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Drug-disease interactions of differentially expressed genes in COVID-19 liver samples: an in-silico analysis COVID-19肝脏样本中差异表达基因的药物-疾病相互作用:一项计算机分析
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-11-29 DOI: 10.22209/ic.v62n4a03
Susan Omar Rasool, Ata Mirzaei Nahr, Sania Eskandari, Milad Hosseinzadeh, Soheila Asoudeh Moghanloo, F. Ebrahimzadeh
While COVID-19 liver injuries have been reported in various studies, concerns are raised about disease-drug reactions in COVID-19 patients. In this study, we examined the hypothesis of gene-disease interactions in an in-silico model of gene expression to seek changes in cytochrome P450 genes. The Gene Expression Omnibus dataset of the liver autopsy in deceased COVID-19 patients (GSE150316) was used in this study. Non-alcoholic fatty liver biopsies were used as the control (GSE167523). Besides, gene expression analysis was performed using the DESeq/EdgeR method. The GO databases were used, and the paths were set at p<0.05. The drug-gene interaction database (DGIdb) was searched for interactions. According to the results, 5,147 genes were downregulated, and 5,122 genes were upregulated in SARS-CoV-2 compared to healthy livers. Compared to the cytochromes, 34 cytochromes were downregulated, while 4 cytochromes were upregulated among the detected differentially expressed genes (DEG). The drug-gene interaction database (DGIdb) provided a list of medications with potential interactions with COVID-19 as well as metacetamol, phenethyl isocyanate, amodiaquine, spironolactone, amiloride, acenocoumarol, clopidogrel, phenprocoumon, trimipramine, phenazepam, etc. Besides, dietary compounds of isoflavones, valerian, and coumarin, as well as caffeine metabolism were shown to have possible interactions with COVID-19 disease. Our study showed that expression levels of cytochrome P450 genes could get altered following COVID-19. In addition, a drug-disease interaction list is recommended to be used for evaluations in clinical considerations in further studies.
虽然各种研究都报道了COVID-19肝损伤,但人们对COVID-19患者的疾病-药物反应提出了担忧。在这项研究中,我们在基因表达的计算机模型中检验了基因与疾病相互作用的假设,以寻求细胞色素P450基因的变化。本研究使用死亡COVID-19患者肝脏尸检基因表达综合数据集(GSE150316)。非酒精性脂肪肝活检作为对照(GSE167523)。此外,采用DESeq/EdgeR方法进行基因表达分析。采用GO数据库,路径设置为p<0.05。检索药物-基因相互作用数据库(DGIdb)查找相互作用。结果显示,与健康肝脏相比,SARS-CoV-2中有5147个基因下调,5122个基因上调。与细胞色素相比,在检测到的差异表达基因(DEG)中,34个细胞色素下调,4个细胞色素上调。药物-基因相互作用数据库(DGIdb)提供了与COVID-19可能相互作用的药物清单,以及metacetamol、phenethyl异氰酸酯、amodiaquine、螺内酯、amiloride、阿塞诺可豆醇、clopidogrel、phenprocoumon、trimipramine、phenazepan等药物。此外,异黄酮、缬草和香豆素的膳食化合物以及咖啡因代谢被证明可能与COVID-19疾病相互作用。我们的研究表明,细胞色素P450基因的表达水平可能在COVID-19后发生改变。此外,建议在进一步的研究中,将药物-疾病相互作用清单用于临床评估。
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引用次数: 1
Publicaciones científicas sobre COVID-19 ¿La evidencia presentada es de alta calidad? 关于新型冠状病毒的科学出版物所提供的证据是高质量的吗?
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-09-02 DOI: 10.22209/ic.v62n3a00
G. Vizcaíno
Editorial
社论
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引用次数: 0
Chlamydia trachomatis. Co-factor or factor in cancer of the cervix? 沙眼衣原体。子宫颈癌的辅助因素还是因素?
