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Adult Respiratory Syncytial Virus Infection: Defining Incidence, Risk Factors for Hospitalization, and Poor Outcomes, a Regional Cohort Study, 2016–2022 成人呼吸道合胞病毒感染:2016-2022 年地区队列研究:确定发病率、住院风险因素和不良结局
IF 3.7 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-08-31 DOI: 10.3390/pathogens13090750
Tal Brosh-Nissimov, Daniel Ostrovsky, Amos Cahan, Nir Maaravi, Daniel Leshin-Carmel, Nitzan Burrack, Rotem Gorfinkel, Lior Nesher
Background: Respiratory syncytial virus (RSV) is a significant cause of illness in adults, especially older adults and those with underlying conditions. This study aimed to assess the incidence of RSV hospitalizations in adults and identify risk factors for hospitalization and poor outcomes. Methods: A retrospective cohort study was conducted using data from two hospitals in southern Israel from 2016–2022. We calculated incidence rates of RSV and influenza hospitalizations. Risk factors for hospitalization were analyzed using Poisson regression. We evaluated poor outcomes (death, ICU admission, or mechanical ventilation) among RSV-hospitalized patients. Results: The median annual incidence of RSV hospitalization was 28.2/100,000 population, increasing with age to 199/100,000 in those ≥75 years. Significant risk factors for RSV hospitalization included pulmonary diseases (RR 4.2, 95% CI 3.4–5.2), cardiovascular diseases (RR 3.3, 95% CI 2.6–4.2), and chronic renal failure (RR 2.9, 95% CI 2.3–3.7). Among hospitalized RSV patients, 13.9% had poor outcomes. Renal failure (RR 1.81, 95% CI 1.23–2.66), neutropenia (RR 2.53, 95% CI 1.19–5.35), neutrophilia (RR 1.66, 95% CI 1.81–2.34), and lymphopenia (RR 2.03, 95% CI 1.37–3.0) were associated with poor outcomes. Conclusions: RSV causes a substantial burden of hospitalizations in adults, particularly among older adults and those with comorbidities. Identifying high-risk groups can help target prevention and treatment strategies, including vaccination.
背景:呼吸道合胞病毒(RSV)是导致成人,尤其是老年人和患有基础疾病的成人患病的重要原因。本研究旨在评估成人 RSV 住院率,并确定住院和不良后果的风险因素。研究方法我们利用以色列南部两家医院 2016-2022 年的数据进行了一项回顾性队列研究。我们计算了 RSV 和流感住院的发病率。使用泊松回归分析了住院的风险因素。我们对 RSV 住院患者的不良结局(死亡、入住重症监护室或机械通气)进行了评估。结果:RSV 住院治疗的年发病率中位数为 28.2/100,000,随着年龄的增长,≥75 岁患者的发病率增至 199/100,000。RSV住院的重要风险因素包括肺部疾病(RR 4.2,95% CI 3.4-5.2)、心血管疾病(RR 3.3,95% CI 2.6-4.2)和慢性肾功能衰竭(RR 2.9,95% CI 2.3-3.7)。在住院的 RSV 患者中,13.9% 的患者预后不佳。肾衰竭(RR 1.81,95% CI 1.23-2.66)、中性粒细胞减少(RR 2.53,95% CI 1.19-5.35)、中性粒细胞增多(RR 1.66,95% CI 1.81-2.34)和淋巴细胞减少(RR 2.03,95% CI 1.37-3.0)与不良预后相关。结论:RSVRSV 给成人住院治疗带来了巨大负担,尤其是老年人和合并症患者。识别高危人群有助于制定有针对性的预防和治疗策略,包括接种疫苗。
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引用次数: 0
Mechanistic Models of Influenza Transmission in Commercial Swine Populations: A Systematic Review 商用猪群中的流感传播机制模型:系统回顾
IF 3.7 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-08-31 DOI: 10.3390/pathogens13090746
Dana C. Pittman Ratterree, Sapna Chitlapilly Dass, Martial L. Ndeffo-Mbah
Influenza in commercial swine populations leads to reduced gain in fattening pigs and reproductive issues in sows. This literature review aims to analyze the contributions of mathematical modeling in understanding influenza transmission and control among domestic swine. Twenty-two full-text research articles from seven databases were reviewed, categorized into swine-only (n = 13), swine–avian (n = 3), and swine–human models (n = 6). Strains of influenza models were limited to H1N1 (n = 7) and H3N2 (n = 1), with many studies generalizing the disease as influenza A. Half of the studies (n = 14) considered at least one control strategy, with vaccination being the primary investigated strategy. Vaccination was shown to reduce disease prevalence in single animal cohorts. With a continuous flow of new susceptible animals, such as in farrow-to-finish farms, it was shown that influenza became endemic despite vaccination strategies such as mass or batch-to-batch vaccination. Human vaccination was shown to be effective at mitigating human-to-human influenza transmission and to reduce spillover events from pigs. Current control strategies cannot stop influenza in livestock or prevent viral reassortment in swine, so mechanistic models are crucial for developing and testing new biosecurity measures to prevent future swine pandemics.
