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Correction of: "Michael Mogg, Hsiao-Hsuan Wang, Adam Baker, Zakary Derouen, Jennifer Borski, and William E. Grant. Increased Incidence of Ehrlichia chaffeensis Infections in the United States, 2012 Through 2016. Vector-Borne and Zoonotic Diseases. Jul 2020. 547-550." doi: 10.1089/Vbz.2019.2595. 更正:"Michael Mogg、Hxiao-Hsuan Wang、Adam Baker、Zakary Derouen、Jennifer Borski 和 William E. Grant。2012年至2016年美国埃立卡氏虫感染发病率增加》。病媒传染病和人畜共患病。2020年7月。547-550."Http://Doi.org/10.1089/Vbz.2019.2595.
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-12-01 Epub Date: 2024-07-17 DOI: 10.1089/vbz.2024.0058
Hsiao-Hsuan Wang, Michael Mogg, Adam Baker, Zakary Derouen, Jennifer Borski, William E Grant
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引用次数: 0
Short Communication: Analysis of the Spectrum of Glomerular Diseases in Chronic Filariasis Diagnosed in a Tertiary Care Hospital in India. 短讯:印度一家三级医院诊断出的慢性丝虫病肾小球疾病谱分析。
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-11-28 DOI: 10.1089/vbz.2024.0038
Priti Meena, Sandip Panda, Paromita Das, Anish Garg, Suvendu Purkait, Pavithra Ayyanar

Introduction: The study presents renal manifestations in chronic filariasis, a substantial health concern in the eastern and north-eastern regions of India. Materials and Methods: The study is a retrospective analysis of a renal biopsy series of patients with chronic filariasis from a tertiary care hospital in Odisha. It involves eight cases of chronic filariasis. Results: Common indications of biopsy were nephrotic syndrome, chyluria, and unexplained renal failure. The mean duration from the diagnosis of filariasis to the onset of glomerular diseases was 15.75 years, SD ± 4.2 years. Patients were followed up for a minimum of 6 months. Renal histopathology revealed various patterns, including membranous nephropathy, minimal change disease, IGA nephropathy, and membranoproliferative glomerulonephritis. Conclusion: The study fills a critical gap in the literature by elucidating renal biopsy findings in chronic filariasis. The multifaceted nature of this disease underscores the need for continued research to understand kidney diseases due to filariasis, especially in endemic regions.

导言:本研究介绍了慢性丝虫病的肾脏表现,这是印度东部和东北部地区的一个重大健康问题。材料与方法:本研究是对奥迪沙邦一家三级医院慢性丝虫病患者肾活检系列的回顾性分析。研究涉及 8 例慢性丝虫病患者。结果活检的常见指征是肾病综合征、乳糜尿和原因不明的肾衰竭。从确诊丝虫病到出现肾小球疾病的平均时间为15.75年,SD ± 4.2年。对患者进行了至少 6 个月的随访。肾脏组织病理学显示出多种模式,包括膜性肾病、微小病变、IGA肾病和膜增生性肾小球肾炎。结论这项研究填补了文献中的一个重要空白,阐明了慢性丝虫病的肾活检结果。这种疾病的多面性强调了继续研究了解丝虫病引起的肾脏疾病的必要性,尤其是在丝虫病流行地区。
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引用次数: 0
Detection of Rickettsia amblyommatis in Amblyomma mixtum and Rhipicephalus microplus Ticks Collected from Cattle in Tamaulipas, Mexico. 在墨西哥塔毛利帕斯州从牛身上采集的 Amblyomma mixtum 和 Rhipicephalus microplus 牛虱中检测到 Rickettsia amblyommatis。
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-11-26 DOI: 10.1089/vbz.2024.0098
Sofía L Luna-Rojas, Edwin Vázquez-Guerrero, Efrén Díaz-Aparicio, Antonio Cantú-Covarrubias, Rigoberto Hernández-Castro, Gerardo Álvarez-Hernández, Paulina Estrada-de Los Santos, J Antonio Ibarra

