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A Return to the Past: The Vital Importance of Autopsies for Infectious Disease Practice in 2011 回到过去:尸检对2011年传染病实践的至关重要
Pub Date : 2011-10-26 DOI: 10.2174/1874279301105010118
F. Cainelli, Mpho A. Setime
Introduction of clinical guidelines and algorithms, and technical advances in laboratory tests and imaging techniques have apparently improved diagnostic capabilities in infectious diseases substantially in the last three decades, and autopsies and post-mortem studies are seemingly unwarranted in nowadays infectious disease practice. Is this really true?
在过去三十年中,临床指南和算法的引入以及实验室测试和成像技术的技术进步显然大大提高了传染病的诊断能力,在当今的传染病实践中,尸检和死后研究似乎是没有必要的。这是真的吗?
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引用次数: 3
A Summary of Global Routine Immunization Coverage Through 2010 2010年全球常规免疫接种覆盖率综述
Pub Date : 2011-10-14 DOI: 10.2174/1874279301105010115
David W Brown, A. Burton, M. Gacic-Dobo, Rouslan I. Karimov
This brief report summarizes the 2010 revision (July 2011) of the WHO and UNICEF estimates of national routine immunization coverage. In spite of improvements in immunization coverage (DTP3: 74% during 2000 vs 85% during 2010; MCV: 72% during 2000 vs 85% during 2010), the benefits of vaccination continue to elude many of the world’s children suggesting the need for a renewed commitment and investment in routine immunization programmes
本简短报告总结了世卫组织和联合国儿童基金会对国家常规免疫覆盖率估计的2010年修订版(2011年7月)。尽管免疫覆盖率有所提高(白喉三联疫苗:2000年为74%,2010年为85%;MCV: 2000年为72%,2010年为85%),世界上许多儿童仍然无法享受疫苗接种的好处,这表明需要重新承诺并投资于常规免疫规划
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引用次数: 6
Methicillin-Resistant Staphylococcus aureus Infections in Uppsala County, Sweden 瑞典乌普萨拉县耐甲氧西林金黄色葡萄球菌感染
Pub Date : 2011-09-30 DOI: 10.2174/1874279301105010107
B. Christenson, B. Ardung, S. Sylvan
The epidemiology of community-acquired (CA) and health care-associated (HCA) Methicillin-resistant Staphylococcus aureus (MRSA) infections were investigated in a prospective 3-year (2004-2006) surveillance study in Uppsala County. MRSA was isolated from all patients with soft tissue lesions attending hospitals and primary care clinics, as well as by systematic screening, regardless of symptoms, from all patients seeking medical care who had been treated abroad. Pulsed-field gel electrophoresis (PFGE), multilocus sequence typing (MLST) and spa typing were performed. The Panton-Valentine leukocidin (PVL) gene and resistance profiles were recognised. The cost of bacterial analysis was calculated. During the surveillance period, isolates were collected from 7 967 individuals of whom 82 were colonised or infected with MRSA. (24 HCA and 58 CA). A majority (65%) of the MRSA isolates originating outside Sweden. The isolates could be assigned into nine well-known international clones. The most frequent clone was CC8 (32%) within four clusters were identified and equally distributed between HCA and CA-isolates. The next most frequent clone was CC80 (DK E97-1) (23%) only discovered in CA isolates. Resistance to antibiotics other than � -lactams was found in 25% of the domestic isolates and in 60 % of isolates originating abroad. None of the HCA isolates carried the virulence determinant PVL gene. There was no spread of MRSA in the community or in hospitals during the surveillance period. Most domestic cases had certain risk factors. Travellers from or family relatives in the Middle East or Asia were highly overrepresented. To save costs selected screening is recommended.
