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猴痘的再度流行:天花根除后时代的流行病学、临床特征及公共卫生影响

The resurgence of monkeypox: Epidemiology, clinical features, and public health implications in the post-smallpox eradication era.

作者信息

Singh Parminder, Sridhar Sathvik Belagodu, Shareef Javedh, Talath Sirajunisa, Mohapatra Priyanka, Khatib Mahalaqua Nazli, Ballal Suhas, Kaur Mandeep, Nathiya Deepak, Sharma Shilpa, Siva Prasad G V, Sinha Aashna, Varma Amit, Bushi Ganesh, Gaidhane Abhay M, Satapathy Prakasini, Shabil Muhammed, Sah Renu, Al-Tawfiq Jaffar A, Sah Ranjit, Rodriguez-Morales Alfonso J

机构信息

Evidence for Policy and Learning, Global Center for Evidence Synthesis, Chandigarh, India.

RAK College of Pharmacy, RAK Medical & Health Sciences University, Ras Al Khaimah, 11172, United Arab Emirates.

出版信息

New Microbes New Infect. 2024 Sep 24;62:101487. doi: 10.1016/j.nmni.2024.101487. eCollection 2024 Dec.

Abstract

The recent global resurgence of Mpox (formerly monkeypox), primarily transmitted via close contact and respiratory droplets, highlights a significant shift in its epidemiology, particularly among men who have sex with men (MSM). This resurgence underscores the need for robust public health responses and improved surveillance. This comprehensive review of current literature focuses on recent outbreaks, virology, and available treatments. Epidemiological data were gathered from various international health reports and analysed to understand transmission dynamics and outbreak patterns. Mpox, characterised by symptoms like fever and rash, has shown variable clinical presentations, particularly among immunocompromised individuals. Recent outbreaks have prompted the development of new diagnostic methods and treatments, including antivirals like Tecovirimat and vaccines such as MVA-BN. Studies have demonstrated the effectiveness of these vaccines in preventing infection, which is crucial for outbreak containment. The global response to the Mpox resurgence requires integrated strategies combining vaccination, antiviral treatments, and public health policies tailored to high-risk populations. Future efforts should focus on vaccine distribution equity and enhancing diagnostic capabilities to effectively manage and mitigate the impact of Mpox.

摘要

近期,猴痘(原称猴天花)在全球范围内再度流行,主要通过密切接触和呼吸道飞沫传播,这凸显了其流行病学特征的显著变化,尤其是在男男性行为者(MSM)中。此次疫情的再度出现强调了采取有力公共卫生应对措施和加强监测的必要性。这篇对当前文献的全面综述聚焦于近期的疫情爆发、病毒学以及可用的治疗方法。从各种国际卫生报告中收集流行病学数据并进行分析,以了解传播动态和疫情模式。猴痘以发热和皮疹等症状为特征,临床表现多样,在免疫功能低下的个体中尤为明显。近期的疫情促使了新诊断方法和治疗方法的发展,包括特考韦瑞玛等抗病毒药物以及MVA-BN等疫苗。研究已证明这些疫苗在预防感染方面的有效性,这对于控制疫情至关重要。全球对猴痘疫情的应对需要综合策略,将疫苗接种、抗病毒治疗以及针对高危人群的公共卫生政策结合起来。未来的工作应聚焦于疫苗分配公平性以及提高诊断能力,以有效管理和减轻猴痘的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a18/11488443/7ea762d9ea73/gr1.jpg

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