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-09-02 DOI: 10.22209/IC.V62N3A06
José Núñez Troconis
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引用次数: 0
Estudio epidemiológico de histoplasmosis, paracoccidioidomicosis y criptococosis en una zona urbana de Ciudad Guayana, estado Bolívar, Venezuela 委内瑞拉玻利瓦尔州瓜亚那市城市地区组织胞浆菌病、副球孢子菌病和隐球菌病的流行病学研究
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-09-02 DOI: 10.22209/ic.v62n3a01
J. R. Cermeño, Ernesto Alayo, J. J. Cermeño, Alfredo Calzadilla, A. Rodríguez, Salvador Penna
Se realizó un estudio prospectivo con el objetivo de determinar la prevalencia de infecciones por Histoplasma capsulatum, Complejo Paracoccidioides spp. y Complejo Cryptoccocus en individuos que viven o trabajan en la Plaza de las Ciencias del Sur, Puerto Ordaz, en el estado Bolívar, Venezuela, donde se refugian aves migratorias. Se aplicó una encuesta clínico-epidemiológica y se administraron pruebas intradérmicas de histoplasmina y paracoccidiodina, a todos los sujetos participantes en el estudio. A aquellos individuos sintomáticos respiratorios crónicos, se les realizó una evaluación clínica, radiológica, cultivo micológico y estudio serológico (anticuerpos específicos para Histoplasma capsulatum, Complejo Paracoccidioides spp. y del antígeno capsular del Complejo Cryptococcus spp.). Se aplicaron 632 pruebas intradérmicas a 316 individuos. De estos, sólo 296 (93,7%) acudieron a la lectura de las pruebas. Los sujetos tenían una media de edad de 40,3 años (rango: 7-76 años). Las manifestaciones clínicas más frecuentes fueron: tos (n=49; 16,5%), expectoración (n=17; 5,7%) y fiebre (n=8; 2,7%). La prueba para la histoplasmina fue positiva en el 47,3% (n=140) y a la paracoccidioidina, en el 32,4% (n=96). Los factores de riesgos fueron: contacto con palomas 30,4% (n=90) y visitas a fincas con gallineros 29,1% (n=86). Se identificaron dos casos de paracoccidioidomicosis pulmonar (0,7%) y un caso (0,3%) de criptococosis pulmonar. La elevada prevalencia de infección por Histoplasma capsulatum (47,3%) y Paracoccidioides spp. (32,4%) en ambientes urbanos del estado Bolívar, demuestra la necesidad de promover la búsqueda activa de estos hongos patógenos en quienes tienen síntomas respiratorios crónicos, que no mejoran con terapia antibacteriana y que habitan en zonas con características ambientales y geográficas, propicias para el desarrollo de estos hongos.
前瞻性地进行了一项研究,目的是确定感染患病率Histoplasma capsulatum Paracoccidioides)以及复杂复杂,Cryptoccocus在个人生活或工作在南广场科学Ordaz端口,委内瑞拉的玻利瓦尔州,未候鸟。我们对所有参与研究的受试者进行了临床流行病学调查,并进行了组织胞浆蛋白和副球虫定皮内检测。对有慢性呼吸道症状的患者进行临床和放射学评估、真菌学培养和血清学研究(荚膜组织原体特异性抗体、副球虫复合物和荚膜隐球菌复合物抗原)。对316例患者进行了632次皮内试验。其中,只有296人(93.7%)参加了测试阅读。受试者平均年龄40.3岁(范围:7-76岁)。最常见的临床表现为:咳嗽(n=49;16.5%)、痰(n=17;5.7%)和发热(n=8;2.7%)。组织胞浆蛋白检测阳性47.3% (n=140),副球虫定检测阳性32.4% (n=96)。本研究的目的是确定与鸽子接触的危险因素:30.4% (n=90)和29.1% (n=86)。在本研究中,我们评估了两种类型的肺隐球菌病,一种是肺副球孢子菌病,另一种是肺隐球菌病。感染发生率较高Histoplasma capsulatum(47,3%)和Paracoccidioides spp .(32.4%)城市环境中的bolivar,表明有必要积极促进这些真菌病原体在慢性呼吸道症状,不能改善患者治疗感染性和居住的地区为发展创造有利的环境和地理特征,这些蘑菇。
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引用次数: 0
Hemorrhoidal artery ligation without using a doppler guide: Is it a feasible and safe technique? 不使用多普勒导管结扎痔疮动脉:这是一种可行且安全的技术吗?