对乌普萨拉县社区获得性(CA)和卫生保健相关(HCA)耐甲氧西林金黄色葡萄球菌(MRSA)感染的流行病学进行了一项为期3年(2004-2006)的前瞻性监测研究。从所有在医院和初级保健诊所就诊的软组织病变患者中分离出MRSA,并通过系统筛查,无论症状如何,从所有在国外接受过治疗的求医患者中分离出MRSA。进行脉冲场凝胶电泳(PFGE)、多位点序列分型(MLST)和spa分型。Panton-Valentine leukocidin (PVL)基因和抗性谱被识别。计算细菌分析费用。在监测期间,从7 967个人中收集了分离株,其中82人定植或感染了MRSA。(24hca和58ca)。大多数(65%)MRSA分离株来自瑞典以外。这些分离株可以划分为9个知名的国际克隆。最常见的克隆是CC8(32%),在4个聚类中被鉴定出来,并且在HCA和ca分离株之间分布均匀。其次是仅在CA分离株中发现的CC80 (DK E97-1)(23%)。在25%的国内分离株和60%的国外分离株中发现对-内酰胺类以外的抗生素耐药。所有HCA分离株均未携带决定毒力的PVL基因。监测期间未见MRSA在社区和医院的传播。大多数国内病例具有一定的危险因素。来自中东或亚洲的游客或亲属比例过高。为节省费用,建议进行选择性筛选。
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引用次数: 5
Highlights of a symposium, Malaria: Where are we today, where are we going? 研讨会要点:疟疾:我们今天在哪里,我们要去哪里?
Pub Date : 2011-07-28 DOI: 10.2174/1874279301105010099
R. W. Wieten, M. Vugt, F. V. Leth, M. Grobusch
Malaria continues to pose a major public health threat in endemic areas. However, times are changing, and many investments have been made in recent years into funding of malaria research, the development of more and improved control tools, and applying those to the field. Consequently, there is a renewed interest in going as far as considering the prospects of malaria elimination on a global scale. This goal cannot be reached without optimising and combining biotechnical, economical and social anthropological aspects. A symposium held on 25 January 2011 in Amsterdam, the Netherlands, organised by the Amsterdam Institute for Global Health and Development, the Center for Infection and Immunity Amsterdam and the Academic Medical Center of the University of Amsterdam, focused on malaria and the malERA eradication program, summarizing the state of the art in malaria control and beyond, and offering insight into the various possible ways forward. This manuscript summarizes the information presented and the ensuing
疟疾继续对流行地区的公共卫生构成重大威胁。然而,时代在变化,近年来进行了许多投资,资助疟疾研究,开发更多和改进的控制工具,并将这些工具应用于实地。因此,人们重新有兴趣考虑在全球范围内消除疟疾的前景。如果不优化和结合生物技术、经济和社会人类学方面,就无法实现这一目标。2011年1月25日,阿姆斯特丹全球健康与发展研究所、阿姆斯特丹感染和免疫中心以及阿姆斯特丹大学学术医学中心在荷兰阿姆斯特丹组织了一次专题讨论会,重点讨论了疟疾和根除疟疾和艾滋病方案,总结了疟疾控制及其他方面的最新技术,并对各种可能的前进道路提出了见解。这份手稿总结了所提供的信息和随后的内容
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引用次数: 1
Research priorities for HIV/M. tuberculosis co-infection 艾滋病毒/艾滋病的研究重点。结核病合并感染
Pub Date : 2011-07-06 DOI: 10.2174/1874279301105010014
M. A. Álvarez, P. Arbeláez, Francisco I. Bastos, B. Berkhout, B. Bhattacharya, G. Bocharov, V. Chereshnev, P. Cuchí, M. Däumer, O. Demikhova, K. Feldmann, L. Garcia, C. Giehl, Akash Gulalia, B. Kampmann, E. Karamov, P. Kebaabetswe, Mikhail Kiselev, A. Knellwolf, A. Kritski, C. Lange, C. López-Galíndez, Albert Makone, Anandi Martin, H. Mayanja-Kizza, R. McNerney, A. Meyerhans, G. Migliori, M. Morgado, J. Nachega, B. Ngwira, M. Odermarsky, M. Ota, J. Palomino, G. Pfyffer, W. Preiser, V. Ritacco, J. Robledo, C. Rodrigues, H. Salomón, S. Samper, Jorge Sanchez, M. Sester, P. Seth, Boniswa Seti, I. Sidorovich, R. Singla, L. Sonnier, C. Torti, E. Tortoli, Wim Vandevelde, S. Vella, V. Veloso, H. Briesen, K. Walia, G. Walzl, C. Wingfield
MS is funded by the EU; AM is funded by the EU and the Bill and Melinda Gates foundation. The EUCO-Net project leading to these results has received funding from the European Community's Seventh Framework Programme.
