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A Case Report on Injection Site Abscess Due to Staphylococcus epidermidis 表皮葡萄球菌致注射部位脓肿1例
Pub Date : 2022-09-03 DOI: 10.5530/amdhs.2022.2.5
Jiya Thomas
An injection site abscess is a iatrogenic infection commonly caused by micro-organisms like Pseudomonas, Klebsiella , Escherichia coli , Staphylococcus aureus , Staphylococcus epidermidis etc. Staphylococcus epidermidis an anaerobic gram-positive cocci bacteria cause most common nosocomial infection and it leads to serious complications and interprofessional team is required for the management of such infections. Here is a case report of 63 year old patient who presents with injection site abscess due to Staphylococcus epidermidis .
注射部位脓肿是一种医源性感染,通常由假单胞菌、克雷伯氏菌、大肠杆菌、金黄色葡萄球菌、表皮葡萄球菌等微生物引起。表皮葡萄球菌是一种厌氧革兰氏阳性球菌,是最常见的医院感染的原因,它会导致严重的并发症,需要跨专业的团队来管理这类感染。我们报告一位63岁的病人,因表皮葡萄球菌感染而出现注射部位脓肿。
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引用次数: 0
Role of Micro and Macro Nutrients in Malnourished Children Attending Médecins Sans Frontières (MSF), Divisional Head Quarter Hospital, Dera Murad Jamali, Balochistan 微量和宏观营养素对在俾路支省Dera Murad Jamali的无国界医生组织区总部医院就诊的营养不良儿童的作用
Pub Date : 2022-09-03 DOI: 10.5530/amdhs.2022.2.3
K. Fatima, Faria Khurshid, S. Haider, N. ul Haq, M. Yonus
. Abstract Background: Balochistan continues to have a high prevalence of acute malnutrition. Aim: The objective of this study was to evaluate the role of micro and macro nutrients in malnourished children attending Medecins Sans Frontieres (MSF), Divisional Head Quarter Hospital, Dera Murad Jamali, Balochistan. Materials and Methods : It was hospital based longitudinal-sectional study, among patients admitted to the outpatient department. At first stage data was collected through questionnaire. The study includes patients aging 2-5 years attending OPD of MSF Dera Murad Jamali. Results: At enrolment there were 287(n) children aging between 2 to 5 years. 182(63.41%) were 2 years old, 69(24%) were 3 years old. Among 287 children 148 were male (51.6%), 139 were female (48.4%). The immunization status showed that139 children (48.44%) had been immunized while majority 148 (51.56%) had not been immunized. Among 192 children whose family monthly income was <15000 rupees, 102(33.79%) had excellent dietary practices and 90(33.1%) had unsatisfactory dietary practices. Conclusion: It is concluded that there is need to improve mother’s knowledge regarding healthy eating, hygiene, complementary feeding and breastfeeding etc. Contributing factors of malnutrition among children were illiteracy, poverty, large family size, un-immunization, inadequate hygiene, and dietary practices.
. 背景:俾路支省急性营养不良的患病率仍然很高。目的:本研究的目的是评估在俾路支省Dera Murad Jamali的无国界医生(MSF)区总部医院接受治疗的营养不良儿童中微量和宏观营养素的作用。材料与方法:以医院为基础,在门诊就诊的患者中进行纵向研究。第一阶段通过问卷调查收集数据。该研究包括在MSF Dera Murad Jamali的门诊就诊的年龄在2-5岁的患者。结果:入组时共有287(n)名年龄在2至5岁之间的儿童。2岁182例(63.41%),3岁69例(24%)。287例患儿中,男148例(51.6%),女139例(48.4%)。免疫现状显示,已免疫139例(48.44%),未免疫148例(51.56%)。在家庭月收入<15000卢比的192名儿童中,102名(33.79%)饮食习惯优良,90名(33.1%)饮食习惯不理想。结论:需要提高母亲在健康饮食、卫生、辅食和母乳喂养等方面的知识。造成儿童营养不良的因素是文盲、贫穷、大家庭、联合国免疫、卫生条件不佳和饮食习惯。
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引用次数: 0
Does the Health Assessment Questionnaire have Potential as a Monitoring Tool for Cohorts with Arthritis in Quetta, Pakistan? 健康评估问卷有潜力作为巴基斯坦奎达关节炎队列的监测工具吗?