Background: Rickettsia spp. are obligate intracellular bacteria of utmost importance for public health and the economy since their presence can generate significant losses in livestock production, affecting the health of animals, the quality of the meat, milk, and other products derived from affected animals. Therefore, prevention of the transmission of these pathogens, their early identification and timely treatment are essential to mitigate their impact on public health and animal production. Materials and Methods: In the present work, hard ticks were collected from infested Bos indicus cattle in Aldama, Tamaulipas, Mexico. They were identified by morphology using dichotomous keys and by sequencing and analyzing of a fragment of the mitochondrial 16S. PCR was performed using specific primers targeting Rickettsia sp. gltA. Phylogenetic analyses were performed, aligning the amino acid sequences with Muscle, and a phylogenetic tree was generated using PhyML. Results and Conclusions: Amblyomma mixtum and Rhipicephalus microplus ticks infesting the cattle were identified. Using molecular techniques, the presence of Rickettsia amblyommatis was identified in the cohort of analyzed ticks, suggesting a circulation of this pathogen in livestock in this region and granting further research in this area.

背景:立克次体属是一种对公共卫生和经济极为重要的细胞内细菌,因为它们的存在会给畜牧业生产造成重大损失,影响动物的健康、肉类、奶类和其他产品的质量。因此,预防这些病原体的传播、早期识别和及时治疗对于减轻其对公共卫生和畜牧业生产的影响至关重要。材料与方法:在本研究中,我们从墨西哥塔毛利帕斯州阿尔达马市的受感染牛身上采集了硬蜱。通过使用二分钥匙进行形态学鉴定,并对线粒体 16S 片段进行测序和分析。使用针对立克次体gltA的特异引物进行了PCR。进行了系统发育分析,将氨基酸序列与 Muscle 进行了比对,并使用 PhyML 生成了系统发生树。结果与结论确定了侵扰牛的 Amblyomma mixtum 和 Rhipicephalus microplus 蜱。利用分子技术,在分析的蜱群中发现了安氏立克次体,这表明该病原体在这一地区的牲畜中流行,因此需要在这一领域开展进一步研究。
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引用次数: 0
Individual, Host-Vector Interactions, and Environmental Risk Factors for Plasmodium knowlesi Malaria Among At-Risk Communities in Peninsular Malaysia: A Case-Control Study. 马来西亚半岛高危社区中感染柯氏疟原虫疟疾的个体、宿主-病媒相互作用和环境风险因素:病例对照研究。
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-11-25 DOI: 10.1089/vbz.2024.0023
Hafizah Pasi, Emma Mohamad, Arina Anis Azlan, Mohammad Rezal Hamzah, Mohd Rahim Sulong, Affendi Isa, Sivasangari Genapathy, Hazwani Damanhuri

Background: Highlighting the individual, host-vector interactions, and environmental risk factors for knowlesi malaria were consequential toward more focused and effective prevention and control strategies. This study aims to identify the individual, host-vector interactions, and environmental risk factors for Plasmodium knowlesi malaria among at-risk communities in Peninsular Malaysia. Materials and Methods: A case-control study was conducted involving laboratory-confirmed cases of P. knowlesi malaria, while a locality-matched individual with no history of fever and tested negative for malaria was taken as control. Univariate and multiple logistic regression were applied to evaluate the potential risk factors among respondents using IBM SPSS Statistics for Windows, Version 26.0. Results: Results showed higher cases among males as compared to females (76.1% vs. 23.9%). Multiple logistic regression analysis showed being male is 3.51 higher risk (p < 0.001) to become a case. Respondents whose place of work or study is near the forest edge have 44.0% lower risk (p = 0.030), while those living in the Orang Asli village were 56.0% lower risk as compared to the organized village to become a case (p = 0.035). Conclusion: These findings demonstrated that gender emerges as an independent individual risk factor while residing near a forest edge, in an Orang Asli village, or occupying workers' longhouses situated in hilly areas lowered the environmental risk among respondents. These findings attested that alternative directions must be considered in addressing the known risk factors associated with this type of malaria and the design of prevention and control programs should be tailored to the unique characteristics of each population.