MS由欧盟资助;AM由欧盟和比尔及梅林达·盖茨基金会资助。导致这些结果的EUCO-Net项目得到了欧洲共同体第七框架方案的资助。
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引用次数: 2
The Situation of HIV/M. tuberculosis Co-Infection in Europe 艾滋病毒/艾滋病的情况。结核病合并感染在欧洲
Pub Date : 2011-07-06 DOI: 10.2174/1874279301005010021
C. Giehl, R. B. Roy, A. Knellwolf
This article provides an overview of the situation of HIV/AIDS, tuberculosis (TB), and HIV/MTB co-infection in the 27 member states of the European Union (EU27), prepared in the context of the FP7 project EUCO-Net (European Network for global cooperation in the field of AIDS & TB). Information contained herein, together with similar reports compiled for the four other EUCO-Net partner regions Africa, India, Russia, and South America provided the basis for the development of the EUCO-Net AIDS/TB Roadmap, a document which was compiled to support and facilitate the development of national, regional, and global research priorities and health policies, and to help boost international cooperation aimed at combating the scourge of HIV/AIDS, TB, and their deadly combination. A comprehensive overview of the national situation in all 27 EU member states is a prerequisite for effective disease management and adequate priority setting in research and development (R&D) activities in Europe. Therefore, results presented here include demographic and epidemiological data on HIV and MTB infection, both separately and combined, as well as information concerning disease management such as diagnostics, resistance testing, treatment, and associated economic costs. Results of the primary data collection were presented at the "AIDS/TB workshop on research challenges and opportunities for future collaboration" at the University of Stellenbosch, South Africa, in July 2009, which brought together more than 60 scientists from Europe and all EUCO-Net target regions to discuss future joint AIDS/TB research. In this context, intercultural aspects that may hamper cross-national cooperation and research in these fields such as language barriers, different ethical regulations, or operational challenges were also taken into account. The article concludes by summarizing the jointly identified key areas to improve disease management within the EU and by recommending priority areas for future AIDS/TB research in Europe.
本文概述了欧盟27个成员国的艾滋病毒/艾滋病、结核病(TB)和艾滋病毒/结核合并感染的情况,该情况是在FP7项目EUCO-Net(欧洲艾滋病和结核病领域全球合作网络)的背景下编写的。本文所载的信息,以及为非洲、印度、俄罗斯和南美洲其他四个EUCO-Net伙伴区域编写的类似报告,为制定EUCO-Net艾滋病/结核病路线图提供了基础。编制该路线图的目的是支持和促进国家、区域和全球研究重点和卫生政策的制定,并帮助促进旨在防治艾滋病毒/艾滋病、结核病及其致命组合祸害的国际合作。对所有27个欧盟成员国的国情进行全面概述是在欧洲进行有效疾病管理和在研究与开发活动中适当确定优先事项的先决条件。因此,本文提出的结果包括艾滋病毒和结核分枝杆菌感染的人口统计和流行病学数据,无论是单独的还是合并的,以及有关疾病管理的信息,如诊断、耐药性检测、治疗和相关的经济成本。2009年7月,在南非Stellenbosch大学举行的“艾滋病/结核病研究挑战与未来合作机遇研讨会”上介绍了初步数据收集的结果,来自欧洲和EUCO-Net所有目标区域的60多名科学家齐聚一堂,讨论未来的艾滋病/结核病联合研究。在这种情况下,还考虑到可能阻碍这些领域的跨国合作和研究的跨文化方面,如语言障碍、不同的道德规范或操作挑战。文章最后总结了共同确定的改善欧盟内部疾病管理的关键领域,并建议了欧洲未来艾滋病/结核病研究的优先领域。
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引用次数: 7
World-Wide Challenges and Perspectives for Handling HIV/Mycobacterium tuberculosis Co-Infections 处理艾滋病毒/结核分枝杆菌合并感染的全球挑战和前景
Pub Date : 2011-07-06 DOI: 10.2174/1874279301105010013
