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Persistence of West Nile Virus circulation in North-East region of India: A prospective facility-based study spanning over a decade. 印度东北部地区西尼罗河病毒传播的持续性:一项基于设施的前瞻性研究,历时十年。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-10-05 DOI: 10.4103/JVBD.JVBD_168_23
Siraj Ahmed Khan, Pritom Chowdhury, Anisha Shah, Himanshu Medhi, Parveena Choudhury, Purvita Chowdhury, Pramit Ghosh

Background objectives: To understand the distribution and presence of West Nile (WN) among the acute encephalitis syndrome (AES) patients, a prospective facility-based study was conducted over 13 years (2007-2019).

Methods: During the period, 8957 patients hospitalized with AES in northeastern India were tested for the evidence of WN virus infection by IgM ELISA followed by Plaque reduction neutralization test (PRNT).

Results: Of the samples tested 324 (3.62%) were found positive for WN IgM antibodies and 73 paired sera showed a fourfold rise in neutralizing antibody titre by PRNT. The study establishes WN as a noteworthy cause of encephalitis in an erstwhile endemic area for Japanese encephalitis (JE).

Interpretation conclusion: Therefore, it is important that WN is recognized as an important acute encephalitis syndrome (AES) causing aetiology in this region and the National centre for vector borne disease control (NCVBDC) guidelines for detection of AES may be modified accordingly. Thus, inclusion of WN in routine diagnosis, along with establishment of an integrative surveillance network with one-health approach will be important.

背景目标:为了解西尼罗河病毒(WN)在急性脑炎综合征(AES)患者中的分布和存在情况,我们开展了一项为期13年(2007-2019年)的基于医疗机构的前瞻性研究:在此期间,对印度东北部 8957 名急性脑炎综合征住院患者进行了西尼罗河病毒感染证据检测,检测方法为 IgM 酶联免疫吸附试验(ELISA)和斑块缩小中和试验(PRNT):结果:在检测的样本中有 324 份(3.62%)发现 WN IgM 抗体呈阳性,73 份配对血清的 PRNT 中和抗体滴度上升了四倍。这项研究证实,在日本脑炎(JE)曾经流行的地区,WN 是一种值得注意的脑炎病因:因此,必须将 WN 视为该地区重要的急性脑炎综合征(AES)病因,并相应修改国家病媒传染病控制中心(NCVBDC)的急性脑炎综合征检测指南。因此,将 WN 纳入常规诊断,同时建立一个采用单一保健方法的综合监测网络将非常重要。
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引用次数: 0
Spatial analysis and mapping of malaria endemic-prone areas using environmental risk factors and spatial multi criteria decision analysis in the Northern Zone of Plateau State, Nigeria. 利用尼日利亚高原北部地区的环境风险因素和空间多标准决策分析,对疟疾流行区进行空间分析和绘图。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-10-05 DOI: 10.4103/JVBD.JVBD_63_24
Nanlok H Nimlang, Gilles Dusserre, Sandrine Bayle, Kivanc Ertugay, Sebnem Duzgun, Janaqi Stefan

Background objectives: Compressive mapping and in-depth analysis of malaria vulnerability risk foci are important tools for strategic planning, vector surveillance, implementing necessary interventions, and managing scarce resources to combat the daunting challenges of malaria infections in Nigeria.

Methods: The study utilized environmental risk factors and spatial multi-criteria decision analysis techniques to analyze and map the spatial variations in malaria-endemic prone areas within the Northern Zone of Plateau State.