商业猪群中的流感会导致育肥猪增重减少和母猪繁殖问题。本文献综述旨在分析数学建模在了解家猪流感传播和控制方面的贡献。我们查阅了七个数据库中的 22 篇全文研究文章,将其分为纯猪模型(13 篇)、猪-禽模型(3 篇)和猪-人模型(6 篇)。流感模型的菌株仅限于 H1N1(n = 7)和 H3N2(n = 1),许多研究将该疾病概括为甲型流感。半数研究(n = 14)考虑了至少一种控制策略,其中疫苗接种是主要的调查策略。研究表明,接种疫苗可降低单一动物群的疾病流行率。在新的易感动物不断涌入的情况下,例如在从产仔到出栏的养殖场,尽管采取了疫苗接种策略,如大规模或批次间疫苗接种,但流感仍会流行。人接种疫苗可有效缓解流感在人与人之间的传播,并减少猪流感的蔓延。目前的控制策略无法阻止流感在牲畜中的传播,也无法防止病毒在猪中的重新组合,因此机理模型对于开发和测试新的生物安全措施以防止未来猪流感大流行至关重要。
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引用次数: 0
Resurgence of Clinical Malaria in Ethiopia and Its Link to Anopheles stephensi Invasion 埃塞俄比亚临床疟疾复发及其与史蒂芬按蚊入侵的关系
IF 3.7 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-08-31 DOI: 10.3390/pathogens13090748
Guofa Zhou, Hiwot S. Taffese, Daibin Zhong, Xiaoming Wang, Ming-Chieh Lee, Teshome Degefa, Dejene Getachew, Werissaw Haileselassie, Dawit Hawaria, Delenasaw Yewhalaw, Guiyun Yan
The invasion of Anopheles stephensi into Africa poses a potential threat to malaria control and elimination on the continent. However, it is not clear if the recent malaria resurgence in Ethiopia has linked to the expansion of An. stephensi. We obtained the clinical malaria case reports and malaria intervention data from the Ethiopian Ministry of Health (MoH) for the period 2001–2022. We analyzed clinical malaria hotspots and investigated the potential role of An. stephensi in the 2022 malaria outbreaks. Clinical malaria cases in Ethiopia decreased by 80%, from 5.2 million cases in 2004 to 1.0 million cases in 2018; however, cases increased steadily to 2.6 million confirmed cases in 2022. Plasmodium vivax cases and proportion have increased significantly in the past 5 years. Clinical malaria hotspots are concentrated along the western Ethiopian border areas and have grown significantly from 2017 to 2022. Major malaria outbreaks in 2022/2023 were detected in multiple sites across Ethiopia, and An. stephensi was the predominant vector in some of these sites, however, it was absence from many of the outbreak sites. The causes of recent upsurge in malaria in Ethiopia may be multi-factorial and it is a subject of further investigation.