背景:突显知氏疟原虫疟疾的个体、宿主-病媒相互作用和环境风险因素有助于制定更有针对性、更有效的预防和控制策略。本研究旨在确定马来西亚半岛高危社区中感染柯氏疟原虫疟疾的个体、宿主-病媒相互作用和环境风险因素。材料和方法:对实验室确诊的柯氏疟原虫疟疾病例进行病例对照研究,同时以无发热史且疟疾检测呈阴性的当地匹配个体作为对照。使用 IBM SPSS Statistics for Windows 26.0 版对受访者的潜在风险因素进行了单变量和多元逻辑回归评估。结果结果显示,男性病例高于女性(76.1% 对 23.9%)。多元逻辑回归分析表明,男性成为病例的风险比女性高 3.51(p < 0.001)。工作或学习地点靠近森林边缘的受访者成为病例的风险降低了 44.0%(p = 0.030),而居住在原住民村庄的受访者成为病例的风险比有组织村庄低 56.0%(p = 0.035)。结论这些研究结果表明,性别是一个独立的个体风险因素,而居住在森林边缘附近、原住民村庄或居住在丘陵地区的工人长屋则降低了受访者的环境风险。这些研究结果证明,在应对与此类疟疾相关的已知风险因素时,必须考虑其他方向,而且预防和控制计划的设计应符合每个人群的独特性。
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引用次数: 0
Tracing the Trajectory of Aedes aegypti and Aedes albopictus Research: Eight Decades of Bibliometric Retrospect. 埃及伊蚊和白纹伊蚊研究轨迹追踪:八十年文献计量学回顾。
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-11-25 DOI: 10.1089/vbz.2024.0081
Ankita Sindhania, Kalpana Baruah, Amit Katewa, Yash Paul Sharma

Background: The global burden of mosquito-borne diseases transmitted by Aedes aegypti and Aedes albopictus mosquitoes has become a pressing public health concern. This study sought to quantify and evaluate about eight decades of publication data on the global epidemiological trend of the diseases transmitted by A. aegypti and A. albopictus. Methods: A comprehensive bibliographic review of literature was performed on A. aegypti and A. albopictus transmitted diseases, focusing on disease transmission, epidemiological trends, vector control strategies, surveillance and monitoring, and international collaborations and initiatives. Extensive data were collected from the Web of Science database and analyzed for citation network analysis (CNA) using VoSviewer software. Data were collected from the Web of Science database encompassing various aspects of Aedes-borne diseases. The bibliographic CNA was performed to quantify and analyze the 77 years of data on A. aegypti and A. albopictus transmitted diseases. Results: The analysis included 4149 publications contributed by 13,416 authors from 149 countries. These articles comprised research articles (91.01%), review articles (6.267%), proceeding papers (1.76%), and book chapters (0.92%). The results revealed a cumulative h-index of 134, indicating the impact of the scientific output in this field. Conclusion: This review contributes to the ongoing efforts to mitigate the impact of Aedes-borne diseases and protect public health worldwide. By synthesizing current knowledge and evidence-based practices, the study provides all information related to publications, citations, co-citations, top journal trends, high-impact publications, and collaborations among authors in one place among the data published in the past eight decades on Aedes-borne diseases.

背景:由埃及伊蚊和白纹伊蚊传播的蚊媒疾病给全球造成的负担已成为一个紧迫的公共卫生问题。本研究试图量化和评估约八十年来有关埃及伊蚊和白纹伊蚊传播疾病的全球流行趋势的出版物数据。方法:对有关埃及蝇和白蚊传播疾病的文献进行了全面的文献综述,重点关注疾病传播、流行病学趋势、病媒控制策略、监测和监控以及国际合作和倡议。从 Web of Science 数据库中收集了大量数据,并使用 VoSviewer 软件进行了引文网络分析(CNA)。从 Web of Science 数据库中收集的数据涵盖了伊蚊传播疾病的各个方面。通过文献 CNA,对 77 年来有关埃及伊蚊和白纹伊蚊传播疾病的数据进行了量化和分析。结果:分析包括来自 149 个国家的 13,416 位作者发表的 4149 篇文章。这些文章包括研究文章(91.01%)、综述文章(6.267%)、会议论文(1.76%)和书籍章节(0.92%)。结果显示,累计 h 指数为 134,表明了该领域科学成果的影响力。结论本综述有助于减轻伊蚊传播疾病的影响和保护全球公众健康。本研究综合了当前的知识和循证实践,在过去八十年间发表的有关伊蚊传播疾病的数据中,集中提供了所有与出版物、引用、联合引用、顶级期刊趋势、高影响力出版物以及作者间合作相关的信息。
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引用次数: 0
A Case Series on Spotted Fever and Typhus Fever Seropositivity at National Center for Disease Control and Epidemiological Perspective. 国家疾病控制中心斑疹热和斑疹伤寒血清阳性病例系列及流行病学视角。
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-11-01 Epub Date: 2024-06-17 DOI: 10.1089/vbz.2024.0024
Stuti Gupta, Cordelia Siddiqui, Prakriti Sharma, Jyoti Kataria, Sharda Singh, Vishesh Sood, Monil Singhai