Results: Analysis of the criteria's weights of environmental risk factors and the stratification of the malaria risk vulnerability revealed that high-risk areas covered a total of 4017.25 Km2, while low-risk areas covered 1294.83Km2, having a close resemblance to the corresponding ground conditions. The results showed that a significant 60% of the study areas were characterized by high risk of malaria transmission, particularly in most settlements around the Jos North, Jos South and Barkin Ladi Local Government Areas. The malaria risk map's predictive abilities demonstrated a high level of accuracy, as indicated by the area under the curve score of 0.989. Furthermore, the risk map demonstrates a high-performance rate in identifying malaria hotspots, with a sensitivity of 98%, a proficiency rate of 54%, and a statistical significance confidence level ranging from 90% to 99% for identifying malaria hotspots and coldspots.

Interpretation conclusion: The malaria risk analysis and mapping within the endemic prone areas of the Northern Zone of Plateau State not only equips policymakers with effective tools for identifying malaria foci but also offers a deeper comprehension of the appropriate intervention measures to be implemented.

背景目标:对疟疾易发风险点进行压缩绘图和深入分析是战略规划、病媒监测、实施必要干预措施和管理稀缺资源的重要工具,以应对尼日利亚疟疾感染带来的严峻挑战:研究利用环境风险因素和空间多标准决策分析技术,分析并绘制了高原州北部地区疟疾流行易发区的空间变化图:对环境风险因素的标准权重和疟疾风险脆弱性分层的分析表明,高风险地区的总面积为 4017.25 平方公里,低风险地区的总面积为 1294.83 平方公里,与相应的地面条件非常相似。研究结果表明,60% 的研究区域具有疟疾传播高风险的特征,尤其是在乔斯北部、乔斯南部和巴尔金拉迪地方政府辖区周围的大多数居民点。疟疾风险地图的预测能力表现出很高的准确性,曲线下面积得分为 0.989。此外,风险地图在识别疟疾热点方面表现出很高的灵敏度,灵敏度为 98%,熟练率为 54%,识别疟疾热点和冷点的统计显著性置信度为 90% 至 99%:对高原州北部地区疟疾流行易发区进行疟疾风险分析和绘图,不仅为决策者提供了识别疟疾病灶的有效工具,还能让他们更深入地了解应采取的适当干预措施。
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引用次数: 0
Diversity of mosquito natural enemies and their feeding efficacy on Aedes vectors.
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-10-01 Epub Date: 2024-11-26 DOI: 10.4103/JVBD.bd_50_24
Dinithi Shyamalee Dissanayake, Chandana Dammika Wijekoon, Hemantha Wegiriya

Background objectives: Mosquito-bome diseases are a major health issue among communities in Asia, and dengue has become a serious public health concern in Sri Lanka with varying magnitude since 1960. With the realization of the failures and limitations of current vector control strategies, the authorities are moving towards simple, low- cost, and eco-friendly vector management methods. Thus, the present study was devised to evaluate the potential densities of mosquito natural enemies in natural water habitats in Galle district, Sri Lanka, and to investigate the feeding efficacy of prominent mosquito natural enemies on main dengue vectors (Aedes sp.) in a laboratory setting.

Methods: The survey was carried out using eight sentinel sites in Galle district, and samples of mosquito natural enemies and mosquito larvae were collected, and identified using taxonomic keys.

Results: Study records, the aquatic insects of family Hydrometridae, Belostomatidae, Notonectidae, Nepidae, Ranat- ridae, and Corixidae as dominant mosquito natural enemies, and Libellulidae and Dytiscidae insects as sub-dominant families. The highest density of the family Hydrometridae was recorded in rural, natural inland, and rocky study sites. The order Hemiptera was recorded as the key order of the mosquitos' natural enemies in Galle district. The family Hydrometridae had the highest density of recorded mosquito natural enemies.

Interpretation conclusion: Aedes aegypti and Ae. albopictus were recorded as abundant vector mosquitoes. Family Nepidae is the most effective natural mosquito predator on Ae. aegypti and Ae. albopictus, and this knowledge will be vital for implementing future biological control strategies for Aedes vectors in Sri Lanka.