按蚊入侵非洲对非洲大陆控制和消除疟疾构成了潜在威胁。然而,尚不清楚埃塞俄比亚最近疟疾的复发是否与史蒂芬斯按蚊的扩张有关。我们从埃塞俄比亚卫生部(MoH)获得了 2001-2022 年期间的临床疟疾病例报告和疟疾干预数据。我们分析了临床疟疾热点地区,并调查了雅典疟原虫在 2022 年疟疾爆发中的潜在作用。埃塞俄比亚的临床疟疾病例减少了80%,从2004年的520万例减少到2018年的100万例;然而,病例在2022年稳步增加到260万例确诊病例。在过去 5 年中,间日疟原虫病例和比例大幅增加。临床疟疾热点地区主要集中在埃塞俄比亚西部边境地区,从 2017 年到 2022 年增长显著。2022/2023 年,埃塞俄比亚多个地区爆发了大规模疟疾疫情,其中一些地区的主要病媒为雅典疟原虫,但许多疫情爆发地都没有雅典疟原虫。埃塞俄比亚近期疟疾疫情激增的原因可能是多方面的,有待进一步调查。
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引用次数: 0
Gammaherpesvirus Infection Stimulates Lung Tumor-Promoting Inflammation 伽马疱疹病毒感染会刺激肺肿瘤引发炎症
IF 3.7 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-08-31 DOI: 10.3390/pathogens13090747
Sudurika S. Mukhopadhyay, Kenneth F. Swan, Gabriella Pridjian, Jay K. Kolls, Yan Zhuang, Qinyan Yin, Joseph A. Lasky, Erik Flemington, Cindy A. Morris, Zhen Lin, Gilbert F. Morris
Lung tumor-promoting environmental exposures and γherpesvirus infections are associated with Type 17 inflammation. To test the effect of γherpesvirus infection in promoting lung tumorigenesis, we infected mutant K-Ras-expressing (K-RasLA1) mice with the murine γherpesvirus MHV68 via oropharyngeal aspiration. After 7 weeks, the infected mice displayed a more than 2-fold increase in lung tumors relative to their K-RasLA1 uninfected littermates. Assessment of cytokines in the lung revealed that expression of Type 17 cytokines (Il-6, Cxcl1, Csf3) peaked at day 7 post-infection. These observations correlated with the post-infection appearance of known immune mediators of tumor promotion via IL-17A in the lungs of tumor-bearing mice. Surprisingly, Cd84, an immune cell marker mRNA, did not increase in MHV68-infected wild-type mice lacking lung tumors. Csf3 and Cxcl1 protein levels increased more in the lungs of infected K-RasLA1 mice relative to infected wild-type littermates. Flow cytometric and transcriptomic analyses indicated that the infected K-RasLA1 mice had increased Ly6Gdim/Ly6Chi immune cells in the lung relative to levels seen in uninfected control K-RasLA1 mice. Selective methylation of adenosines (m6A modification) in immune-cell-enriched mRNAs appeared to correlate with inflammatory infiltrates in the lung. These observations implicate γherpesvirus infection in lung tumor promotion and selective accumulation of immune cells in the lung that appears to be associated with m6A modification of mRNAs in those cells.
促发肺肿瘤的环境暴露和γ疱疹病毒感染与17型炎症有关。为了测试γ疱疹病毒感染对肺肿瘤发生的促进作用,我们通过口咽抽吸用小鼠γ疱疹病毒 MHV68 感染了表达 K-Ras(K-RasLA1)的突变小鼠。7 周后,与未感染 K-RasLA1 的同窝小鼠相比,受感染小鼠的肺肿瘤增加了 2 倍多。对肺部细胞因子的评估显示,17型细胞因子(Il-6、Cxcl1、Csf3)的表达在感染后第7天达到高峰。这些观察结果与肿瘤小鼠肺部感染后出现的通过 IL-17A 促进肿瘤的已知免疫介质相关。令人惊讶的是,免疫细胞标志物 mRNA Cd84 在感染 MHV68 的野生型小鼠肺部肿瘤中并没有增加。与受感染的野生型小鼠相比,受感染的 K-RasLA1 小鼠肺部的 Csf3 和 Cxcl1 蛋白水平增加得更多。流式细胞仪和转录组分析表明,与未感染的对照K-RasLA1小鼠相比,感染K-RasLA1小鼠肺部的Ly6Gdim/Ly6Chi免疫细胞增多。免疫细胞丰富的 mRNA 中腺苷的选择性甲基化(m6A 修饰)似乎与肺部的炎症浸润相关。这些观察结果表明,γ疱疹病毒感染与肺部肿瘤的促进和肺部免疫细胞的选择性聚集有关,而免疫细胞的选择性聚集似乎与这些细胞中 mRNA 的 m6A 修饰有关。
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引用次数: 0
Evaluation of 16S-Based Metagenomic NGS as Diagnostic Tool in Different Types of Culture-Negative Infections 将基于 16S 的元基因组 NGS 作为不同类型培养阴性感染的诊断工具的评估
IF 3.7 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-08-30 DOI: 10.3390/pathogens13090743
Sara Giordana Rimoldi, Alessandro Tamoni, Alberto Rizzo, Concetta Longobardi, Cristina Pagani, Federica Salari, Caterina Matinato, Chiara Vismara, Gloria Gagliardi, Miriam Cutrera, Maria Rita Gismondo
Bacterial infections pose significant global health challenges, often underestimated due to difficulties in accurate diagnosis, especially when culture-based diagnostics fail. This study assesses the effectiveness of 16S-based metagenomic next generation sequencing (NGS) for identifying pathogens in culture-negative clinical samples across various medical settings. Overall, 48% of samples were collected from orthopedics, 15% from neurosurgery, and 12% in cardiac surgery, among others. The detection rate of monomicrobial infections was 68.6%, and 5.7% for polymicrobial infections. In addition, NGS detected bacteria in all samples from the lungs, head and neck, and eye specimens. Cutibacterium acnes (11%, 12/105) was the most frequent microorganism, followed by Staphylococcus epidermidis (10.4%, 11/105), and Staphylococcus aureus (9.5%, 10/105). In conclusion, 16S-targeted metagenomic sequencing enhances pathogen detection capabilities, particularly in instances where traditional cultures fail. By the combination of NGS and bacterial cultures, microbiologists might provide a more accurate diagnosis, guiding more effective treatments and potentially reducing healthcare costs associated with empirical treatments.
