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克里米亚-刚果出血热(CCHF):当前及未来的治疗手段

Crimean-Congo haemorrhagic fever (CCHF): present and future therapeutic armamentarium.

作者信息

Di Bella Stefano, Babich Stella, Luzzati Roberto, Cavasio Rosario Alessandro, Massa Barbara, Braccialarghe Neva, Zerbato Verena, Iannetta Marco

机构信息

Clinical Department of Medical, Surgical and Health Sciences, Trieste University, Trieste, Italy.

Infectious Diseases Unit, Trieste University Hospital, Trieste, Italy.

出版信息

Infez Med. 2024 Dec 1;32(4):421-433. doi: 10.53854/liim-3204-2. eCollection 2024.

Abstract

Crimean-Congo haemorrhagic fever (CCHF) is an emerging severe tick-borne illness. The expanding habitat of ticks, coupled with migratory birds harbouring CCHF-infected ticks, contributes to an increasing number of potential hosts. The seroprevalence of anti-CCHF virus antibodies in livestock is approximately one-quarter, with a noticeable upward trend in recent years. The management of CCHF patients predominantly relies on supportive therapy, although a potential arsenal of antivirals, convalescent and hyperimmune plasma, monoclonal antibodies, and vaccines exists, both currently and in the future. This review aims to critically examine the current therapeutic approaches to managing CCHF, highlighting both the potential and limitations of existing treatments, and identifying future directions for improving patient outcomes.

摘要

克里米亚-刚果出血热(CCHF)是一种新出现的严重蜱传疾病。蜱虫栖息地的扩大,加上携带感染CCHF蜱虫的候鸟,导致潜在宿主数量不断增加。家畜中抗CCHF病毒抗体的血清阳性率约为四分之一,且近年来呈明显上升趋势。CCHF患者的治疗主要依靠支持性治疗,尽管目前和未来都有一系列潜在的抗病毒药物、恢复期和超免疫血浆、单克隆抗体及疫苗。本综述旨在严格审视目前治疗CCHF的方法,突出现有治疗方法的潜力和局限性,并确定改善患者预后的未来方向。

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