Background: The rickettsioses, except for typhus fever and scrub typhus (ST), were not really recognized as distinct clinical entities until the early 20th century. Only when specific rickettsial serologic testing was introduced in the 1940s could the precise etiologies of various rickettsial diseases (RDs) be determined with certainty. Although ST is a well- recognized zoonotic disease entity, but non-scrub typhus rickettsial infection like spotted fever group and typhus group are not well studied in India and are still underestimated. Methods: We report cases who had shown seropositivity of spotted fever and typhus fever RD in IgM and IgG ELISA whose samples were referred from various hospitals of Delhi/National Capital Region in which clinicians had strong suspicion of rickettsiosis other than ST or Weil-Felix test found positive for any of the OX2, 19, and K antigens. Results: We reported 18 cases of SFG and TGRD with mostly cases presented with fever followed by hepato-intestinal symptoms. Conclusion: The vast variability and nonspecific presentation of rickettsiosis in spotted and typhus fever at times have often made it difficult to diagnose clinically. Prompt antibiotic therapy shortens the course of the disease, lowers the risk of complications, and in turn, reduces morbidity and mortality owing to RDs. There is a distinct need for physicians and health care workers at all levels of care in India to be aware of the clinical features, available diagnostic tests and their interpretation, and the therapy for these infections.

背景:除了斑疹伤寒和恙虫病(ST)之外,立克次体病直到20世纪初才被真正认定为不同的临床实体。只有在20世纪40年代引入特异性立克次体血清学检测后,各种立克次体病(RD)的确切病因才能得到确定。虽然ST是一种公认的人畜共患疾病,但在印度,斑疹热组和斑疹伤寒组等非恙虫病立克次体感染却没有得到很好的研究,而且仍被低估。方法:我们报告了在IgM和IgG ELISA检测中显示斑疹热和斑疹伤寒RD血清阳性的病例,这些病例的样本来自德里/国家首都区的多家医院,临床医生强烈怀疑他们感染了ST以外的立克次体病,或在Weil-Felix检测中发现OX2、19和K抗原阳性。结果:我们报告了18例SFG和TGRD病例,大多数病例表现为发热,随后出现肝肠症状。结论斑疹热和斑疹伤寒中的立克次体病具有很大的变异性和非特异性表现,因此临床上往往难以诊断。及时的抗生素治疗可缩短病程,降低并发症风险,进而降低立克次体病的发病率和死亡率。印度各级医疗机构的医生和医护人员明显需要了解这些感染的临床特征、可用的诊断测试及其解释和治疗方法。
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引用次数: 0
Unveiling Actin Cytoskeleton Role in Mediating Chikungunya-Associated Arthritis: An Integrative Proteome-Metabolome Study. 揭示肌动蛋白细胞骨架在介导基孔肯雅病相关关节炎中的作用:蛋白质组-代谢组综合研究。
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-11-01 Epub Date: 2024-05-07 DOI: 10.1089/vbz.2024.0018
Althaf Mahin, Sourav Chikmagalur Ravindra, Poornima Ramesh, Prashantha Naik, Rajesh Raju, Thottethodi Subrahmanya Keshava Prasad, Chandran S Abhinand

Background: Chikungunya is a zoonotic disease caused by the Chikungunya virus (CHIKV), primarily transmitted to humans through infected Aedes mosquitoes. The infection is characterized by symptoms such as high fever, musculoskeletal pain, polyarthritis, and a rash, which can lead to severe complications such as encephalitis, meningitis, and even fatalities. While many disease manifestations resemble those of other viral infections, chronic arthritis caused by CHIKV is unique, and its molecular mechanisms remain ill-defined. Materials and Methods: Proteomics data from both cellular and patient levels of CHIKV infection were curated from PubMed and screened using inclusion and exclusion criteria. Patient serum proteomics data obtained from PRIDE underwent reanalysis using Proteome Discoverer 2.2. Enrichment and protein-protein interaction network analysis were conducted on differentially expressed proteins from both serum and cellular datasets. Metabolite data from CHIKV-infected patients were further retrieved, and their protein binding partners were identified using BindingDB. The protein-metabolite interaction pathway was further developed using MetaboAnalyst. Results: The proteomics data analysis revealed differential expression of proteins involved in critical host mechanisms, such as cholesterol metabolism and mRNA splicing, during CHIKV infection. Consistent upregulation of two actin cytoskeleton proteins, TAGLN2 and PFN1, was noted in both serum and cellular datasets, and their upregulations are associated with arthritis. Furthermore, alterations in purine metabolism were observed in the integrative proteome-metabolome analysis, correlating with cytoskeletal remodelling. Conclusion: Collectively, this integrative view sheds light on the involvement of actin cytoskeleton remodeling proteins and purine metabolic pathways in the development of arthritis during CHIKV infection.