细菌感染是全球健康面临的重大挑战,由于难以准确诊断,尤其是在培养诊断失败的情况下,细菌感染往往被低估。本研究评估了基于 16S 的元基因组下一代测序(NGS)在不同医疗环境中鉴定培养阴性临床样本中病原体的有效性。总体而言,采集的样本中有 48% 来自骨科,15% 来自神经外科,12% 来自心脏外科等。单微生物感染的检出率为 68.6%,多微生物感染的检出率为 5.7%。此外,NGS 在肺部、头颈部和眼部标本的所有样本中都检测到了细菌。痤疮杆菌(11%,12/105)是最常见的微生物,其次是表皮葡萄球菌(10.4%,11/105)和金黄色葡萄球菌(9.5%,10/105)。总之,16S 靶向元基因组测序提高了病原体检测能力,尤其是在传统培养失败的情况下。通过 NGS 与细菌培养的结合,微生物学家可以提供更准确的诊断,指导更有效的治疗,并有可能降低与经验性治疗相关的医疗成本。
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引用次数: 0
Evaluating Atlantic Salmon (Salmo salar) as a Natural or Alternative Host for Piscine Myocarditis Virus (PMCV) Infection 评估大西洋鲑鱼(Salmo salar)作为鱼类心肌炎病毒(PMCV)感染的天然宿主或替代宿主的情况
IF 3.7 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-08-30 DOI: 10.3390/pathogens13090744
Ingvild B. Nyman, Øystein Wessel, Håvard Bjørgen, Marta Alarcon, Torstein Tengs, Espen Rimstad
Cardiomyopathy syndrome (CMS) caused by piscine myocarditis virus (PMCV) has emerged with the rise of the aquaculture of Atlantic salmon (Salmo salar). The lack of cell culture cultivation has hampered the study of this infection. In this study, samples from naturally PMCV-infected Atlantic salmon from different commercial farms were collected and used. In situ hybridization (ISH) revealed intense staining of PMCV RNA in myocardial cells in the spongiform layer of the heart ventricle but almost no staining in the compact layer. In the kidneys, only sporadic staining was seen. Viral RNA was present in all organs, with the highest loads in the heart, kidney, and spleen. The high viral PMCV RNA loads in the heart were due to extensive viral mRNA transcription. The high ratio of viral mRNA to viral genomic dsRNA indicated active transcription but limited production of new viral particles. This suggests that the histopathological changes in the heart are caused by viral mRNA and corresponding viral proteins and not by virus particle formation. The production of full-length transcripts is regulated, with a reduction in the relative number of ORF3-containing transcripts at high transcription rates. Efforts to identify alternative hosts, such as fungi, were inconclusive, as fungal sequences were found inconsistently in the salmon tissue samples. The results of this study reinforce the need for further research to fully understand PMCV’s life cycle and potential alternative hosts and its whereabouts when it is not infecting the hearts of the Atlantic salmon.
