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The Situation of HIV/M. tuberculosis Co-Infection in Russia 艾滋病毒/艾滋病的情况。肺结核合并感染
Pub Date : 2011-07-06 DOI: 10.2174/1874279301005010036
O. Demikhova, E. Karamov
This report details the main findings of research of latest available data concerning epidemiological status of human immunodeficiency virus/ acquired immunodeficiency syndrome (HIV/AIDS) and M. tuberculosis (MTB) infections as well as HIV/MTB co-infection in support of Russian Federation (RF) Country Report for the EUCO-Net project on global cooperation in the field of HIV and MTB. In addition to epidemiological analysis this report presents the list of publications concerning epidemiological researches of referred above infections in RF and some other information. The research was undertaken in the period from 2008 to March 2010. The report concludes that the number of tuberculosis (TB) patients with HIV in RF is not great, but is rapidly growing and enhancement of efforts directed on fight against this co-infection are crucially needed.
本报告详细介绍了对现有的关于人体免疫机能丧失病毒/获得性免疫机能丧失综合症(艾滋病毒/艾滋病)和结核分枝杆菌感染以及艾滋病毒/结核分枝杆菌合并感染的流行病学状况的最新数据进行研究的主要结果,以支持俄罗斯联邦关于艾滋病毒和结核分枝杆菌领域全球合作的欧盟网络项目国家报告。除流行病学分析外,本报告还提供了有关RF中上述感染的流行病学研究的出版物清单和其他一些信息。研究时间为2008年至2010年3月。该报告的结论是,非洲地区感染艾滋病毒的结核病患者人数不多,但正在迅速增加,迫切需要加强防治这种合并感染的努力。
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引用次数: 2
The Situation of HIV/Mycobacterium tuberculosis Co-Infection in South America 艾滋病毒/结核分枝杆菌合并感染在南美洲的情况
Pub Date : 2011-07-06 DOI: 10.2174/1874279301005010081
V. Ritacco, M. Morgado, L. Garcia
The work summarizes the results of a survey on human immunodeficiency virus (HIV) and Mycobacterium tuberculosis (MTB) situation that was undertaken within the frame of the EC FP7 EucoNet project. Updated data on HIV infection, acquired immunodeficiency syndrome (AIDS) and tuberculosis (TB) in South America are presented as well as a state of the art regarding disease management and research activities in 10 countries: Argentina, Brazil, Bolivia, Chile, Colombia, Ecuador, Paraguay, Peru, Uruguay and Venezuela. The average HIV prevalence is 0.5- 140/100,000) whereas Chile, Uruguay and Venezuela bear the lowest (prevalence <25/100,000). HIV prevalence in incident TB cases ranges between 3% and 15% and mortality attributable to HIV/MTB co-infection is <1/100,000. All countries run national HIV/AIDS and TB control programmes with various degrees of efficiency and data availability/reliability. Diagnosis and treatment are free of charge and all countries adhere to diagnosis and treatment standards for TB and HIV/AIDS according to World Health Organisation guidelines. The main weaknesses are related to insufficient involvement of government administrations, poverty-related pockets of HIV/MTB co-infection in urban/suburban settings and lack of interaction between HIV/AIDS and TB programmes. Funds for HIV/AIDS are disproportionally higher than those allocated to TB and there is hardly any investment in the dual infection. Challenges and priority areas for research are presented, as stated by the South American experts at the EucoNet Workshop "Clinical and translational aspects of HIV/MTB co-infection" held in Stellenbosch, South Africa on July 23-24, 2009.