背景:基孔肯雅病是由基孔肯雅病毒(CHIKV)引起的人畜共患疾病,主要通过受感染的伊蚊传播给人类。感染后会出现高烧、肌肉骨骼疼痛、多关节炎和皮疹等症状,严重时会引发脑炎、脑膜炎等并发症,甚至导致死亡。虽然许多疾病的表现与其他病毒感染相似,但由 CHIKV 引起的慢性关节炎是独一无二的,其分子机制尚不明确。材料和方法:从 PubMed 收集 CHIKV 感染的细胞和患者水平的蛋白质组学数据,并使用纳入和排除标准进行筛选。使用 Proteome Discoverer 2.2 重新分析了从 P RIDE 获得的患者血清蛋白质组学数据。对血清和细胞数据集中的差异表达蛋白进行了富集和蛋白-蛋白相互作用网络分析。进一步检索了 CHIKV 感染者的代谢物数据,并使用 BindingDB 确定了它们的蛋白结合伙伴。使用 MetaboAnalyst 进一步开发了蛋白质-代谢物相互作用途径。结果蛋白质组学数据分析显示,在CHIKV感染期间,参与胆固醇代谢和mRNA剪接等关键宿主机制的蛋白质表达存在差异。两种肌动蛋白细胞骨架蛋白(TAGLN2和PFN1)在血清和细胞数据集中都出现了一致的上调,它们的上调与关节炎有关。此外,在蛋白质组-代谢组综合分析中观察到了嘌呤代谢的改变,这与细胞骨架重塑有关。结论总之,这一综合观点揭示了肌动蛋白细胞骨架重塑蛋白和嘌呤代谢途径参与了 CHIKV 感染期间关节炎的发展。
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引用次数: 0
We Need More Accuracy in Crimean-Congo Hemorrhagic Fever Diagnosis upon Initial Presentation in Endemic Areas. 在克里米亚-刚果出血热流行地区,我们需要提高初次就诊诊断的准确性。
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-11-01 Epub Date: 2024-05-21 DOI: 10.1089/vbz.2024.0040
Ilkay Bozkurt

Background: The primary aim of this study was to highlight the considerable rate of misdiagnosis associated with Crimean-Congo Hemorrhagic Fever (CCHF) during initial hospital admission. Materials and Methods: A comprehensive face-to-face survey was carried out on hospitalized patients living in endemic areas with confirmed diagnosis of CCHF. The structured questionnaire covered demographic information, specifics of hospital admissions before diagnosis, and adherence to the diagnostic criteria for CCHF as determined by the Ministry of Health (MoH). Results: This cohort consisted of 100 patients with a mean age of 44 (20-77) years, of which 65 (65%) were male. Each patient had undergone at least one hospital visit (0-3) before receiving the confirmed diagnosis of CCHF. Only 45 (45%) patients were thoroughly evaluated in line with the clinical diagnostic criteria set forth by the MoH, while 21% had initially received provisional CCHF diagnoses before final confirmation. Conclusions: This study indicates the urgent necessity to improve diagnostic accuracy for CCHF during the initial presentation in endemic regions.