M. Sester, C. Giehl, B. Kampmann, A. Meyerhans
(MTB). These pathogens induce the acquired immunodeficiency syndrome (AIDS) and tuberculosis (TB), two major communicable diseases with severe public health impact worldwide. Estimates of the World Health Organisation (WHO) and UNAIDS reveal a frightening prevalence: around 33 million individuals are infected with HIV and one third of the world’s population carries MTB. While both infections are representing global public health problems in their own right, their combination is particularly threatening due to considerable mutual interactions: In HIV-positive individuals infected by MTB, the risk to develop active TB is 21-37 times higher than that of the HIV-negative population [1]. As a consequence, TB has become the leading cause of mortality for people living with HIV/AIDS, even in regions where highly active antiretroviral therapy (ART) has been implemented, and HIV is the most potent force driving the TB epidemic in countries with a high prevalence of HIV infection. Currently, this “cursed duet” of AIDS/TB is exerting its detrimental effects in settings where HIV and MTB prevalence is highest (such as in Sub-Saharan Africa, India, Russia or Latin America) and where multidrug- (MDR) and extensively drug resistant TB (XDR-TB) are present [2-4]. In this context, the European Union financed a multi-national support action named “EUCO-Net” (http://www.euco-net.eu) after Robert Koch's discovery of the tubercle bacillus: the new
(MTB)。这些病原体诱发获得性免疫缺陷综合征(AIDS)和结核病(TB),这两种主要的传染病在世界范围内对公共卫生造成严重影响。世界卫生组织(WHO)和联合国艾滋病规划署(UNAIDS)的估计揭示了一个令人恐惧的流行:大约3300万人感染了艾滋病毒,世界上三分之一的人口携带结核分枝杆菌。虽然这两种感染本身都是全球公共卫生问题,但由于相互作用很大,它们的组合尤其具有威胁性:在感染MTB的艾滋病毒阳性个体中,发展为活动性结核病的风险比艾滋病毒阴性人群高21-37倍。因此,结核病已成为艾滋病毒/艾滋病感染者死亡的主要原因,即使在实施了高效抗逆转录病毒疗法(ART)的地区也是如此。在艾滋病毒感染率高的国家,艾滋病毒是推动结核病流行的最有力力量。目前,艾滋病/结核病这一“被诅咒的二重唱”正在艾滋病毒和结核分枝杆菌流行率最高的地区(如撒哈拉以南非洲、印度、俄罗斯或拉丁美洲)以及存在多药(MDR)和广泛耐药结核病(XDR-TB)的地区发挥其有害影响[2-4]。在此背景下,在罗伯特·科赫发现结核杆菌后,欧盟资助了一项名为“EUCO-Net”(http://www.euco-net.eu)的多国支持行动
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引用次数: 0
The Situation of HIV/M. tuberculosis Co-Infection in India 艾滋病毒/艾滋病的情况。印度肺结核合并感染
Pub Date : 2011-07-06 DOI: 10.2174/1874279301005010051
P. Seth
In November 2008, European Commission initiated a collaborative research and information dissemination project entitled "European Network for global cooperation in the field of AIDS and TB (EUCO-Net)" involving Institutions in Europe (Germany, Belgium, Italy), Latin America (Brazil, Argentina, Colombia), Russia, South Africa, and India with the following objectives: a) to provide an overview of the state of art in HIV and TB research and disease management in different partner countries; b) to identify global research priorities; and c) to boost International cooperation between leading HIV and TB experts from Europe and those countries mainly affected by these two diseases. Therefore, in this report from India these objectives have been addressed under the following topics: i) Basic demographic data; ii) Basic epidemiological Data of HIV and TB; iii) Medical treatment standards; iv) Diagnostic Standards.