随着大西洋鲑(Salmo salar)水产养殖业的兴起,出现了由鱼类心肌炎病毒(PMCV)引起的心肌病综合征(CMS)。细胞培养的缺乏阻碍了对这种感染的研究。本研究收集并使用了来自不同商业养殖场的自然感染 PMCV 的大西洋鲑鱼样本。原位杂交(ISH)显示,心室海绵状层的心肌细胞中出现了强烈的 PMCV RNA 染色,但在紧密层几乎没有染色。在肾脏,只看到零星的染色。病毒 RNA 存在于所有器官,其中心脏、肾脏和脾脏的病毒 RNA 量最高。心脏中病毒 PMCV RNA 含量高是因为病毒 mRNA 转录广泛。病毒 mRNA 与病毒基因组 dsRNA 的高比率表明转录活跃,但新病毒颗粒的产生有限。这表明心脏的组织病理学变化是由病毒 mRNA 和相应的病毒蛋白引起的,而不是由病毒颗粒的形成引起的。全长转录本的产生受到调控,在高转录率下,含 ORF3 转录本的相对数量会减少。由于在鲑鱼组织样本中发现的真菌序列并不一致,因此确定真菌等替代宿主的努力没有结果。这项研究的结果加强了进一步研究的必要性,以充分了解 PMCV 的生命周期和潜在的替代宿主,以及它在不感染大西洋鲑鱼心脏时的行踪。
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引用次数: 0
The Role of Helminthophagous Fungi in the Biological Control of Human and Zoonotic Intestinal Helminths 嗜螺旋真菌在人类和人畜共患肠道蠕虫生物控制中的作用
IF 3.7 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-08-30 DOI: 10.3390/pathogens13090741
Jackson Victor de Araújo, Júlia dos Santos Fonseca, Beatriz Bacelar Barbosa, Helbert Ananias Valverde, Huarrisson Azevedo Santos, Fabio Ribeiro Braga
Nematophagous, or helminthophagous fungi of the genera Duddingtonia, Arthrobotrys, Monacrosporium, Pochonia, Paecilomyces, and Mucor, have been used over the years in in vitro and in vivo experiments to control helminth parasites that are potentially zoonotic. These fungi have shown efficacy against the following helminth genera: Ancylostoma, Toxocara, Enterobius, Strongyloides, Angiostrongylus, Taenia, Fasciola, and Schistosoma. The results obtained from these experiments, together with studies on soil contamination, suggest the viability of their use as a sustainable and effective strategy to reduce environmental contamination by these zoonotic parasites. Therefore, the aim of this review was to address the role of helminthophagous fungi in the biological control of potentially zoonotic helminths. To this end, we describe (1) a brief history of helminthophagous fungi; (2) a discussion of some potentially zoonotic intestinal parasites; (3) the importance of helminthophagous fungi in the control of nematodes, cestodes, and trematodes; and (4) the potential of helminthophagous fungi as a practical and sustainable strategy.
多年来,Duddingtonia 属、Arthrobotrys 属、Monacrosporium 属、Pochonia 属、Paecilomyces 属和 Mucor 属的噬线虫真菌或噬蠕虫真菌已被用于体外和体内实验,以控制可能是人畜共患疾病的蠕虫寄生虫。这些真菌对以下蠕虫属具有疗效:Ancylostoma, Toxocara, Enterobius, Strongyloides, Angiostrongylus, Taenia, Fasciola, and Schistosoma。这些实验结果以及对土壤污染的研究表明,将其作为一种可持续的有效策略来减少这些人畜共患病寄生虫对环境的污染是可行的。因此,本综述旨在探讨嗜蠕虫真菌在潜在人畜共患病蠕虫的生物防治中的作用。为此,我们介绍了:(1)嗜蠕虫真菌的简史;(2)对一些潜在的人畜共患肠道寄生虫的讨论;(3)嗜蠕虫真菌在控制线虫、绦虫和颤虫方面的重要性;以及(4)嗜蠕虫真菌作为一种实用、可持续策略的潜力。
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引用次数: 0
Epidemiology of Human Parainfluenza Virus Infections among Pediatric Patients in Hainan Island, China, 2021–2023 2021-2023 年中国海南岛儿科患者感染人类副流感病毒的流行病学研究
IF 3.7 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-08-30 DOI: 10.3390/pathogens13090740
Meifang Xiao, Afreen Banu, Xiangyue Zeng, Shengjie Shi, Ruoyan Peng, Siqi Chen, Nan Ge, Cheng Tang, Yi Huang, Gaoyu Wang, Xiaoyuan Hu, Xiuji Cui, Jasper Fuk-Woo Chan, Feifei Yin, Meng Chang
