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先天性风疹综合征:病例系列

Congenital rubella syndrome, a case series.

作者信息

Medu Olanrewaju, Mahajan Priyanka, Hennink Maurice, Stang Laurel, Anderson Maureen, Tan Ben, Oyenubi Abimbola, Plamondon Mireille, Salvadori Marina I, Franklin Kristyn, Primeau Courtney, Hiebert Joanne, Minion Jessica, Diener Tania

机构信息

Saskatchewan Health Authority, Public Health and Preventive Medicine, Regina, SK.

Community Health and Epidemiology, University of Saskatchewan, Saskatoon, SK.

出版信息

Can Commun Dis Rep. 2024 Jul 24;50(7-8):274-281. doi: 10.14745/ccdr.v50i78a05. eCollection 2024 Jul-Aug.

Abstract

Rubella, or German measles, is a vaccine-preventable disease. Rubella infection is usually mild; however, infection in pregnancy is associated with severe outcomes for the baby, including pregnancy loss or a combination of developmental defects called congenital rubella syndrome. Within the last ten-year period, two cases of congenital rubella syndrome in Saskatchewan were reported to the provincial ministry and the Public Health Agency of Canada of the newborns of mothers who had recently arrived from Sub-Saharan Africa. Both infants had multiple health complications at birth consistent with congenital rubella and tested positive for the rubella virus. The article discusses the challenges encountered by the healthcare system in diagnosing, investigating, monitoring and managing cases of congenital rubella syndrome to prevent further sporadic transmission. The article emphasizes the need to provide additional support for cases and their households, especially new Canadians with less support to comply with public health advice and the importance of routine immunization to eliminate rubella globally.

摘要

风疹,又称德国麻疹,是一种可用疫苗预防的疾病。风疹感染通常症状较轻;然而,孕期感染会给婴儿带来严重后果,包括流产或一系列称为先天性风疹综合征的发育缺陷。在过去十年间,萨斯喀彻温省向省级部门和加拿大公共卫生局报告了两例先天性风疹综合征病例,患病新生儿的母亲最近刚从撒哈拉以南非洲抵达。两名婴儿出生时都有多种与先天性风疹相符的健康并发症,风疹病毒检测呈阳性。本文讨论了医疗系统在诊断、调查、监测和管理先天性风疹综合征病例以防止进一步散发传播方面遇到的挑战。文章强调需要为病例及其家庭提供更多支持,尤其是对那些缺乏支持来遵守公共卫生建议的新加拿大人,并强调了常规免疫在全球消除风疹方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8da3/11323722/ff69822a2e43/507805-f1.jpg

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