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新冠疫情期间登革热的发病率及与新冠病毒的合并感染情况。

Incidence and co-infection with COVID-19 of dengue during the COVID-19 pandemic.

作者信息

Hung Yuan-Pin, Lee Ching-Chi, Chen Ying-Wen, Lee Jen-Chieh, Chiu Chun-Wei, Hsueh Po-Ren, Ko Wen-Chien

机构信息

Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Internal Medicine, Tainan Hospital, Ministry of Health and Welfare, Tainan, Taiwan; Department of Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Microbiology & Immunology, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Clinical Medicine Research Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

出版信息

J Formos Med Assoc. 2025 Mar;124(3):206-211. doi: 10.1016/j.jfma.2024.06.007. Epub 2024 Jun 14.

Abstract

The co-infection of dengue and COVID-19 has been regarded as a public health issue for dengue-endemic countries during the COVID-19 pandemic. Travel restrictions might decrease the chance of mosquitoes biting and, thus, reduce the risk of dengue transmission. However, the spread of dengue was reported to increase with the policies of lockdowns and social distancing in specific areas due to delayed interventions in dengue transmission. Of cases experiencing dengue and COVID-19 co-infection, most recovered after receiving supportive care and/or steroid therapy. However, some episodes of severe or fatal diseases in specific individuals, such as pregnant women, have been reported, and the clinical course of this co-infection is unrecognized or unpredictable. Accordingly, it is crucial to promptly identify predictors of developing severe viral diseases among co-infection patients.

摘要

在新冠疫情期间,登革热与新冠病毒的合并感染已成为登革热流行国家的一个公共卫生问题。旅行限制可能会减少蚊子叮咬的机会,从而降低登革热传播的风险。然而,据报道,由于对登革热传播的干预延迟,特定地区的封锁和社交距离政策导致登革热传播增加。在经历登革热和新冠病毒合并感染的病例中,大多数在接受支持性护理和/或类固醇治疗后康复。然而,已经有报告称,特定个体(如孕妇)会出现一些严重或致命疾病的情况,而且这种合并感染的临床病程尚不清楚或无法预测。因此,及时识别合并感染患者中发展为严重病毒性疾病的预测因素至关重要。

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