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引用次数: 0
Development of data-driven machine learning models and their potential role in predicting dengue outbreak. 开发数据驱动的机器学习模型及其在预测登革热爆发中的潜在作用。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-10-01 Epub Date: 2024-11-26 DOI: 10.4103/0972-9062.393976
Bushra Mazhar, Nazish Mazhar Ali, Farkhanda Manzoor, Muhammad Kamran Khan, Muhammad Nasir, Muhammad Ramzan

Dengue fever is one of the most widespread vector-borne viral infections in the world, resulting in increased socio-economic burden. WHO has reported that 2.5 billion people are infected with dengue fever across the world, resulting in high mortalities in tropical and subtropical regions. The current article endeavors to present an overview of predicting dengue outbreaks through data-based machine-learning models. This artificial intelligence model uses real world data such as dengue surveillance, climatic variables, and epidemiological data and combines big data with machine learning algorithms to forecast dengue. Monitoring and predicting dengue incidences has been significantly enhanced through innovative approaches. This involves gathering data on various climatic factors, including temperature, rainfall, relative humidity, and wind speed, along with monthly records of dengue cases. The study functions as an efficient warning system, enabling the anticipation of dengue outbreaks. This early warning system not only alerts communities but also aids relevant authorities in implementing crucial preventive measures.

摘要:登革热是世界上最广泛的病媒传播病毒感染之一,导致社会经济负担加重。世卫组织报告称,全球有 25 亿人感染登革热,导致热带和亚热带地区的高死亡率。本文试图概述通过基于数据的机器学习模型预测登革热爆发的方法。该人工智能模型使用登革热监测、气候变量和流行病学数据等真实世界的数据,并将大数据与机器学习算法相结合来预测登革热。通过创新方法,登革热发病率的监测和预测工作得到了显著加强。这涉及收集各种气候因素的数据,包括温度、降雨量、相对湿度和风速,以及登革热病例的月度记录。这项研究发挥了高效预警系统的作用,能够预测登革热的爆发。这一预警系统不仅能提醒社区,还能帮助相关部门实施重要的预防措施。
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引用次数: 0
Canine leishmaniasis in Maghreb countries: A systematic review and meta-analysis.
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-10-01 Epub Date: 2024-11-26 DOI: 10.4103/JVBD.jvbd_2_24
Sabrina Baaziz, Rima Sadeddine, Faycal Zeroual, Ahmed Benakhla, Souad Righi

Canine leishmaniasis (CanL) is a zoonotic disease caused by infection with Leishmania infantum and transmitted by female phlebotomine sandflies. It is prevalent in the Mediterranean basin, including the Maghreb region which comprises of Algeria, Tunisia, and Morocco. The environmental conditions in this area provide a suitable habitat for the proliferation of the phlebotomine sandfly, making it an endemic region for CanL. In this context, we carried out a systematic review and meta-analysis on the prevalence of canine leishmaniasis in these three Maghreb countries, identifying the risk factors for L. infantum infection. Data were collected from 27 papers published between 1973 and 2022 selected from five databases: PubMed, Google Scholar, ResearchGate, ScienceDirect and Scopus. Our selection criteria included both descriptive and analytical studies on canine leishmaniasis in Maghreb, as well as epidemiological studies that reported the prevalence of leishmaniasis infection. The meta-analysis was performed using Review Manager (RevMan) software version 5.4.1. based on predefined inclusion criteria. A total of 11,736 dogs were included in the analysis, among which 2481 were tested Leishmania positive cases. Over the years, the highest prevalence (68.32%) was recorded in Tiaret (Algeria) and the lowest (4.3%) in Tunisia. The examination of the risk factors revealed a heightened incidence of the disease in dogs of shepherd breeds, living in rural environments, displaying no apparent symptoms, and falling within the age range of 2 to 4 years. The findings presented in this study contribute a significant value to the exploration of leishmaniasis in this region, particularly by shedding light on the associated risk factors. Ultimately, substantial endeavors are warranted to enhance prevention, treatment, and overall control of the disease.

