Combatting infectious diarrhea: innovations in treatment and vaccination strategies.

IF 5.5 3区 医学 Q1 IMMUNOLOGY Expert Review of Vaccines Pub Date : 2024-01-01 Epub Date: 2024-02-19 DOI:10.1080/14760584.2023.2295015
Vivek P Chavda, Suneetha Vuppu, Toshika Mishra, Sathvika Kamaraj, Nikita Sharma, Swati Punetha, Anand Sairam, Dixa Vaghela, Narges Dargahi, Vasso Apostolopoulos
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Abstract

Introduction: The escalating prevalence of infectious diseases is an important cause of concern in society. Particularly in several developing countries, infectious diarrhea poses a major problem, with a high fatality rate, especially among young children. The condition is divided into four classes, namely, acute diarrhea, invasive diarrhea, acute bloody diarrhea, and chronic diarrhea. Various pathogenic agents, such as bacteria, viruses, protozoans, and helminths, contribute to the onset of this condition.

Areas covered: The review discusses the scenario of infectious diarrhea, the prevalent types, as well as approaches to management including preventive, therapeutic, and vaccination strategies. The vaccination techniques are extensively discussed including the available vaccines, their advantages as well as limitations.

Expert opinion: There are several approaches available to develop new-improved vaccines. In addition, route of immunization is important and aerosols/nasal sprays, oral route, skin patches, powders, and liquid jets to minimize needles can be used. Plant-based vaccines, such as rice, might save packing and refrigeration costs by being long-lasting, non-refrigerable, and immunogenic. Future research should utilize predetermined PCR testing intervals and symptom monitoring to identify persistent pathogens after therapy and symptom remission.

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防治传染性腹泻:治疗和疫苗接种策略的创新。
导言:传染病发病率的不断上升是社会关注的一个重要问题。特别是在一些发展中国家,感染性腹泻是一个主要问题,死亡率很高,尤其是在幼儿中。这种疾病分为四类,即急性腹泻、侵袭性腹泻、急性血性腹泻和慢性腹泻。细菌、病毒、原生动物和蠕虫等各种病原体都是导致这种疾病发生的原因:综述讨论了感染性腹泻的发病情况、流行类型以及治疗方法,包括预防、治疗和疫苗接种策略。还广泛讨论了疫苗接种技术,包括现有疫苗、其优势和局限性:有几种方法可用于开发新的改良疫苗。此外,免疫途径也很重要,可使用气雾剂/鼻腔喷雾剂、口服途径、皮肤贴剂、粉剂和液体喷射器,以尽量减少针头。以大米等植物为原料的疫苗可能因其持久性、非冷藏性和免疫原性而节省包装和冷藏成本。未来的研究应利用预定的 PCR 检测时间间隔和症状监测来确定治疗和症状缓解后的持续病原体。
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来源期刊
Expert Review of Vaccines
Expert Review of Vaccines 医学-免疫学
CiteScore
9.10
自引率
3.20%
发文量
136
审稿时长
4-8 weeks
期刊介绍: Expert Review of Vaccines (ISSN 1476-0584) provides expert commentary on the development, application, and clinical effectiveness of new vaccines. Coverage includes vaccine technology, vaccine adjuvants, prophylactic vaccines, therapeutic vaccines, AIDS vaccines and vaccines for defence against bioterrorism. All articles are subject to rigorous peer-review. The vaccine field has been transformed by recent technological advances, but there remain many challenges in the delivery of cost-effective, safe vaccines. Expert Review of Vaccines facilitates decision making to drive forward this exciting field.
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