Pub Date : 2022-09-03 DOI: 10.5530/amdhs.2022.2.4
A. Ali, N. ul Haq, Muhammad Saood, A. Nasim, Nisar Ahmed
Background: Arthritis is a common disease that contributes to the poor health of patients. It is the main cause of disability in an individual. Arthritis can affect physical and psychological health, and HRQoL measures provide a broad picture of this impact. Studies on arthritis have not been documented so far by using Generic tool in Pakistan. Objectives: This study aimed to assess HRQoL of patients diagnosed with arthritis in tertiary care hospitals Quetta. Materials and Methods: A Cross sectional descriptive study was conducted for a period from April 2019 to August 2019 in Sandeman Provisional Hospital, Bolan Medical Complex Hospital and other private Orthopedic Clinics in Quetta, Pakistan. Subject were included in the sample if they had diagnosis of Arthritis by using Health assessment Questionnaire. All analyses were done by using SPSSv20. Results: Most of respondents 165 (42.2%) had rheumatoid arthritis (RA) followed by 105 (26.9%) participants who had Osteoarthritis (OA). Majority of patients 140 (35.8%) had disease duration of 7-10 years followed by 109 (27.9%) participants who had 4-6 years of entire disease duration. Average scores that have been reported in a population-based study are 0.49, and in osteoarthritis and rheumatoid arthritis patients are 0.8 and 1.2, respectively which corresponds to Mild to Moderate Disability, Moderates to Severe Disability and Severe to very Severe Disability. Conclusion: It is concluded that RA patients’ HRQoL is altered and found to be significantly related to their age, gender, employment, family income, and length of disease and pain and functional ability may have an important impact on QOL in RA patients through restrictions and unpleasant physical sensations they cause.
背景:关节炎是导致患者健康状况不佳的常见疾病。它是导致个人残疾的主要原因。关节炎可以影响身体和心理健康,HRQoL测量提供了这种影响的广泛图景。到目前为止,在巴基斯坦使用通用工具对关节炎的研究还没有记录在案。目的:本研究旨在评估奎达三级医院诊断为关节炎患者的HRQoL。材料与方法:2019年4月至2019年8月,在巴基斯坦奎达的Sandeman临时医院、Bolan综合医疗医院和其他私人骨科诊所进行了一项横断面描述性研究。通过健康评估问卷将诊断为关节炎的受试者纳入样本。所有分析均采用SPSSv20进行。结果:165名(42.2%)受访者患有类风湿性关节炎(RA),其次是105名(26.9%)患有骨关节炎(OA)。大多数患者140(35.8%)的疾病持续时间为7-10年,其次是109(27.9%)患者的整个疾病持续时间为4-6年。在一项基于人群的研究中报告的平均得分为0.49,骨关节炎和类风湿关节炎患者的平均得分分别为0.8和1.2,分别对应于轻度至中度残疾、中度至重度残疾和重度至极重度残疾。结论:RA患者的HRQoL发生改变,与患者的年龄、性别、职业、家庭收入、病程长短显著相关,疼痛和功能能力可能通过其造成的限制和不愉快的身体感觉对RA患者的QOL产生重要影响。
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引用次数: 0
Case Report on the Management of Posterior Reversible Encephalopathy Syndrome (PRES) Postpartum 产后后路可逆性脑病综合征(PRES)处理病例报告
Pub Date : 2022-05-30 DOI: 10.5530/amdhs.2022.1.2
Benita Grace Babu
Posterior Reversible Encephalopathy Syndrome (PRES) is an underdiagnosed neurological disorder characterized by neurological symptoms which can develop acutely or sub acutely. It is usually more common among middle aged females. As specified by its name, it is a reversible condition, however timely detection and appropriate management is necessary in order to prevent complications like neurologic deficits and cerebellar herniation. Here is a case report of a 20 year old patient who presents with PRES syndrome in the early postpartum period
后可逆性脑病综合征(PRES)是一种未被诊断的神经系统疾病,其特征是神经系统症状,可急性或亚急性发展。它通常在中年女性中更为常见。顾名思义,这是一种可逆性疾病,但及时发现和适当处理是必要的,以防止神经功能缺损和小脑疝等并发症的发生。这里是一个20岁的病人谁在产后早期出现PRES综合征的病例报告