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-09-02 DOI: 10.22209/ic.v62n3a04
M. Degerli, Doğan Yıldırım, M. Cakir, O. Akturk, Orçun Alpay, Alp Omer Canturk, O. F. Kandaz, M. Akıncı
The objective of this work was to analyze the results of the hemorrhoidal artery ligation technique without using a doppler guide, in patients with grade 3 hemorrhoidal disease; by evaluating cost-effectiveness, operation time, recurrence rate, postoperative pain, and secondary outcomes. A hemorrhoidal artery ligation procedure, without using a doppler guide, was performed on 43 patients (15 females, 28 males) with grade 3 symptomatic hemorrhoidal disease, from June 2015 to June 2019, in the Haseki Training and Research Hospital, Istanbul, Turkey. Patients were followed up clinically for one month. They completed a questionnaire within one year after their procedure. The median age was 46 years (range: 24 to 82 years). The main complaints were bleeding in 27 patients, pain in 22 patients, and skin tag in 14 patients. The mean preoperative VAS score was 3.4. The mean operating time was 18 mins (range: 13 to 25 min). All patients remained hospitalized for 24 h. Reoperation was necessary for only one patient because of bleeding. One year after the surgery, the pain was resolved in 21 (95.4%) out of 22 patients with preoperative pain, and bleeding resolved in 25 (92.5%) out of 27 patients with preoperative bleeding. The hemorrhoidal artery ligation is a simple method with a shorter learning curve producing similar postoperative results to other surgical procedures. The surgical technique is cost-effective as it does not require any particular device (anoscope with Doppler ultrasound) to apply.
这项工作的目的是分析在不使用多普勒引导的情况下,对3级痔疮患者进行痔疮动脉结扎术的结果;通过评估成本效益、手术时间、复发率、术后疼痛和次要结果。2015年6月至2019年6月,在土耳其伊斯坦布尔Haseki培训研究医院对43名患有3级症状性痔疮的患者(15名女性,28名男性)进行了不使用多普勒指南的痔疮动脉结扎手术。对患者进行了一个月的临床随访。他们在手术后一年内完成了问卷调查。中位年龄为46岁(范围:24-82岁)。主要主诉为出血27例,疼痛22例,皮肤标签14例。平均术前VAS评分为3.4。平均操作时间为18分钟(范围:13至25分钟)。所有患者住院24小时。只有一名患者因出血需要再次手术。术后一年,22例术前疼痛患者中有21例(95.4%)疼痛得到缓解,27例术前出血患者中有25例(92.5%)出血得到缓解。痔动脉结扎是一种简单的方法,学习曲线较短,术后效果与其他外科手术相似。该手术技术具有成本效益,因为它不需要任何特定的设备(带多普勒超声的肛门镜)来应用。
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引用次数: 0
The landscape of diabetic foot in Peru 秘鲁糖尿病足的景观
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-09-02 DOI: 10.22209/ic.v62n3a07
Ericka Saravia-Hernández, J. Salvador-Carrillo, Alejandra Zevallos, Jorge Calderón-Ticona
Diabetic foot (DF) is one of the main complications responsible for the significant deterioration of the quality of life in diabetic patients, particularly, in developing countries. In Peru, 18.9% of diabetic inpatients present DF and 61% develop a foot sepsis. Therefore, the burden of DF is considerable in the country. In this work, we summarize the current scientific evidence of DF in the Peruvian population describing its epidemiology, risk factors, increase of time of hospitalization, bacterial resistance, rate of amputations, and the theoretical medical costs for disease management. According to the reviewed literature, we suggest that more local research should be conducted to better understand the impact of the DF on the Peruvian population.
