% against mpox as evidenced by data from Africa. Mitigating transmission requires measures like wearing surgical masks, adequately covering skin lesions, and avoiding handling wild animals.
本综述深入探讨了猴痘病毒(MPXV)的历史背景、当前流行病学态势、基因组学及病理生物学。此外,还阐明了当前的疫苗接种状况以及遏制猴痘传播的策略。猴痘由猴痘病毒(MPXV)引起,是一种人畜共患病。在长时间面对面接触过程中,MPXV可通过呼吸道飞沫在人与人之间传播。虽然许多猴痘病例是自限性的,但幼儿、孕妇和免疫功能低下个体等弱势群体可能会出现严重症状。诊断主要依靠临床表现,并辅以RT-PCR等实验室技术。虽然通常无需治疗,但严重病例需要使用特考韦瑞玛、西多福韦和布林西多福韦等抗病毒药物。疫苗接种,特别是使用天花疫苗,已被证明在疫情控制中发挥了重要作用,非洲的数据表明,其对猴痘的预防效力至少为85%。减轻传播需要采取如佩戴外科口罩、充分覆盖皮肤损伤部位以及避免接触野生动物等措施。