这项工作总结了在欧共体FP7 EucoNet项目框架内进行的关于人类免疫缺陷病毒(HIV)和结核分枝杆菌(MTB)情况调查的结果。介绍了南美洲艾滋病毒感染、获得性免疫缺陷综合症(艾滋病)和结核病的最新数据,以及阿根廷、巴西、玻利维亚、智利、哥伦比亚、厄瓜多尔、巴拉圭、秘鲁、乌拉圭和委内瑞拉等10个国家疾病管理和研究活动的最新情况。艾滋病毒的平均流行率为0.5- 140/100,000),而智利、乌拉圭和委内瑞拉的流行率最低(患病率<25/100,000)。结核病例中艾滋病毒流行率在3%至15%之间,可归因于艾滋病毒/结核联合感染的死亡率<1/100,000。所有国家都以不同程度的效率和数据可用性/可靠性运行国家艾滋病毒/艾滋病和结核病控制规划。结核病的诊断和治疗是免费的,所有国家都按照世界卫生组织的指导方针遵守结核病和艾滋病毒/艾滋病的诊断和治疗标准。主要弱点与政府管理部门的参与不足、城市/郊区环境中与贫困有关的艾滋病毒/结核联合感染以及艾滋病毒/艾滋病与结核病规划之间缺乏相互作用有关。用于艾滋病毒/艾滋病的资金比用于结核病的资金高得不成比例,而且对双重感染几乎没有任何投资。正如2009年7月23日至24日在南非Stellenbosch举行的EucoNet研讨会“HIV/MTB合并感染的临床和转化方面”上南美专家所指出的那样,提出了研究的挑战和优先领域。
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引用次数: 3
Commentary: A Call for Routine HIV Testing Among Patients with Hepatitis C Virus Infection 评论:呼吁对丙型肝炎病毒感染患者进行常规艾滋病毒检测
Pub Date : 2011-06-29 DOI: 10.2174/1874279301105010097
L. Taylor, Melissa Gaitanis, C. Beckwith
In February 2010, Mr. R, a 49-year-old male with wellcontrolled HIV infection on highly active antiretroviral therapy (HAART), was referred to our HIV/viral hepatitis coinfection clinic for evaluation of chronic hepatitis C virus (HCV) infection. While he was worried about the degree of damage to his liver and whether HCV treatment was indicated, his greatest concern was for his wife. The couple had been having unprotected intercourse since they were teenagers, and Mr. R feared that his 47-year-old wife was infected with HIV. Mrs. R was diagnosed with chronic HCV years earlier and was under the care of a highly regarded gastroenterologist. This physician recommended liver biopsy with pharmacotherapy for HCV but had not tested Mrs. R for HIV.
2010年2月,49岁男性R先生接受高效抗逆转录病毒治疗(HAART),艾滋病毒感染得到良好控制,他被转介到我们的艾滋病毒/病毒性肝炎合并感染诊所评估慢性丙型肝炎病毒(HCV)感染。虽然他担心肝脏受损的程度以及是否需要丙型肝炎病毒治疗,但他最担心的是他的妻子。这对夫妇从青少年时期就开始无保护的性行为,R先生担心他47岁的妻子感染了艾滋病毒。R夫人几年前被诊断出患有慢性丙型肝炎,并接受了一位备受尊敬的胃肠病学家的治疗。该医生建议肝活检和药物治疗丙型肝炎,但未对R夫人进行艾滋病毒检测。
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引用次数: 0
A Call for Routine HIV Testing Among Patients with Hepatitis C Virus Infection 呼吁丙型肝炎病毒感染患者进行常规艾滋病毒检测
Pub Date : 2011-06-20 DOI: 10.2174/1874279301105010019
L. Taylor, Melissa Gaitanis, C. Beckwith
In February 2010, Mr. R, a 49-year-old male with wellcontrolled HIV infection on highly active antiretroviral therapy (HAART), was referred to our HIV/viral hepatitis coinfection clinic for evaluation of chronic hepatitis C virus (HCV) infection. While he was worried about the degree of damage to his liver and whether HCV treatment was indicated, his greatest concern was for his wife. The couple had been having unprotected intercourse since they were teenagers, and Mr. R feared that his 47-year-old wife was infected with HIV. Mrs. R was diagnosed with chronic HCV years earlier and was under the care of a highly regarded gastroenterologist. This physician recommended liver biopsy with pharmacotherapy for HCV but had not tested Mrs. R for HIV.