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引用次数: 0
Awareness of COVID-19 among Pharmacy Students of Pakistan 巴基斯坦药学专业学生对新冠肺炎的认知
Pub Date : 2022-05-30 DOI: 10.5530/amdhs.2022.1.1
K. Khan, Aqsa Zaman, F. Hashmi, Rizwan Ahmed Khan, Ghulam Murtaza Hamad
Background: COVID-19 is an infectious disease caused by the most recently discovered Coronavirus and has been a global threat. The objective of our study is to assess the knowledge and practice of pharmacy students in different Universities of Pakistan related to the nature and management of the COVID-19 pandemic. Methods: A descriptive and cross-sectional study was conducted from March to July 2020 by using an online as well as a self-administered questionnaire. Undergraduate pharmacy students were considered as the study population. The questionnaire was outlined with 6 sections including demographics; symptoms; risk; action and prevention; treatment options; and distinguishing characteristics of COVID-19, cold, and flu. The data were coded, entered, and analyzed using a statistical package for social sciences SPSS (IBM, version 22). Finding: Out of 1266 total respondents, the majority 863 (68.2%) were female pharmacy students with ages ranging from 18-26 years. The mean percentage of knowledge, awareness, and perception of the study sample about the symptoms, risk, transmission, prevention, and action against COVID-19 was found to be 56.43%. Conclusion: The low level of awareness immediately demands the update of the respective curriculum, conduct evidence-based learning, webinars, and mock drills to all the professionals as well as to the students of different disciplines by the Government and health departments. Students of health science should utilize their academic knowledge with a professional touch to assist the community to contain the disease. They can ensure the safety of people voluntarily by different public awareness programs to overcome such a global crisis.
背景:COVID-19是由最近发现的冠状病毒引起的传染病,已成为全球威胁。我们的研究目的是评估巴基斯坦不同大学的药学专业学生与COVID-19大流行的性质和管理相关的知识和实践。方法:从2020年3月至7月,采用在线问卷和自填问卷进行描述性和横断面研究。以药学本科学生为研究对象。调查问卷大致分为6个部分,包括人口统计;症状;风险;行动和预防;治疗方案;以及区分COVID-19、感冒和流感的特征。数据被编码,输入,并使用社会科学SPSS (IBM,版本22)的统计软件包进行分析。结果:在1266名受访者中,863名(68.2%)是年龄在18-26岁之间的女药学专业学生。研究样本对COVID-19的症状、风险、传播、预防和行动的知识、意识和感知的平均百分比为56.43%。结论:意识水平低,迫切需要政府和卫生部门对相关课程进行更新,对所有专业人员以及不同学科的学生进行循证学习、网络研讨会和模拟演练。健康科学专业的学生应该利用他们的学术知识和专业触觉来帮助社区控制疾病。他们可以通过不同的公众意识项目来自愿确保人们的安全,以克服这种全球危机。
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引用次数: 0
Antimicrobial Drug Utilization and Culture Sensitivity Pattern in Sepsis Patients in a Tertiary Care Hospital 某三级医院败血症患者抗菌药物使用及培养敏感性分析
Pub Date : 2021-12-16 DOI: 10.5530/amdhs.2021.3.7
S. Shrestha, M. Khadka, Prakat Karki
Sepsis is a potentially life threatening condition that is caused by an extreme response of the immune system of the body to an infection, where the response damages its own tissues. This study aims to study culture sensitivity and antimicrobial drug utilization pattern in sepsis patients in TUTH. It is a qualitative prospective and observational study, which was carried out in 105 sepsis patients at TUTH. The blood culture was positive in 105 (9.23%) patients of which 60 (57.1%) were male