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引用次数: 0
Characterization of Leclercia adecarboxylata isolated from field collected Anopheles subpictus, Berhampur, Odisha. 从奥迪沙伯汉普尔野外采集的亚爪疟蚊中分离出的 Leclercia adecarboxylata 的特征。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-07-12 DOI: 10.4103/JVBD.JVBD_22_24
Ankita Agrawal, Tapan Kumar Barik, Amiya Kumar Patel

Background objectives: Malaria, a vector-borne diseases caused by Plasmodium species and transmitted by Anopheles species. Among them, Anopheles subpictus has emerged as a potent malarial vector in coastal areas of India. Numerous studies highlighted that bacterial communities within mosquito influence vector competence. The present study was designed to isolate and characterize bacterial microbiota from A. subpictus larvae.

Methods: Isolation and purification of the predominant bacterial strain (AL1). Morphological, biochemical, antibiotic susceptibility and molecular characterization of the isolated bacteria.

Results: Bacterial isolate (AL1) was found to be rod, gram negative, catalase positive and oxidase negative. AL1 was identified as Leclercia adecarboxylata (Accession number: OR649235) through 16S rRNA ribotyping. Further, leaf extract of Nyctanthes arbortristis showed inhibitory effect against AL1.

Interpretation conclusion: This is the first report on isolation of symbiotic bacteria (L. adecarboxylata) from A. subpictus and its control by leaf extract of Nyctanthes arbortristis. Isolated gram-negative bacterial strain might inhibit the development of mosquito vector and might use for various biological control strategies to combat malaria transmission.

背景目标:疟疾是由疟原虫引起的病媒传染病,由按蚊传播。其中,亚按蚊(Anopheles subpictus)已成为印度沿海地区强有力的疟疾病媒。大量研究强调,蚊子体内的细菌群落会影响病媒的能力。本研究旨在分离和描述亚按蚊幼虫体内的细菌微生物群:方法:分离和纯化主要细菌菌株(AL1)。对分离的细菌进行形态学、生物化学、抗生素敏感性和分子鉴定:结果:分离出的细菌(AL1)为杆状、革兰氏阴性、过氧化氢酶阳性和氧化酶阴性。通过 16S rRNA 核型鉴定,AL1 被确定为 Leclercia adecarboxylata(登录号:OR649235)。此外,Nyctanthes arbortristis 的叶提取物对 AL1 有抑制作用:这是首次报道从亚纲蝇蛆中分离出共生细菌(L. adecarboxylata),并用熊果叶提取物对其进行控制。分离到的革兰氏阴性细菌菌株可能会抑制蚊媒的发展,并可用于各种生物防治策略以对抗疟疾传播。
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引用次数: 0
Identification of natural inhibitors targeting Trehalase of Anopheles funestus in the management of malaria: A Biocomputational assessment. 鉴定用于治疗疟疾的天然抑制剂:生物计算评估。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-07-12 DOI: 10.4103/JVBD.JVBD_83_24
Amer Al Ali, Abdulaziz Asiri, Mohammed H Abu-Alghayth, Maryam Musleh Althobiti, Bandar Ali Al Hader, Zain Alhindi

Background objectives: Anopheles funestus is playing an increasingly important role in malaria transmission in sub-Saharan Africa. Trehalase, an enzyme required for trehalose breakdown, is important for mosquito flight and stress adaptation. Hence, its inhibition has emerged as a promising malaria management strategy.

Methods: A collection of 1900 natural compounds from the ZINC database were screened against the 3D modeled structure of the A. funestus trehalase protein using in-silico tools. ADMET-AI, a web-based platform, was used to predict the absorption, distribution, metabolism, excretion, and toxicity (ADMET) properties of the selected compounds.