2010年2月,49岁男性R先生接受高效抗逆转录病毒治疗(HAART),艾滋病毒感染得到良好控制,他被转介到我们的艾滋病毒/病毒性肝炎合并感染诊所评估慢性丙型肝炎病毒(HCV)感染。虽然他担心肝脏受损的程度以及是否需要丙型肝炎病毒治疗,但他最担心的是他的妻子。这对夫妇从青少年时期就开始无保护的性行为,R先生担心他47岁的妻子感染了艾滋病毒。R夫人几年前被诊断出患有慢性丙型肝炎,并接受了一位备受尊敬的胃肠病学家的治疗。该医生建议肝活检和药物治疗丙型肝炎,但未对R夫人进行艾滋病毒检测。
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引用次数: 0
HIV Co-Testing Among Veterans with Chronic Hepatitis C in the Veterans Health Administration 退伍军人健康管理局对慢性丙型肝炎退伍军人的HIV联合检测
Pub Date : 2011-06-06 DOI: 10.2174/1874279301105010091
B. Fuller, Veronica L. Rodriguez, A. Linke, P. Hauser
Objective: This retrospective study analyzed the testing rates of individuals enrolled in the Hepatitis C Clinical Case Registry for the Veterans Health Administration (VHA) in order to determine Human Immunodeficiency Virus (HIV) co-testing rates for veterans with hepatitis C (HCV). Design: A chart review of 247,006 veterans enrolled in the National HCV Clinical Case Registry was examined retrospectively. Regression analysis identified factors that increased the probability of being tested for HIV. Methods: Simple odds ratios and a complex regression were applied to this dataset to calculate testing incidence and prevalence of HIV. Results: Only approximately one third of veterans with HCV were tested for HIV and, of these, 13.2% were positive. Sixty eight percent of veterans with HCV were not co-tested for HIV and within this group there may be a significant number of unidentified cases of HIV. Veterans with severe mental illness, substance use disorders and marijuana abuse/dependence treatment were more likely to be tested for HIV. Antiviral therapy for HCV had no impact on likelihood of co-testing prior to treatment initiation. Conclusions: Most veterans with HCV are not co-tested for HIV despite common risk factors for HIV and HCV infection. Mandatory testing for HIV, at least among veterans with HCV, as well as identification and removal of barriers to HIV testing within the VHA would serve to facilitate disease management for veterans in the future.
目的:本回顾性研究分析了在退伍军人健康管理局(VHA)丙型肝炎临床病例登记处登记的个体的检测率,以确定丙型肝炎(HCV)退伍军人的人类免疫缺陷病毒(HIV)联合检测率。设计:回顾性研究了247,006名在国家HCV临床病例登记处登记的退伍军人的图表。回归分析确定了增加接受艾滋病毒检测可能性的因素。方法:应用简单优势比和复杂回归对该数据集进行计算,计算HIV检测发生率和流行率。结果:只有大约三分之一的HCV退伍军人接受了艾滋病毒检测,其中13.2%呈阳性。68%的丙型肝炎退伍军人没有进行艾滋病毒联合检测,在这一群体中可能有大量未确诊的艾滋病毒病例。患有严重精神疾病、物质使用障碍和大麻滥用/依赖治疗的退伍军人更有可能接受艾滋病毒检测。HCV抗病毒治疗对治疗开始前联合检测的可能性没有影响。结论:尽管HIV和HCV感染有共同的危险因素,但大多数HCV退伍军人没有进行HIV联合检测。强制进行艾滋病毒检测,至少在患有丙型肝炎的退伍军人中,以及在退伍军人管理局内确定和消除艾滋病毒检测的障碍,将有助于促进退伍军人未来的疾病管理。
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引用次数: 3
Molecular Detection of Brucella spp. DNA in Patients with Manifestations Compatible with Emotional Disorders 情绪障碍患者布鲁氏菌DNA的分子检测
Pub Date : 2011-03-24 DOI: 10.2174/1874279301105010008
M. Kechagia, S. Mitka, E. Papadogiannaki, V. Kontos, C. Koutis
Objectives: Human brucellosis is a common zoonosis in Greece and an important Public Health issue. Its true incidence is likely to be higher than reported due to underreporting and misdiagnosing of chronic forms which can manifest with depression and other neuropsychiatric symptoms. The aim of this study was to investigate the possible presence of Brucella DNA in the blood of patients with emotional disorders who did not have acute brucellosis or a diagnosis of chronic brucellosis. Methods: From March 2009 to May 2009, inhabitants of a Greek region endemic for brucellosis were examined and grouped as "patients" and "controls" respectively on the basis of the presence or absence of a diagnosis of emotional disorder. A total of 78 whole blood samples were obtained and analyzed by Polymerase Chain Reaction using specific primers. Results: Brucella DNA was detected in 3 (15%) out of 20 patients with emotional disorders, whereas all controls were found to be negative. Conclusions: The appearance of psychiatric - mainly depressive - symptoms in inhabitants of brucellosis endemic areas should raise a suspicion of chronic brucellosis.