Human parainfluenza viruses (HPIVs) are the leading causes of acute respiratory tract infections (ARTIs), particularly in children. During the COVID-19 pandemic, non-pharmaceutical interventions (NPIs) significantly influenced the epidemiology of respiratory viruses. This study analyzed 19,339 respiratory specimens from pediatric patients with ARTIs to detect HPIVs using PCR or tNGS, focusing on the period from 2021 to 2023. HPIVs were identified in 1395 patients (7.21%, 1395/19,339), with annual detection rates of 6.86% (303/4419) in 2021, 6.38% (331/5188) in 2022, and 7.82% (761/9732) in 2023. Notably, both the total number of tests and HPIV-positive cases increased in 2023 compared to 2021 and 2022. Seasonal analysis revealed a shift in HPIV prevalence from winter and spring in 2021–2022 to spring and summer in 2023. Most HPIV-positive cases were in children aged 0–7 years, with fewer infections among those aged 7–18 years. Since June 2022, HPIV-3 has been the most prevalent serotype (59.55%, 524/880), whereas HPIV-2 had the lowest proportion (0.80%, 7/880). The proportions of HPIV-1 (24.89%, 219/880) and HPIV-4 (15.45%, 136/880) were similar. Additionally, the incidence of co-infections with other common respiratory pathogens has increased since 2021. This study highlights rising HPIV detection rates post-COVID-19 and underscores the need for continuous surveillance of HPIVs to inform public health strategies for future epidemic seasons.
人类副流感病毒(HPIV)是急性呼吸道感染(ARTI)的主要病因,尤其是在儿童中。在 COVID-19 大流行期间,非药物干预(NPI)对呼吸道病毒的流行病学产生了重大影响。本研究分析了 19,339 例患有 ARTI 的儿科患者的呼吸道标本,使用 PCR 或 tNGS 检测 HPIV,重点关注 2021 年至 2023 年期间的情况。在 1395 名患者中发现了 HPIV(7.21%,1395/19339),2021 年的年检出率为 6.86%(303/4419),2022 年为 6.38%(331/5188),2023 年为 7.82%(761/9732)。值得注意的是,与 2021 年和 2022 年相比,2023 年的检测总数和 HPIV 阳性病例数均有所增加。季节分析显示,HPIV流行率从2021-2022年的冬季和春季转移到了2023年的春季和夏季。大多数 HPIV 阳性病例出现在 0-7 岁儿童中,7-18 岁儿童中的感染人数较少。自2022年6月以来,HPIV-3一直是最流行的血清型(59.55%,524/880),而HPIV-2的比例最低(0.80%,7/880)。HPIV-1(24.89%,219/880)和HPIV-4(15.45%,136/880)的比例相似。此外,自 2021 年以来,与其他常见呼吸道病原体合并感染的发病率也有所上升。本研究强调了COVID-19后HPIV检出率的上升,并强调了对HPIV进行持续监测的必要性,以便为未来流行季节的公共卫生策略提供信息。
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引用次数: 0
Spatial Clustering of Rabies by Animal Species in New Jersey, United States, from 1989 to 2023 1989 年至 2023 年美国新泽西州按动物种类划分的狂犬病空间集群分布情况
IF 3.7 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-08-30 DOI: 10.3390/pathogens13090742
Shamim Sarkar, Jaymie R. Meliker
Identifying spatial clusters of rabies in animals aids policymakers in allocating resources for rabies prevention and control. This study aimed to investigate spatial patterns and hotspots of rabies in different animal species at the county level in New Jersey. Data on animal rabies cases from January 1989 to December 2023 were obtained from the New Jersey Department of Health and aggregated by county. Global Moran’s index (I) statistics were computed for each species to detect global spatial clustering (GeoDa version 1.22). Local Moran’s indicators of spatial association (LISA) were computed to identify local clusters of rabies. The results from the LISA analysis were mapped using ArcGIS Pro to pinpoint cluster locations. A total of 9637 rabies cases were analyzed among raccoons (n = 6308), skunks (n = 1225), bats (n = 1072), cats (n = 597), foxes (n = 225), and groundhogs (n = 210). A global Moran’s test indicated significant global spatial clustering in raccoons (I = 0.32, p = 0.012), foxes (I = 0.29, p = 0.011), and groundhogs (I = 0.37, p = 0.005). The LISA results revealed significant spatial clustering of rabies in raccoons and foxes in southeastern New Jersey and in groundhogs in northern New Jersey. These findings could guide the development of targeted oral rabies vaccination programs in high-risk New Jersey counties, reducing rabies exposure among domestic animals and humans.