and 45 (42.9%) were female. A total of 59 (56.1%) gram-negative and 45 (43.9%) gram-positive bacteria were isolated. The common isolates were Coagulase negative Staphyloccus aureus (CoNS), Klebsiella pneumoniae and Pseudomonas aeruginosa . The most common source of infection in sepsis patients was Pneumonia (57.1%). The sensitivity of gram-positive organism was better to antibiotics such as Amikacin (84.8%), Piperacillin + Tazobactam (78.3%) and Gentamicin (76.1%). The Sensitivity of gram-negative organisms was better to antibiotics like Piperacillin + Tazobactam (86.5%), Levofloxacin (72.8%) and Ciprofloxacin (69.5%). The average number of antibiotics prescribed for sepsis patients was 3.07. In our study, gram-negative bacteria were isolated more than gram positive bacteria, whereas CoNS followed by Klebsiella pneumoniae were the most isolated pathogens. Sepsis was more common among male patients than female. Pneumonia was the major source of infection in sepsis patients. Most frequently used antibiotics both empirically and after antibiotic culture sensitivity test were Amikacin (67), Ceftriaxone (48), Ciprofloxacin (46) and Piperacillin + Tazobactam (39).
败血症是一种潜在的危及生命的疾病,是由身体免疫系统对感染的极端反应引起的,这种反应会损害自身的组织。本研究旨在探讨TUTH脓毒症患者的培养敏感性及抗菌药物使用模式。这是一项定性、前瞻性和观察性研究,对105例脓毒症患者进行了研究。105例(9.23%)患者血培养阳性,其中男性60例(57.1%),女性45例(42.9%)。检出革兰氏阴性菌59株(56.1%),革兰氏阳性菌45株(43.9%)。常见的分离株为凝固酶阴性金黄色葡萄球菌(con)、肺炎克雷伯菌和铜绿假单胞菌。脓毒症患者最常见的感染源为肺炎(57.1%)。革兰氏阳性菌对阿米卡星(84.8%)、哌拉西林+他唑巴坦(78.3%)、庆大霉素(76.1%)等抗生素敏感性较好。革兰氏阴性菌对哌拉西林+他唑巴坦(86.5%)、左氧氟沙星(72.8%)和环丙沙星(69.5%)的敏感性较好。败血症患者平均抗生素处方数为3.07。革兰氏阴性菌的分离率高于革兰氏阳性菌,而革兰氏阴性菌的分离率最高,其次为肺炎克雷伯菌。脓毒症在男性患者中比女性患者更常见。肺炎是脓毒症患者的主要感染源。经验和抗生素培养敏感性试验后最常使用的抗生素是阿米卡星(67)、头孢曲松(48)、环丙沙星(46)和哌拉西林+他唑巴坦(39)。
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引用次数: 0
Effect of Air Conditioner on Pulmonary Function Tests of Healthy Males in India 空调对印度健康男性肺功能测试的影响
Pub Date : 2021-12-16 DOI: 10.5530/amdhs.2021.3.6
Mehraj Trumboo, Kulbir Singh
Aim of our present study was to evaluate the effect of AC on pulmonary functions in healthy persons who routinely use AC, like bank employees and compare them with normal healthy volunteers who do not use AC. A comparative study covering a total of 100 subjects divided into two groups (Group-A and Group-B). Group-A (Cases) consisted of 50 healthy male subjects exposed to air conditioner in their work place namely Bank offices for a period of 7to 8 hr for 5 days a week over a period of two consecutive years. Group-B (Controls) consisted of male subjects working in the Higher Education Department who were not exposed to air conditioner during their work for last two years. In the present study, there is a significant difference between Group A and Group B with respect to FVC as p= 0.0001. Also, there is significant difference between Group A and Group B with respect to FEV1 as p= 0.001. A significant difference was seen between Group A and Group B with respect to FEF25-75% as p=0.0001. Exposure to air conditioner in bank employs leads to significant decrease in pulmonary functions as compared to non-air conditioner users. The inhalation of dry cold air causes both small and large airways obstructive lung disease, as is reflected by the decreased parameters like FVC, FEV1, FEV1/FVC ratio, FEF25-75%, PEFR and MVV.