背景:本研究的主要目的是强调克里米亚-刚果出血热(CCHF)在入院初期的误诊率相当高。材料与方法:对居住在疾病流行地区、确诊为克里米亚-刚果出血热的住院患者进行了全面的面对面调查。结构化问卷涵盖了人口统计学信息、确诊前入院的具体情况,以及是否符合卫生部确定的 CCHF 诊断标准。结果:该组共有 100 名患者,平均年龄为 44(20-77)岁,其中 65(65%)人为男性。每名患者在确诊为慢性阻塞性肺疾病之前都至少在医院就诊过一次(0-3 次)。只有 45 名(45%)患者按照卫生部规定的临床诊断标准进行了全面评估,21% 的患者在最终确诊前曾接受过临时的 CCHF 诊断。结论:这项研究表明,在疾病流行地区,迫切需要提高 CCHF 初诊诊断的准确性。
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引用次数: 0
Spread of Puumala Hantavirus to New Areas in a Large Croatian Outbreak of Hemorrhagic Fever with Renal Syndrome, 2021. 克罗地亚 2021 年大规模出血热并发肾综合征疫情中普马拉汉坦病毒向新地区的传播》(Puumala Hantavirus to Spreading to New Areas in a Large Croatian Outbreak of Hemorrhagic Fever with Renal Syndrome, 2021.
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-11-01 Epub Date: 2024-07-11 DOI: 10.1089/vbz.2024.0032
Morana Tomljenovic, Danijela Lakoseljac, Lucija Knezevic, Marko Batista, Tatjana Vilibic-Cavlek, Bernad Kaic, Lisa Hansen, Oktavija Đakovic Rode

Background: The largest documented outbreak of hemorrhagic fever with renal syndrome occurred in Primorje-Gorski Kotar County, Croatia, in 2021, marking the first-time cases of hantavirus infection recorded outside of the known endemic region in the north of the county. Aim: To identify the factors contributing to the spread of the outbreak and to compare risk factors for acquiring hantavirus infection in the endemic and newly affected regions. Methods and Results: A total of 189 cases were confirmed by positive Puumala IgM/IgG antibodies (93.6%), and 13 probable cases were identified by clinical and epidemiological data (6.4%) using a structured questionnaire. Of the 179 cases with available clinical data, 59 (33.0%) were hospitalized. Three cases received hemodialysis, and no deaths were reported. Among 170 cases with information on exposures, 66 (38.8%) reported occupational risk. Cases in the northern part of county were more likely to have been infected in early spring (OR 27.1, 95% CI 2.93-250.7), to report seeing a rodent (OR 6.5; 95%CI 2.3-18.4), and to know someone with hemorrhagic fever with renal syndrome (HFRS) (OR 3.0; 95%CI 1.2-8.0) than cases from the southern part of the county. Data from Croatian Forests Ltd. suggested that an unusually good production of beech seeds in 2020 may have contributed to an increased rodent population in 2021. However, average temperature, rainfall, and humidity data from 2021 did not illustrate a significant difference from previous years (Kruskal-Wallis p = 0.837, p = 0.999, p = 0.108). Conclusion: The 2021 HFRS outbreak was likely fueled by an abundant rodent population and virus transmission in rodent hosts. Human activity, environmental factors, and the ensuing animal-human interactions have spread hantavirus infection from Croatia's mountainous region to a previously nonendemic coastal area with a Mediterranean climate.

背景:2021 年,克罗地亚普里莫列-戈尔斯基-科塔尔县爆发了有记录的最大规模出血热并发肾综合征疫情,这是该县城北部已知流行区以外首次记录到汉坦病毒感染病例。目的:确定导致疫情蔓延的因素,并比较流行地区和新疫区感染汉坦病毒的风险因素。方法和结果:通过结构化问卷调查,根据临床和流行病学数据确定了13个疑似病例(6.4%)。在有临床数据的 179 例病例中,59 例(33.0%)住院治疗。其中 3 例接受了血液透析治疗,无死亡病例报告。在 170 例有暴露信息的病例中,66 例(38.8%)报告了职业风险。与该县南部的病例相比,该县北部的病例更有可能在早春受到感染(OR 27.1,95%CI 2.93-250.7),更有可能报告看到过啮齿动物(OR 6.5;95%CI 2.3-18.4),更有可能认识患有出血热伴肾综合征(HFRS)的人(OR 3.0;95%CI 1.2-8.0)。克罗地亚森林有限公司提供的数据表明,2020 年山毛榉种子的异常丰产可能导致 2021 年啮齿动物数量增加。不过,2021 年的平均气温、降雨量和湿度数据与往年相比并无显著差异(Kruskal-Wallis p = 0.837,p = 0.999,p = 0.108)。结论2021 年爆发的 HFRS 很可能是由大量啮齿动物和病毒在啮齿动物宿主中的传播引起的。人类活动、环境因素以及随之而来的人与动物之间的相互作用将汉坦病毒感染从克罗地亚的山区扩散到了以前未流行过的地中海气候沿海地区。
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引用次数: 0
Evolution of Lyme Borreliosis Epidemiology in Primary Care and Hospital Settings in France During the COVID-19 Pandemic. COVID-19 大流行期间法国基层医疗机构和医院莱姆病流行病学的演变。
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-11-01 Epub Date: 2024-07-16 DOI: 10.1089/vbz.2024.0006
Charles Nuttens, Stéphanie Duret, Antoine Bessou, Elisabeth Baux, Jean-François Faucher, Andreas Pilz, Jennifer C Moïsi, James H Stark