Results: Here in this study, we report 5 natural compounds namely, ZINC00488388, ZINC00488525, ZINC00488566, ZINC00488304, and ZINC00488456 demonstrated strong binding affinity to the trehalase protein. These compounds interacted with critical residues of the trehalase protein and exhibited good drug-like characteristics.

Interpretation conclusion: These compounds show promise as trehalase protein inhibitors for malaria management. Nonetheless, additional experimental studies are required to optimize these compounds as potential trehalase inhibitors.

背景目标:按蚊在撒哈拉以南非洲的疟疾传播中扮演着越来越重要的角色。三卤糖酶是分解三卤糖所需的一种酶,对蚊子的飞行和应激适应非常重要。因此,抑制这种酶已成为一种有前景的疟疾管理策略:方法:利用硅内工具,对照A. funestus 曲卤酶蛋白的三维模型结构,从ZINC数据库中筛选出1900种天然化合物。ADMET-AI是一个基于网络的平台,用于预测所选化合物的吸收、分布、代谢、排泄和毒性(ADMET)特性:在这项研究中,我们报告了 5 种天然化合物,即 ZINC00488388、ZINC00488525、ZINC00488566、ZINC00488304 和 ZINC00488456,它们与三卤酶蛋白的结合亲和力很强。这些化合物与 trehalase 蛋白的关键残基相互作用,表现出良好的类药物特性:这些化合物有望成为治疗疟疾的特雷哈尔酶蛋白抑制剂。尽管如此,还需要进行更多的实验研究,以优化这些化合物,使其成为潜在的trehalase抑制剂。
{"title":"Identification of natural inhibitors targeting Trehalase of Anopheles funestus in the management of malaria: A Biocomputational assessment.","authors":"Amer Al Ali, Abdulaziz Asiri, Mohammed H Abu-Alghayth, Maryam Musleh Althobiti, Bandar Ali Al Hader, Zain Alhindi","doi":"10.4103/JVBD.JVBD_83_24","DOIUrl":"https://doi.org/10.4103/JVBD.JVBD_83_24","url":null,"abstract":"<p><strong>Background objectives: </strong>Anopheles funestus is playing an increasingly important role in malaria transmission in sub-Saharan Africa. Trehalase, an enzyme required for trehalose breakdown, is important for mosquito flight and stress adaptation. Hence, its inhibition has emerged as a promising malaria management strategy.</p><p><strong>Methods: </strong>A collection of 1900 natural compounds from the ZINC database were screened against the 3D modeled structure of the A. funestus trehalase protein using in-silico tools. ADMET-AI, a web-based platform, was used to predict the absorption, distribution, metabolism, excretion, and toxicity (ADMET) properties of the selected compounds.</p><p><strong>Results: </strong>Here in this study, we report 5 natural compounds namely, ZINC00488388, ZINC00488525, ZINC00488566, ZINC00488304, and ZINC00488456 demonstrated strong binding affinity to the trehalase protein. These compounds interacted with critical residues of the trehalase protein and exhibited good drug-like characteristics.</p><p><strong>Interpretation conclusion: </strong>These compounds show promise as trehalase protein inhibitors for malaria management. Nonetheless, additional experimental studies are required to optimize these compounds as potential trehalase inhibitors.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aedes aegypti oviposition in urban communities in the Northern Chihuahuan Desert. 埃及伊蚊在奇瓦瓦沙漠北部城市社区的产卵情况。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-07-12 DOI: 10.4103/JVBD.JVBD_70_24
Adam J Vera, Albert G Soliz, Antonio de la Mora-Covarrubias, Douglas M Watts

Background objectives: Aedes aegypti (Linnaeus) is the vector of multiple arboviruses, the most important being dengue viruses (DENV) that causes more than 90 million cases per year. The expanded range of Ae. aegypti into temperate climates has contributed to the increasing risk of DENV to new human populations. As an effort to better understand the ecology of Ae. aegypti in a temperate climate, larval surveillance was conducted to identify oviposition locations of this species from 2016-2018 in two nonincorporated communities located in El Paso, Texas and Ciudad Juárez, Chihuahua, Mexico.