我们本研究的目的是评估AC对常规使用AC的健康人(如银行员工)肺功能的影响,并将其与不使用AC的正常健康志愿者进行比较。一项比较研究共涵盖100名受试者,分为两组(A组和b组)。a组(病例)包括50名健康男性受试者,在连续两年的时间里,每周5天,每周7至8小时,在其工作场所即世行办公室接触空调。b组(对照组)由在高等教育部门工作的男性受试者组成,他们在过去两年的工作中没有接触空调。在本研究中,a组和B组在FVC方面存在显著差异,p= 0.0001。此外,A组和B组在FEV1方面存在显著差异,p= 0.001。A组和B组在FEF25-75%方面有显著差异,p=0.0001。与不使用空调的人相比,银行职员接触空调会导致肺功能显著下降。从FVC、FEV1、FEV1/FVC比值、FEF25-75%、PEFR、MVV等参数的降低可以看出,吸入干冷空气可引起小气道和大气道阻塞性肺疾病。
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引用次数: 0
A Review on Remdesivir: A Probable Cure for Covid-19 瑞德西韦:一种可能治愈Covid-19的药物
Pub Date : 2020-12-31 DOI: 10.5530/amdhs.2020.4.13
S. Tiwari, S. Talreja
The current scenario of the world is very critical as there is a global Pandemic of COVID-19 looming around in the world. It has claimed lives of millions of people and has adversely affected the health of millions. COVID-19 is an infectious disease caused by the novel corona virus. This disease is highly contagious in nature and hence it was regarded as the global pandemic by World Health Organization. There are many researches going on to either find a vaccine or find a cure for this deadly disease. Remdesivir is one such medicine which is proposed to be a probable cure for COVID-19. This medicine proved effective in the past for treatment of the ebola virus infection and the Middle East respiratory syndrome (MERS) infection; due to this researches on this medicine to be a potential cure were done. In a number of researches done in this area it was found that when remdesivir was administered to the infected individuals the recovery rate of the infected people was faster when they were given this medicine as compared to those who were not. This paper discusses about the medicine remdesivir in detail; from its discovery, functioning in human body to its chemical composition. The researches done and the clinical results of the medicines are also discussed which all point in the direction that this medicine could pose to be an aid in curing the corona virus disease. anti-viral research these any viruses coronavirus and even some of the viruses of flaviviridae family dengue and zika virus. Clinical Studies: Various clinical studies have been carried out on the remdesivir drug to prove its efficiency and potential in treating diseases like COVID-19. Also such studies depict any side-effects from such drugs. Some of these studies are mentioned below. It has been seen that the in vitro and in vivo animal models have been proved useful in proving the effectiveness of remdesivir against SARS-CoV-2 and other similar coronaviruses. A recent in vitro study was conducted on remdesivir drug to measure the antiviral activity against SARS-CoV2. This study aimed to depict an IC 50 of 770 nM and an IC 90 equal to 1,760 nM along with the cytotoxic concentration of more than 100 mM. [15] Along with this another study conducted by Sheahan et al . and De