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猴痘综述:生物学特性、流行病学、临床特征、诊断、治疗及预防策略

A review of Mpox: Biological characteristics, epidemiology, clinical features, diagnosis, treatment, and prevention strategies.

作者信息

Jiang Lin, Xu Ailan, Guan Lin, Tang Yong, Chai Guangshuai, Feng Junya, Wu Yueqi, Li Maochen, Zhang Chuxie, Liu Xiaojing, Xu Xiaolong, Liu Qingquan, Song Lihua, Tong Yigang, Blundell Renald, Fan Huahao

机构信息

College of Life Science and Technology Beijing University of Chemical Technology Beijing China.

Department of Respiratory and Critical Care Medicine Qianfo Mountain Hospital of Shandong University Jinan Shandong China.

出版信息

Exploration (Beijing). 2024 Oct 8;5(2):20230112. doi: 10.1002/EXP.20230112. eCollection 2025 Apr.

Abstract

The outbreak of monkeypox virus (MPXV) was declared a Public Health Emergency of International Concern (PHEIC) by the World Health Organization (WHO), and the zoonotic disease caused by viral infection was renamed as "Mpox" on November 28, 2022. Currently, there is no approved vaccine or specific antiviral treatment for Mpox, and a main preventive strategy against MPXV infection remains the smallpox vaccine. Although there was an emergency use authorization (EUA) of Brincidofovir and Tecovirimat for the clinical treatment of clade II Mpox, while Tecovirimat failed to reduce the duration of Mpox lesions among patients infected with clade I Mpox in the Democratic Republic of the Congo (DRC). Therefore, it is still an urgent need to develop an effective medication. This review aims to enhance the understanding of Mpox and contribute to its prevention and treatment strategies, it provides a systemic introduction of the biological and epidemiological characteristics of MPXV, the clinical feature and diagnosis of Mpox, as well as treatment and prevention strategies, which will improve the comprehension about MPXV and offer potential strategies for clinical treatment.

摘要

猴痘病毒(MPXV)的爆发被世界卫生组织(WHO)宣布为国际关注的突发公共卫生事件(PHEIC),这种由病毒感染引起的人畜共患病于2022年11月28日更名为“猴痘”。目前,尚无获批的猴痘疫苗或特异性抗病毒治疗方法,预防MPXV感染的主要策略仍然是天花疫苗。尽管布林西多福韦和特考韦瑞玛已获得紧急使用授权(EUA)用于II型猴痘的临床治疗,但在刚果民主共和国(DRC),特考韦瑞玛未能缩短I型猴痘感染患者的猴痘皮损持续时间。因此,开发一种有效的药物仍然迫在眉睫。本综述旨在增进对猴痘的了解并为其预防和治疗策略做出贡献,它系统介绍了MPXV的生物学和流行病学特征、猴痘的临床特征和诊断,以及治疗和预防策略,这将提高对MPXV的理解并为临床治疗提供潜在策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cd5/12087419/b02a8df1fd32/EXP2-5-20230112-g022.jpg

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