糖尿病足(DF)是导致糖尿病患者生活质量显著恶化的主要并发症之一,尤其是在发展中国家。在秘鲁,18.9%的糖尿病住院患者出现DF,61%的患者出现足部败血症。因此,DF在该国的负担相当大。在这项工作中,我们总结了目前秘鲁人群中DF的科学证据,描述了其流行病学、风险因素、住院时间的增加、细菌耐药性、截肢率以及疾病管理的理论医疗成本。根据回顾的文献,我们建议进行更多的地方研究,以更好地了解DF对秘鲁人口的影响。
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引用次数: 0
Exactitud de pruebas clínicas para verificar la adecuada colocación del catéter venoso central en Urgencias 临床试验验证急诊中心静脉导管正确放置的准确性
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-09-02 DOI: 10.22209/ic.v62n3a03
Jorge Ayón-Aguilar, Norberto Martínez-Luna, Fernando Fernández-Lucas, S. Méndez-Martínez, Patricia Seefoó-Jarquín
La utilidad del catéter venoso central (CVC) depende de su adecuada colocación y la radiografía de tórax es el estándar de oro para corroborarla. Para este fin se utilizan pruebas clínicas. El objetivo del presente estudio fue determinar la sensibilidad, especificidad y valores predictivos de cinco pruebas clínicas, para verificar la adecuada colocación del CVC, por lo que se realizó un estudio en 128 pacientes ingresados al servicio de Urgencias, con necesidad de colocación de CVC; se realizaron cinco pruebas clínicas: determinación de arritmias (Ar), retorno venoso (RV), oscilación de presión venosa central (OPVC), medición externa (ME) y gasometría venosa central (GVC); la posición del catéter se corroboró con radiografía de tórax. El 97% presentó adecuada colocación del CVC en la radiografía de tórax; los resultados de sensibilidad (Se), especificidad (Sp), valores predictivos positivo (VPP) y negativo (VPN) de las pruebas fueron: Ar: 59,6%, 50%, 97,3% y 3,8%; RV: 100%, 0%, 96,8% y 0%; OPVC: 99,1%, 25%, 97,6% y 50%; ME: 100%, 0%, 96,8% y 0%; GVC: 96,7%, 0%, 96,7% y 0%, respectivamente. Concluimos que si las pruebas clínicas OPVC, Ar y RV resultan positivas, por sus altos valores de sensibilidad y valor predictivo positivo, podrían sustituir la necesidad de realizar una radiografía de tórax inmediata y no retrasar el uso del CVC, siempre y cuando no se sospechen complicaciones secundarias tempranas a la colocación del mismo.
中心静脉导管(CVC)的用途取决于其适当的位置,胸部x线片是证实这一点的黄金标准。临床试验用于此目的。本研究的目的是确定5项临床试验的敏感性、特异性和预测值,以验证CVC的适当放置,因此对128例需要CVC放置的急诊患者进行了研究;进行了五项临床试验:心律失常(ra)、静脉回流(RV)、中心静脉压振荡(cpvo)、外部测量(ME)和中心静脉血气测定(GVC);胸片证实了导管的位置。97%的患者在胸部x线片上有合适的CVC位置;敏感性(Se)、特异性(Sp)、阳性预测值(ppv)和阴性预测值(npv)分别为:ra: 59.6%、50%、97.3%和3.8%;RV: 100%、0%、96.8%、0%;OPVC: 99.1%、25%、97.6%、50%;ME: 100%、0%、96.8%、0%;GVC分别为96.7%、0%、96.7%和0%。我们发现,如果临床试验OPVC, Ar和RV受到积极的崇高价值的敏感性和阳性预测值,可能取代需要立即进行胸透和不使用CVC,只要不是他们可疑继发性并发症早期位置相同。
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引用次数: 0
Detección de anticuerpos contra Histoplasma capsulatum, complejo Paracoccidioides y complejo Sporothrix schenckii en Canis familiaris, mediante la prueba de inmunodifusión en gel de agarosa. municipio Caroní, estado Bolívar, Venezuela 用琼脂糖凝胶免疫扩散试验检测家犬胶囊组织胞浆菌、副球虫复合物和申克孢子丝菌复合物的抗体。委内瑞拉玻利瓦尔州卡罗尼市
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-09-02 DOI: 10.22209/ic.v62n3a02
J. R. Cermeño, J. Ortiz, A. K. Quintero