Wit et al . illustrated that Remdesivir had the enough potential in halting the replication and reducing viral pathology against such Coronaviruses. This study showcased in vivo efficacy of Remdesivir. Such studies along with the safety profile of Remdesivir in the clinical trials against Ebolavirus aid in the assessment of remdesivir as a potential therapeutic drug for reducing effects of SARS-CoV-2 I this current pandemic outbreak. [16] In the study it was found that remdesivir drug showed huge in vitro anti-viral activity against zoonotic and human pathogens coming from families of various viruses. However the anti-viral activity of this drug has consistent results when studied against Filoviridae, Coronaviridae,
目前的世界形势非常严峻,因为全球新冠肺炎大流行正在逼近。它夺去了数百万人的生命,并对数百万人的健康产生了不利影响。COVID-19是一种由新型冠状病毒引起的传染病。这种疾病具有高度传染性,因此被世界卫生组织列为全球大流行病。有许多研究正在寻找疫苗或治疗这种致命疾病的方法。Remdesivir就是其中一种被认为可能治愈COVID-19的药物。这种药物在过去被证明对治疗埃博拉病毒感染和中东呼吸综合征(MERS)感染有效;因此,人们对这种药物进行了研究,希望它能成为一种潜在的治疗方法。在这一领域进行的许多研究中发现,当给感染者服用瑞德西韦时,与没有服用这种药物的人相比,感染者的恢复速度更快。本文详细论述了药物瑞德西韦;从它的发现、在人体内的作用到它的化学成分。还讨论了所做的研究和药物的临床结果,这些结果都指向了这种药物可能有助于治疗冠状病毒病的方向。抗病毒研究这些任何病毒冠状病毒,甚至黄病毒科的一些病毒登革热和寨卡病毒。临床研究:已对瑞德西韦进行了各种临床研究,以证明其治疗COVID-19等疾病的有效性和潜力。这些研究也描述了这些药物的任何副作用。下面将提到其中一些研究。已经看到,体外和体内动物模型已被证明有助于证明瑞德西韦对SARS-CoV-2和其他类似冠状病毒的有效性。最近对瑞德西韦进行了体外研究,以测定其对SARS-CoV2的抗病毒活性。本研究旨在描述770 nM的ic50和等于1,760 nM的ic90以及超过100 mM的细胞毒性浓度。[15]与此同时,Sheahan等人进行了另一项研究。De Wit等人。表明瑞德西韦有足够的潜力阻止这种冠状病毒的复制和减少病毒病理。本研究显示了瑞德西韦的体内疗效。这些研究以及瑞德西韦在埃博拉病毒临床试验中的安全性,有助于评估瑞德西韦作为一种潜在的治疗药物,在当前的大流行疫情中降低SARS-CoV-2的影响。[16]研究发现,瑞德西韦药物对来自各种病毒科的人畜共患和人类病原体具有很强的体外抗病毒活性。但对丝状病毒科、冠状病毒科、肺炎病毒科等病毒科的抗病毒活性研究结果一致。Remdesivir含有三种与呼吸道疾病和其他类型相关的HCoV毒株
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引用次数: 1
Lessons on Preparedness and Response for Pandemic 防范和应对大流行的经验教训
Pub Date : 2020-12-31 DOI: 10.5530/amdhs.2020.4.14
Rashmi Mehra
DOI : 10.5530/amdhs.2020.4.14 INTRODUCTION The Novel Coronavirus SARS-CoV-2 (COVID-19) pandemic began in Wuhan (China) in December 2019. It has spread over 200 countries with more than 21 million confirmed cases of COVID-19 and over 700,000 deaths (August 16, 2020).[1] This is despite the explicit warning of the World Health Organization in 2011 implying that world is ill-prepared to respond to a severe influenza pandemic or to any similarly global, sustained and threatening public-health emergency.[2] Nevertheless, as the inherent vulnerabilities of the existing health systems have been brutally exposed by the present pandemic, it is imperative that we learned better preparedness and response for a pandemic.[2]
新型冠状病毒SARS-CoV-2 (COVID-19)大流行于2019年12月在中国武汉开始。截至2020年8月16日,新冠肺炎已蔓延至200多个国家,确诊病例超过2100万例,死亡人数超过70万。[1]尽管世界卫生组织在2011年明确警告说,世界没有准备好应对严重的流感大流行或任何类似的全球性、持续性和威胁性公共卫生紧急情况。[2]然而,由于现有卫生系统的固有脆弱性已经被当前的大流行残酷地暴露出来,我们必须学会更好地准备和应对大流行。[2]
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引用次数: 0
A Review on Role of Human Papilloma Virus (HPV) in Health-Related Diseases 人乳头瘤病毒(HPV)在健康相关疾病中的作用综述