目的:人布鲁氏菌病是希腊常见的人畜共患病,是一个重要的公共卫生问题。由于低报和误诊慢性形式,其真实发病率可能高于报告,慢性形式可能表现为抑郁和其他神经精神症状。本研究的目的是调查没有急性布鲁氏菌病或诊断为慢性布鲁氏菌病的情绪障碍患者血液中可能存在的布鲁氏菌DNA。方法:2009年3月至2009年5月,对希腊某地区布鲁氏菌病流行的居民进行调查,并根据是否诊断出情绪障碍分别分为“患者”和“对照组”。采用特异性引物聚合酶链反应对78份全血样本进行分析。结果:20例情绪障碍患者中有3例(15%)检测到布鲁氏菌DNA,而对照组均为阴性。结论:布鲁氏菌病流行地区居民出现精神症状(主要是抑郁症状)应引起对慢性布鲁氏菌病的怀疑。
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引用次数: 5
Keeping Immunisation Coverage Targets in Perspective 正确把握免疫覆盖目标
Pub Date : 2011-02-23 DOI: 10.2174/1874279301105010006
David W Brown
Immunisation coverage targets have had a central role in global immunisation efforts. There is a growing focus on achievement of immunisation coverage targets by national immunisation programmes, particularly where targets are included as part of performance based funding arrangements. However, immunisation coverage targets should not become a distraction to national immunisation programme managers whereby short run forces to lead to a shift or abandonment of technically appropriate and sustainable activities in a country.
免疫覆盖目标在全球免疫工作中发挥了核心作用。国家免疫规划越来越注重实现免疫覆盖目标,特别是将目标作为基于绩效的供资安排的一部分。然而,免疫覆盖目标不应成为国家免疫规划管理人员的分心,从而导致短期力量导致一个国家转移或放弃技术上适当和可持续的活动。
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引用次数: 3
The Use of Ultrasonography, Transient Elastography, APRI and FIB-4 to Measure Liver Steatosis and Fibrosis in HIV-Positive Patients Not Co- Infected with Hepatitis Viruses with Hypertransaminasemia of Unknown Etiology on HAART 应用超声、瞬时弹性成像、APRI和FIB-4测量HAART治疗中未合并不明原因肝炎病毒的hiv阳性患者的肝脂肪变性和纤维化
Pub Date : 2011-01-13 DOI: 10.2174/1874279301105010001
I. Izzo, L. Biasi, M. Mendeni, K. Prestini, A. Vavassori, E. Focà, E. Quiros-Roldan, G. Carosi, C. Torti
Background: HIV positive patients may be affected by hypertransaminasemia notwithstanding they are not co- infected with HCV and HBV. Aims: To understand the causes of this abnormality and what correlates are in terms of ultrasonic transient elastography (UTE) and ultrasonography (U) features and fibrosis scores. Methods: HIV positive patients with hypertransaminasemia have been studied. They underwent UTE and U. Non-invasive fibrosis scores (APRI and FIB-4) were calculated. Moreover, they underwent immunological and virological tests to exclude known causes of liver damage (including alcohol abuse). Results: Among 24 patients, 3 presented a progressive fibrosis at UTE. 3/3 with progressive fibrosis and further 14 patients among the entire sample had steatosis at U. Using non-invasive fibrosis scores, no patients had significant fibrosis, while 5 patients had mild fibrosis. 14 patients had hepatomegaly independently from steatosis. One patient has progressive fibrosis at UTE and mild fibrosis at both APRI and FIB-4, while 2 patients had fibrosis only at UTE, 2 only at APRI and 1 at both APRI and FIB-4, but not at UTE. Alcoholaemia was negative in all patients, confirming anamnestic information. No other causes of liver disease were found. Conclusions: In this series, more than 50% of patients had steatosis at U. Discordance between the non-invasive methods to estimate liver fibrosis were found. Further prospective studies are necessary to assess concordance between these methods and liver biopsy and assess the prognostic value of UTE, APRI and FIB-4 for liver complications in HIV mono- infected patients so as to improve diagnostic algorithms.