Methods: This survey was conducted inside and outside private residences examining any possible water holding containers to collect with a dipper, turkey baster, or Pasteur pipette. Larvae and pupae were transported to the laboratory and reared to adults for morphological identification. A total of 601 Ae. aegypti larvae were collected and reared to adults from 24 containers in the Sparks community. In contrast, a total of 68 Ae. aegypti were collected and reared to adults from seven containers in the Anapra community.

Results: In both locations, the predominant container type that yielded immature mosquitoes were plastic buckets. Although the results were based on a small sample size, the finding provided a preliminary understanding of the oviposition sites of Ae. aegypti in two urban communities in a temperate climate region.

Interpretation conclusion: The identification of oviposition sites can be used to develop and implement vector control strategies.

背景目标:埃及伊蚊(Linnaeus)是多种虫媒病毒的传播媒介,其中最重要的是登革热病毒(DENV),每年导致 9000 多万病例。埃及蚁的活动范围扩大到温带气候地区,导致新的人类群体感染 DENV 的风险不断增加。为了更好地了解埃及伊蚊在温带气候中的生态,2016-2018年期间,在得克萨斯州埃尔帕索和墨西哥奇瓦瓦州华雷斯市的两个非合并社区进行了幼虫监测,以确定该物种的产卵地点:本次调查在私人住宅内外进行,检查任何可能的盛水容器,用滴管、火鸡嘴或巴斯德吸管收集。幼虫和蛹被运送到实验室,饲养成虫后进行形态鉴定。在斯帕克斯社区的 24 个容器中,共收集到 601 只埃及蚁幼虫,并将其饲养成成虫。相比之下,在阿纳普拉社区的 7 个容器中共收集到 68 只埃及伊蚊幼虫,并将其饲养成成虫:结果:在这两个地方,产生未成年蚊子的主要容器类型都是塑料桶。虽然结果是基于较小的样本量,但这一发现提供了对温带气候地区两个城市社区埃及姬蚊产卵地点的初步了解:产卵地点的确定可用于制定和实施病媒控制策略。
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引用次数: 0
Drugs resistance and new strategies of prevention against Malaria: An ongoing battle. 抗药性和预防疟疾的新策略:一场持久战。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-07-12 DOI: 10.4103/JVBD.JVBD_72_24
Lisa Basu, Biplab Bhowmik, Aparajita Pal, Priya Roy, Bipasa Dey, Riya Mondal, Chayanika Roy, Labani Halder

From ancient times until 21st century, Malaria has remained a fatal disease. It causes death in many poor and developing countries. Excluding vector control, Antimalarial drugs are the most reliable and effective weapon to tackle this severe disease. The emergence of antimalarial drug resistance in Plasmodium spp. becomes a barrier in Malaria elimination program as there has been no effective antimalarial vaccine till today. Apart from artemisinin, most of the antimalarial drugs have become resistant against malaria at present. Although, reduced efficacy of artemisinin-based combination therapy (ACT) has also been reported from southeast regions of Asia. Mutation of some genes within the parasite play a vital role in this drug resistance. Therefore, malaria is still a prime threat to human death and an unsolved problem. Newly emerging approaches like, vaccine development, plants based antimalarial drugs, nanoparticles, next generation antimalarial drugs should be taken & supported. In addition to that, public awareness is much needed for understanding the fatality of the disease and for encouraging self-protection and early treatment.