Pub Date : 2020-10-10 DOI: 10.5530/amdhs.2020.3.9
Shivani Singh, Sharique Ahmad, A. Srivastava, J. Misra
Human Papilloma Virus (HPV) is a DNA tumor virus with double stranded and non-enveloped DNA of 8 kilobase. Its genome is covered by capsid protein with icosahedral symmetry and a diameter of 55nm. It induces proliferative lesions in mucosal and cutaneous epithelia. It is ubiquitous in nature and have been detected in both animals and humans and well adapted to their host. More than 100 types of HPVs are present and they all are involved in causing infection in squamous epithelial cells of skin and mucosa, this eventually leads to papilloma’s or warts benign type. The continuous infection with high risk HPV type causes cervical cancers and also anal cancer, vulvar, vaginal, penile and laryngeal papillomatosis. The HPV with cervical cancer association increase with elevation in number of squamous cell carcinoma at the sites of lesions in people. This infection is frequently noticed in a population with suppressed immune system. The HPV infects immature squamous epithelium at the squamocolumnal junction of cervix. The relation of HPV with non-melanoma skin cancer (NMSC) is clinically important as it is most common form of malignancy among fair skinned populations. This results in cytopathological changes induced by the virus which cytology and histology clearly diagnose as precancerous lesions which eventually result to become cancer. The HPV can be diagnosed by several techniques mainly Hybrid Capture 2, Polymerase chain reaction (PCR) and Real time Polymerase chain reaction (RT-PCR). The HPV infection can be prevented by vaccination and currently two preventive HPV vaccines based on VLPs are authorized for application. They are totally efficient in preventing infections of HPV 16 and 18 which are mainly high risk HPVs involved in causing genital infections in women .This review reveals the diseases associated with HPV diagnosis, the transmission of HPV and their prevention through effective vaccination.
人乳头瘤病毒(HPV)是一种DNA肿瘤病毒,具有8千碱基的双链无包膜DNA。其基因组被二十面体对称衣壳蛋白覆盖,衣壳蛋白直径为55nm。它诱导粘膜和皮肤上皮的增生性病变。它在自然界中无处不在,在动物和人类中都被发现,并且很好地适应了它们的宿主。目前有100多种hpv,它们都能引起皮肤和粘膜的鳞状上皮细胞感染,最终导致乳头状瘤或疣的良性类型。持续感染高危型人乳头瘤病毒可引致子宫颈癌、肛门癌、外阴、阴道、阴茎及喉部乳头状瘤病。人乳头瘤病毒与宫颈癌的相关性随着病变部位鳞状细胞癌数量的增加而增加。这种感染常见于免疫系统受到抑制的人群。HPV感染宫颈鳞柱交界处的未成熟鳞状上皮。HPV与非黑色素瘤皮肤癌(NMSC)的关系具有重要的临床意义,因为它是白皙皮肤人群中最常见的恶性肿瘤。这导致由病毒引起的细胞病理学改变,细胞学和组织学清楚地诊断为癌前病变,最终导致癌症。HPV的诊断方法主要有杂交捕获(Hybrid Capture)、聚合酶链反应(PCR)和实时聚合酶链反应(RT-PCR)。HPV感染可以通过接种疫苗来预防,目前有两种基于VLPs的预防性HPV疫苗被批准应用。它们完全有效地预防HPV 16和18的感染,HPV 16和18主要是引起女性生殖器感染的高危HPV。本文综述了与HPV诊断有关的疾病、HPV的传播以及通过有效的疫苗接种来预防HPV感染。
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引用次数: 2
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Advances in Medical, Dental and Health Sciences
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