确定动物狂犬病的空间集群有助于决策者分配狂犬病防控资源。本研究旨在调查新泽西州县一级不同动物物种狂犬病的空间模式和热点。研究人员从新泽西州卫生部获得了 1989 年 1 月至 2023 年 12 月的动物狂犬病病例数据,并按县进行了汇总。计算每个物种的全球莫兰指数(I)统计量,以检测全球空间聚类(GeoDa 1.22 版)。计算了地方莫兰空间关联指数(LISA),以确定狂犬病的地方集群。利用 ArcGIS Pro 对 LISA 分析结果进行绘图,以确定聚类位置。共分析了 9637 例狂犬病病例,包括浣熊(n = 6308)、臭鼬(n = 1225)、蝙蝠(n = 1072)、猫(n = 597)、狐狸(n = 225)和土拨鼠(n = 210)。总体莫兰检验表明,浣熊(I = 0.32,p = 0.012)、狐狸(I = 0.29,p = 0.011)和土拨鼠(I = 0.37,p = 0.005)的总体空间聚类显著。LISA 结果显示,狂犬病在新泽西州东南部的浣熊和狐狸以及新泽西州北部的土拨鼠中存在明显的空间集群。这些发现可以指导新泽西州高风险县制定有针对性的狂犬病口服疫苗接种计划,减少家畜和人类的狂犬病暴露。
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引用次数: 0
Estimating the Seroprevalence of Scrub Typhus in Nepal 估算尼泊尔恙虫病的血清流行率
IF 3.7 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-08-29 DOI: 10.3390/pathogens13090736
Piyada Linsuwanon, Nutthanun Auysawasdi, Chien-Chung Chao, Wuttikon Rodkvamtook, Binob Shrestha, Samita Bajracharya, Jasmin Shrestha, Sirima Wongwairot, Chawin Limsuwan, Erica Lindroth, Alyssa Mann, Silas Davidson, Elizabeth Wanja, Sanjaya Kumar Shrestha
Prior to the devastating earthquake in Nepal in 2015, scrub typhus was not recognized as a highly endemic disease in the country. This contrasted with neighboring India, where scrub typhus is endemic and there have been sporadic outbreaks of severe forms. This discrepancy underscores the limitations in our comprehensive understanding of the scrub typhus epidemiological patterns in Nepal, especially before 2015. To better understand the dynamic and current status of scrub typhus, this study investigated its prevalence among patients with acute febrile illness in two hospitals located in Pokhara city, Kaski district and Bharatpur city, Chitwan district during 2009–2010. Our findings revealed that 31.5% (239 of 759 patients) of the cases were positives for scrub typhus based on serological and pathogen detection assays. These results provide crucial insights into the pre-earthquake endemicity of scrub typhus in Nepal, implying its long-standing presence in the region prior to the significant environmental transformations caused by the 2015 earthquake. This study also emphasizes the need for heightened awareness and improved diagnostic capabilities to effectively manage and control scrub typhus, which remains a significant public health concern in Nepal.
在2015年尼泊尔发生破坏性地震之前,恙虫病并未被认为是该国的一种高度流行性疾病。这与邻国印度的情况形成了鲜明对比,在印度,恙虫病是地方病,而且曾有严重恙虫病的零星爆发。这一差异凸显了我们对尼泊尔恙虫病流行模式的全面了解存在局限性,尤其是在2015年之前。为了更好地了解恙虫病的动态和现状,本研究调查了2009-2010年期间位于卡斯基县博卡拉市和奇旺县巴拉特布尔市的两家医院中急性发热病人的流行情况。我们的研究结果显示,根据血清学和病原体检测分析,31.5%的病例(759 名患者中的 239 人)对恙虫病呈阳性反应。这些结果为了解震前恙虫病在尼泊尔的流行情况提供了重要依据,意味着在2015年地震造成重大环境变化之前,恙虫病在该地区就已长期存在。这项研究还强调了提高意识和改进诊断能力的必要性,以有效管理和控制恙虫病,因为它仍然是尼泊尔的一个重大公共卫生问题。
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