Background: Lyme borreliosis (LB) remains a public health concern in France despite improved patient management and medical care. Stay-at-home restrictions during the COVID-19 pandemic, which affected participation in outdoor recreational activities and disrupted access to health care services, may have impacted the risk of developing LB. Methods: We analyzed data from two general practitioner networks in France (Sentinel Network and an electronic medical records database [EMR]) and the national hospital discharge database to describe LB epidemiology in 2020-2021 and compare it to previous years. Google Trends' search volume was used to evaluate the association between the population's interest in LB and the evolving epidemiology. Results: Annual LB incidence rates in primary care decreased from 104 cases/100,000 population in 2018 to 71/100,000 in 2021 and from 82/100,000 to 60/100,000 according to Sentinel Network and EMR, respectively. Google Trends' search volume for "Lyme" followed a similar trend, one year earlier. Annual hospitalizations were stable from 2012-2019 (1.6/100,000 on average) and declined to 1.3/100,000 in 2020 and 1.1/100,000 in 2021. This decline was observed primarily in adults (e.g., 3.4/100,000 in 2017-2019 to 1.8/100,000 in 2020-2021 for 70-79 years of age). Changes in regional incidence rates in primary care from 2017-2019 to 2020-2021 ranged from -75% to 208%. Hospitalizations decreased in all regions except in Bretagne. Conclusions: The estimated LB incidence decreased in 2020 and 2021 compared with previous years but this change may not be related to COVID-19. The incidence decrease observed in primary care could result from reduced population interest in LB, leading to lower care-seeking behavior. The decrease in LB hospitalizations may be explained by changes in clinical practice. Surveillance systems are critical to understand the evolution of LB epidemiology. However, external factors impacting incidence estimates should be considered.

背景:在法国,尽管病人管理和医疗保健得到了改善,但莱姆病仍是一个公共卫生问题。在COVID-19大流行期间,人们被限制留在家中,这影响了人们参与户外娱乐活动,并破坏了获得医疗保健服务的机会,这可能会影响患莱姆病的风险。研究方法我们分析了来自法国两个全科医生网络(哨兵网络和电子病历数据库[EMR])和国家医院出院数据库的数据,以描述 2020-2021 年的枸杞多糖流行病学并与往年进行比较。谷歌趋势的搜索量用于评估人们对枸杞多糖的兴趣与流行病学演变之间的关联。研究结果根据哨点网络和EMR的数据,基层医疗机构的结核病年发病率分别从2018年的104例/10万人口降至2021年的71例/10万人口,从82例/10万人口降至60例/10万人口。谷歌趋势的 "莱姆 "搜索量与一年前的趋势相似。2012-2019 年间,年住院率保持稳定(平均为 1.6/100,000),2020 年降至 1.3/100,000,2021 年降至 1.1/100,000。这一下降主要出现在成人中(例如,70-79 岁的发病率从 2017-2019 年的 3.4/100,000 降至 2020-2021 年的 1.8/100,000)。从2017-2019年到2020-2021年,各地区初级医疗机构的发病率变化范围为-75%到208%。除布列塔尼外,所有地区的住院率均有所下降。结论:与前几年相比,2020年和2021年估计的枸杞发病率有所下降,但这一变化可能与COVID-19无关。在初级医疗机构观察到的发病率下降可能是由于人们对肺结核的兴趣降低,从而导致就医行为减少。枸橼酸病住院率的下降可能是由于临床实践发生了变化。监测系统对了解枸橼酸病流行病学的演变至关重要。然而,还应考虑影响发病率估计的外部因素。
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Vector borne and zoonotic diseases
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