背景:HIV阳性患者可能受到高转氨酶血症的影响,尽管他们没有同时感染HCV和HBV。目的:了解这种异常的原因,以及超声瞬态弹性成像(UTE)和超声成像(U)特征和纤维化评分之间的相关性。方法:对HIV阳性的高转氨酶血症患者进行研究。计算非侵袭性纤维化评分(APRI和FIB-4)。此外,他们还接受了免疫学和病毒学测试,以排除已知的肝损伤原因(包括酗酒)。结果:24例患者中,3例出现UTE进行性纤维化。3/3的患者有进行性纤维化,整个样本中有14例患者在u处有脂肪变性。使用非侵入性纤维化评分,没有患者有明显纤维化,有5例患者有轻度纤维化。14例肝肿大独立于脂肪变性。1例患者在UTE时出现进行性纤维化,在APRI和FIB-4时均出现轻度纤维化,2例仅在UTE时出现纤维化,2例仅在APRI时出现纤维化,1例同时在APRI和FIB-4时出现纤维化,但在UTE时没有。所有患者酒精血症均为阴性,证实了失忆信息。没有发现肝脏疾病的其他原因。结论:在这个系列中,超过50%的患者在u有脂肪变性,发现非侵入性评估肝纤维化的方法之间存在不一致。需要进一步的前瞻性研究来评估这些方法与肝活检的一致性,并评估UTE、APRI和FIB-4对单HIV感染患者肝脏并发症的预后价值,以改进诊断算法。
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引用次数: 5
Editorial-Challenges in Infectious Diseases in Low and Middle-Income Countries 编辑-低收入和中等收入国家的传染病挑战
Pub Date : 2010-09-15 DOI: 10.2174/1874279301004010031
Sandro Vento
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引用次数: 1
Developments in Plant-Based Vaccines Against Diseases of Concern inDeveloping Countries 发展中国家关注疾病的植物性疫苗的进展
Pub Date : 2010-09-15 DOI: 10.2174/1874279301004010055
E. Gómez, S. C. Zoth, E. Carrillo, A. Berinstein
Vaccination has been extensively used to prevent, eradicate and control infectious diseases. However, the development and implementation of new vaccines remains prohibitively expensive for middle and low income countries where such measures are surely needed most. The production of plant-based vaccines provides a promising alternative to create affordable biological products. In the past decade, a growing number of research groups worldwide have studied plant expression and parenteral or oral delivery of vaccine antigens, some showing promising potential. Here, we describe the basis of the system and the state of the art of developments regarding diseases of concern in developing countries.
疫苗接种已广泛用于预防、根除和控制传染病。然而,对于中低收入国家来说,开发和实施新疫苗的费用仍然高得令人望而却步,而这些国家肯定是最需要这些措施的。以植物为基础的疫苗的生产为制造负担得起的生物制品提供了一个有希望的替代方案。在过去十年中,世界上越来越多的研究小组研究了植物表达和疫苗抗原的肠外或口服递送,其中一些显示出很好的潜力。在这里,我们描述了该系统的基础和发展中国家有关令人关注的疾病的最新发展状况。
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引用次数: 13
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The open infectious diseases journal
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