Los hongos dimórficos, Histoplasma capsulatum, complejo Paracoccidioides spp. y complejo Sporothrix schenckii son los agentes causales de la histoplasmosis, paracoccidioidomicosis y esporotricosis, respectivamente. El objetivo de este estudio fue evaluar la presencia de anticuerpos contra H. capsulatum, complejo Paracoccidioides spp. y complejo Sporothrix schenckii en perros domésticos (Canis familiaris) del municipio Caroní, estado Bolívar, Venezuela. Se realizó un estudio prospectivo, descriptivo y transversal. Se recolectaron al azar 200 muestras de suero de igual número de perros pertenecientes a 10 localidades del municipio Caroní. Mediante la técnica de inmunodifusión en gel de agarosa, se buscaron anticuerpos específicos contra antígenos de H. capsulatum, complejo Paracoccidioides spp. y complejo Sporothrix schenckii. El 9,0% (n=18) de los caninos estudiados mostraron anticuerpos contra H. capsulatum, 7,0% (n=14) contra Paracoccidioides spp., 1,0% (n=2) para ambos hongos y 1,5% (n=3) para complejo Sporothrix schenckii; siendo ubicados, la mayoría de estos, en las localidades de San Félix y Unare. La detección de anticuerpos específicos contra Histoplasma capsulatum, complejo Paracoccidioides spp. y complejo S. schenckii en los perros, sugiere que estos agentes están presentes en el municipio Caroní. Probablemente, los humanos que habitan esta zona tengan una exposición similar a estos hongos y por tanto, el diagnóstico de las condiciones causadas por estos agentes debe ser considerado en esta área geográfica.
二聚体真菌、荚膜组织胞浆菌、副球虫复合物和申克孢子丝菌复合物分别是组织胞浆菌病、副球虫病和孢子丝菌病的病原体。这项研究的目的是评估委内瑞拉玻利瓦尔州卡罗尼市家犬(熟悉犬)中是否存在针对胶囊H.的抗体、副球菌复合物SPP.和Sporothrix Schenckii复合物。进行了一项前瞻性、描述性和横断面研究。随机从卡罗尼亚市10个地点的同等数量的狗身上采集了200份血清样本。通过琼脂糖凝胶免疫扩散技术,寻找针对荚膜梭菌、副球虫复合物和申克孢子丝菌复合物抗原的特异性抗体。9.0%(n=18)的研究犬表现出对胶囊状芽孢杆菌的抗体,7.0%(n=14)对副球虫属,1.0%(n=2)对两种真菌,1.5%(n=3)对申克孢子丝菌复合体;其中大多数位于圣费利克斯和乌纳雷镇。在狗身上检测到针对胶囊组织胞浆菌、副球虫属复合物和S.Schenckii复合物的特异性抗体,表明这些药物存在于卡罗尼亚市。居住在该地区的人类可能会接触到类似的真菌,因此,必须在该地理区域考虑诊断这些病原体引起的条件。
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引用次数: 0
Hepatocyte Nuclear Factor -1α stimulates cervical cancer cells to migrate and invade through regulating pyruvate kinase L/R 肝细胞核因子-1α通过调节丙酮酸激酶L/R刺激宫颈癌细胞迁移和侵袭
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-09-02 DOI: 10.22209/ic.v62n3a05
Xiao-ling Tao, Wei-chang Yu, Dejun Chen, Liming Wang, Lu Liu, Q. Xing
This study was aimed to analyze the role of hepatocyte nuclear factor -1α (HNF-1α) in regulating migrative and invasive potentials in cervical cancer via the involvement of pyruvate kinase L/R (PKLR). The expression of HNF-1α and PKLR in cervical cancer tissues classified by tumor size and FIGO (Federation International of Gynecology and Obstetrics) stage were detected by qRT-PCR. The expression correlation between HNF-1α and PKLR in cervical cancer tissues was analyzed by Pearson correlation test. After intervening HNF-1α and PKLR levels in SiHa and Hela cells, their migratory and invasive abilities were examined by the Transwell assay. HNF-1α was upregulated in cervical cancer tissues, particularly those with large tumor size or advanced FIGO stage. PKLR was highly expressed in cervical cancer tissues as well, presenting a positive correlation with the HNF-1α level. Knockdown of HNF-1α attenuated migratory and invasive abilities in SiHa cells, whereas overexpression of HNF-1α enhanced migratory and invasive abilities in SiHa cells. PKLR was able to abolish the regulatory effects of HNF-1α on cervical cancer metastasis. HNF-1α and PKLR synergistically promote cervical cancer to migrate and invade.
