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伊拉克克里米亚-刚果出血热的回顾性研究。

A retrospective study of Crimean-Congo hemorrhagic fever in Iraq.

机构信息

Communicable Diseases Control Center, Zoonotic Diseases section, Baghdad, Iraq.

College of Veterinary Medicine, AL-Muthanna University, Samawah, Iraq.

出版信息

Afr Health Sci. 2024 Mar;24(1):59-68. doi: 10.4314/ahs.v24i1.8.

Abstract

BACKGROUND

CCHF is transmitted via ticks biting and directly by contact with tissue or blood of infected patients or viremic animals. This study intends to determine the occurrence of CCHF in Iraq between 2015 and 2019.

METHODS

This study was designed as a retrospective and descriptive cross-sectional study. It was approved the occurrence of CCHF in Iraq with relation to some epidemiological and demographic data reported in the Iraqi Communicable Diseases Control Center (CDC)/zoonotic diseases section between 2015-2019.

RESULTS

Out of 206 suspected cases, only 17 were diagnosed as CCHF with a total fatality ratio of 52%, 25%, and 80% in 2015 and 2018 respectively. However, no mortality was reported during 2016, 2017, and 2019. The mean age of the patients was 33 years± 18 SD, in males mainly (76%). Moreover, the risk groups were 29 %, 23 %, 18 % 12 %, and 6 % for butchers, animal dealers, gainers, both housewives and students and children respectively.

CONCLUSION

Strict precautions and precise surveillance should be implemented to control the disease and protect the community by improving the diagnosis and treatment of CCHF. The authors recommend another future study to detect the genotyping and sequencing of CCHFV in Iraq.

摘要

背景

克里米亚-刚果出血热(CCHF)通过蜱叮咬以及直接接触受感染患者或带病毒动物的组织或血液传播。本研究旨在确定 2015 年至 2019 年期间伊拉克克里米亚-刚果出血热的发病情况。

方法

本研究设计为回顾性和描述性的横断面研究。研究获得批准,认为 2015-2019 年间伊拉克传染病控制中心(CDC)/人畜共患病部门报告的一些流行病学和人口统计学数据与伊拉克克里米亚-刚果出血热的发生有关。

结果

在 206 例疑似病例中,仅 17 例被诊断为克里米亚-刚果出血热,总病死率分别为 2015 年和 2018 年的 52%、25%和 80%。然而,2016 年、2017 年和 2019 年均未报告死亡。患者的平均年龄为 33 岁±18 岁,主要为男性(76%)。此外,风险人群分别为屠夫 29%、动物贩子 23%、养殖户 18%、家庭主妇和学生 12%、儿童 6%。

结论

应采取严格的预防措施和精确的监测,通过提高克里米亚-刚果出血热的诊断和治疗水平来控制疾病并保护社区。作者建议进行另一项未来研究,以检测伊拉克克里米亚-刚果出血热病毒的基因分型和测序。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bf4/11217854/e27caaea52b1/AFHS2401-0059Fig1.jpg

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