从古至今,疟疾一直是一种致命疾病。它在许多贫穷的发展中国家造成死亡。除病媒控制外,抗疟药物是应对这一严重疾病最可靠、最有效的武器。由于至今还没有有效的抗疟疫苗,疟原虫对抗疟药物产生的抗药性成为消除疟疾计划的障碍。目前,除青蒿素外,大多数抗疟药物都对疟疾产生了抗药性。尽管亚洲东南部地区也有青蒿素类复方疗法(ACT)疗效下降的报道。寄生虫体内某些基因的变异在抗药性的产生中起到了至关重要的作用。因此,疟疾仍然是人类死亡的主要威胁,也是一个悬而未决的问题。应采取并支持新出现的方法,如疫苗开发、植物抗疟药物、纳米粒子、下一代抗疟药物等。除此以外,还需要提高公众意识,以了解该疾病的致命性,鼓励自我保护和早期治疗。
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引用次数: 0
The role of clinical and laboratory finding in the differential diagnosis of Hantavirus and Leptospirosis infections. 临床和实验室发现在汉坦病毒和钩端螺旋体感染的鉴别诊断中的作用。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-07-12 DOI: 10.4103/JVBD.JVBD_54_24
Ahmet Melih Şahin, Sinan Çetin, İlknur Şenel, Tuğçegül Erdem-Çakır, Emsal Aydın, Meltem Arzu Yetkin

Background objectives: Hantavirus and leptospirosis infections are zoonotic diseases with similar clinical and laboratory findings. The aim of this study is identifying the distinguishing features of these two diseases, for which a definitive diagnosis can take a long time.

Methods: Between September 2021 and June 2023, a total of 45 patients who were admitted to our hospital and were diagnosed with HFRS or leptospirosis were retrospectively evaluated. Patients were compared in terms of demographic data, clinical, and laboratory parameters. The role of these variables in predicting HFRS or leptospirosis was investigated. The two diseases were compared with regard to outcomes. Receiver operating characteristics were employed for the calculation of cut-off values, sensitivity, specificity, and positive and negative predictive values for parameters showing significant differences. A statistical significance level of p<0.05 was considered.

Results: Fifteen patients diagnosed with HFRS and thirty patients diagnosed with leptospirosis were included in the study. In both groups, hospital admissions were observed with non-specific and similar symptoms. There was no statistically significant difference observed between the two groups in terms of length of hospital stay, blood product transfusion, requirement for hemodialysis, intensive care unit admission, the rate of return to normal renal function and mortality. Elevated ferritin levels were statistically significant in favor of HFRS, while lymphopenia, elevated bilirubin, CRP, and ESR were statistically significant in favor of leptospirosis.

Interpretation conclusion: The use of laboratory findings and clinical symptoms can aid in the challenging task of accurately diagnosing and using appropriate treatment for these two diseases.

背景目标:汉坦病毒和钩端螺旋体感染是人畜共患疾病,具有相似的临床和实验室结果。本研究旨在确定这两种疾病的鉴别特征,因为这两种疾病的明确诊断可能需要很长时间:方法:在 2021 年 9 月至 2023 年 6 月期间,对我院收治的被诊断为 HFRS 或钩端螺旋体病的 45 名患者进行了回顾性评估。对患者的人口统计学数据、临床和实验室参数进行了比较。研究了这些变量在预测 HFRS 或钩端螺旋体病方面的作用。比较了两种疾病的预后。采用接收器操作特征来计算截断值、灵敏度、特异性、阳性预测值和阴性预测值,这些参数显示出显著差异。统计显著性水平为 pResults:研究纳入了 15 名确诊为 HFRS 的患者和 30 名确诊为钩端螺旋体病的患者。两组患者均以非特异性和类似症状入院。两组患者在住院时间、输血量、血液透析需求、入住重症监护室、肾功能恢复正常率和死亡率方面均无统计学差异。铁蛋白水平升高在统计学上对 HFRS 有利,而淋巴细胞减少症、胆红素升高、CRP 和血沉在统计学上对钩端螺旋体病有利:利用实验室结果和临床症状可以帮助准确诊断这两种疾病并采用适当的治疗方法,这是一项具有挑战性的任务。
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引用次数: 0
期刊
Journal of Vector Borne Diseases
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