本研究旨在分析肝细胞核因子-1α(HNF-1α)通过参与丙酮酸激酶L/R(PKLR)调节宫颈癌症迁移和侵袭电位的作用。通过qRT-PCR检测按肿瘤大小和FIGO(国际妇产科联合会)分期分类的癌症组织中HNF-1α和PKLR的表达。应用Pearson相关检验分析HNF-1α和PKLR在癌症组织中的表达相关性。在干预SiHa和Hela细胞中的HNF-1α和PKLR水平后,通过Transwell测定检测其迁移和侵袭能力。HNF-1α在宫颈癌症组织中上调,特别是那些肿瘤大小较大或FIGO晚期的组织。PKLR在宫颈癌症组织中也高度表达,与HNF-1α水平呈正相关。敲低HNF-1α减弱了SiHa细胞的迁移和侵袭能力,而过表达HNF-1α则增强了SiHa的迁移和侵入能力。PKLR能够消除HNF-1α对宫颈癌症转移的调节作用。α和PKLR协同促进癌症转移和侵袭。
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引用次数: 0
SARS-CoV-2: Potential feco-oral transmission and implications on the spread and severity of COVID-19 in Venezuela. Mini-review SARS-CoV-2:潜在的经口传播及其对委内瑞拉COVID-19传播和严重程度的影响本文着重
IF 0.2 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-07-30 DOI: 10.22209/IC.v62s2a05
L. Chacin-Bonilla, N. Chacón
The recognized human-to-human transmission of SARS-CoV-2 is through respiratory droplets and contact with contaminated surfaces. However, the high transmissibility of the virus and the pattern of symptoms of COVID-19 suggest the likelihood of other forms of spread. Increasing evidence suggests that SARS‐CoV‐2 could be transmitted by the feco‐oral route. SARS-CoV-2 is known to infect gastrointestinal epithelial cells and a significant number of infected people have gastrointestinal symptoms. Viable viruses, viral RNA, and prolonged shedding of viral RNA have been detected in the feces of COVID-19 patients. The virus has been found in sewage and surface waters of several countries. The possible feco-oral transmission of SARS-CoV-2 could be significant in low-income countries. High poverty levels and the collapse of health and other public services might increase the risk of Venezuelans to suffer a more devastating impact from COVID-19 than other populations. In conclusion, the feco-oral transmission of SARS-CoV-2 has not been demonstrated. However, it is conceivable and the impact of COVID-19 could be high in low-income countries, especially in Venezuela due to its humanitarian crisis. The lack of information on the viability and infectivity of the virus in wastewaters and surface waters and the risk of transmission of the infection are important gaps in knowledge that deserve further investigation.
公认的严重急性呼吸系统综合征冠状病毒2型的人传人是通过呼吸道飞沫和接触受污染的表面。然而,该病毒的高传播性和新冠肺炎的症状模式表明,有可能出现其他形式的传播。越来越多的证据表明,严重急性呼吸系统综合征冠状病毒2型可能通过粪口途径传播。已知严重急性呼吸系统综合征冠状病毒2型会感染胃肠道上皮细胞,大量感染者有胃肠道症状。在新冠肺炎患者的粪便中检测到活病毒、病毒RNA和病毒RNA的长期脱落。该病毒已在几个国家的污水和地表水中发现。严重急性呼吸系统综合征冠状病毒2型可能通过粪口传播,这在低收入国家可能意义重大。高贫困水平以及卫生和其他公共服务的崩溃可能会增加委内瑞拉人比其他人口遭受新冠肺炎更具破坏性影响的风险。总之,严重急性呼吸系统综合征冠状病毒2型的粪口传播尚未得到证实。然而,这是可以想象的,新冠肺炎对低收入国家的影响可能很高,尤其是委内瑞拉的人道主义危机。缺乏关于病毒在废水和地表水中的生存能力和传染性以及感染传播风险的信息,是值得进一步调查的重要知识空白。
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引用次数: 1
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