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猴痘对全身和皮肤的影响:尼日利亚医护人员基于指南的管理概述

Systemic and Dermatologic Impact of Mpox: An Overview of Guideline-Based Management for Nigerian Healthcare Workers.

作者信息

Oiwoh Sebastine O, Ibekwe Perpetua U, Ajani Atinuke A, Cole-Adeife Olufolakemi M, Olanrewaju Fatai O, Oripelaye Murphy M, Akinboro Adeolu O, Akinkugbe Ayesha O, Mohammed Tahir T

机构信息

Dermatology and Venereology Unit, Department of Internal Medicine, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.

Dermatology Unit, Department of Internal Medicine, College of Health Sciences, University of Abuja, Abuja, Nigeria.

出版信息

Niger Med J. 2023 May 5;64(1):4-12. eCollection 2023 Jan-Feb.

Abstract

Monkeypox/Mpox is an Orthopoxvirus infection of the skin and mucous membranes in the same family as smallpox virus. Infection mainly affects the skin, but the eyes, lungs, brain, gastrointestinal tract, and other organs may also be involved to varying degrees. This narrative review on the systematic and dermatologic impact of Mpox is meant for healthcare workers, providers of social services, community leaders, religious leaders, staff of schools, influencers, and institutions. This is in a bid to bring them up to date with the clinical protocol involved in the diagnosis, management, and prevention of the spread of Mpox. Data and other pieces of information used in this review were accessed from PubMed, Google Scholar, and situation reports from the website of the Nigerian Centre for Disease Control (NCDC), the World Health Organization (WHO), and the Centre for Disease Control and Prevention (CDC). The search date was from 1980 to May 2022. Prompt recognition and diagnosis were found to be predicated on a high index of clinical suspicion while diagnosis can be confirmed through viral DNA polymerase chain reaction tests. The management of Mpox involves a multidisciplinary approach with Dermatologists playing a central role alongside other specialists and experts as it affects diagnosis, management, and follow-up. The Government should provide an enabling environment for surveillance, notification, and research of this global infection. Since the clinical presentation of Mpox is regularly changing, a regular review of the available guidelines is recommended.

摘要

猴痘是一种由正痘病毒引起的皮肤和黏膜感染,与天花病毒同属一个病毒家族。感染主要影响皮肤,但眼睛、肺部、大脑、胃肠道和其他器官也可能不同程度地受到累及。这篇关于猴痘的系统及皮肤影响的叙述性综述是为医护人员、社会服务提供者、社区领袖、宗教领袖、学校工作人员、有影响力的人士及机构撰写的。目的是使他们了解猴痘诊断、管理及预防传播所涉及的临床方案。本综述中使用的数据和其他信息来源于PubMed、谷歌学术以及尼日利亚疾病控制中心(NCDC)、世界卫生组织(WHO)和疾病控制与预防中心(CDC)网站上的情况报告。检索日期为1980年至2022年5月。发现及时识别和诊断基于高度的临床怀疑指数,而诊断可通过病毒DNA聚合酶链反应检测来确认。猴痘的管理涉及多学科方法,皮肤科医生与其他专家共同发挥核心作用,因为这涉及到诊断、管理及随访。政府应为这种全球感染的监测、通报及研究提供有利环境。鉴于猴痘的临床表现不断变化,建议定期对现有指南进行审查。

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引用本文的文献

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Atypical presentation of mpox in Irrua environs: a case report.
J Med Case Rep. 2023 Nov 26;17(1):492. doi: 10.1186/s13256-023-04225-0.

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