2008年11月,欧洲委员会发起了一项题为"欧洲艾滋病和结核病领域全球合作网络"的合作研究和信息传播项目,涉及欧洲(德国、比利时、意大利)、拉丁美洲(巴西、阿根廷、哥伦比亚)、俄罗斯、南非和印度的机构,其目标如下:a)概述不同伙伴国在艾滋病毒和结核病研究和疾病管理方面的最新状况;B)确定全球研究重点;c)促进来自欧洲和主要受这两种疾病影响的国家的主要艾滋病和结核病专家之间的国际合作。因此,印度的这份报告在下列主题下讨论了这些目标:i)基本人口数据;ii)艾滋病毒和结核病流行病学基本资料;(三)医疗标准;iv)诊断标准。
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引用次数: 11
Supplementary Information on Global and European Funding on HIV/AIDS and M. tuberculosis/TB 关于全球和欧洲艾滋病毒/艾滋病和结核分枝杆菌/结核病供资的补充资料
Pub Date : 2011-07-06 DOI: 10.2174/1874279301005010089
C. Giehl
The Treatment Action Group (TAG) is an independent AIDS research and policy think tank fighting for better treatment, a vaccine, and a cure for AIDS. In the context of the their TB/HIV Advocacy Project supported by the Bill & Melinda Gates Foundation, TAG has been compiling the “Treatment Action Group’s report on funding trends for tuberculosis (TB) research and development (R&D)”, monitoring global spending for TB R&D from the baseline year 2005 to date [1].
治疗行动小组(TAG)是一个独立的艾滋病研究和政策智库,为更好的治疗、疫苗和治愈艾滋病而奋斗。在比尔和梅林达·盖茨基金会支持的结核/艾滋病毒宣传项目的背景下,结核病防治专家组一直在编制“治疗行动小组关于结核病研发供资趋势的报告”,监测从2005年基准年至今的全球结核病研发支出。
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引用次数: 0
The Capacity of African Research Institutions to Respond to HIV/ M.tuberculosis Co-Infection 非洲研究机构应对艾滋病毒/结核分枝杆菌合并感染的能力
Pub Date : 2011-07-06 DOI: 10.2174/1874279301105010060
A. Charman, G. Walzl, W. Preiser
The paper reports on an investigation undertaken for the Network for European/ICPC cooperation in the field of AIDS and TB (EUCO-Net) into the state of biomedical research on the HIV/AIDS and Mycobacterium tuberculosis (MTB)/tuberculosis (TB) within 13 selected Sub-Saharan African countries. The case countries were Botswana, Central African Republic, Ethiopia, Gambia, Gabon, Kenya, Malawi, Mozambique, Senegal, South Africa, Uganda, Zambia and Zimbabwe. An important objective of the research was to document the extent of linkages between HIV/AIDS and TB research endeavours within these countries to address co-infection. The study examines five aspects of current research in these fields. First, it considers individual country demographic and epidemiological status. Second, it examines the scope and costs of diagnostic services for these diseases. Third, it considers inter-cultural sensitivities that positively or negatively impact on (or influence) biomedical research in the case countries. Fourth, it identifies the extent of funding for basic science research and details the main institutional funders and recipients of funding. Fifth, it details the scale of medical studies with respect to the two diseases, identifying the scope of research activities within the case countries, the nature of the funding and research partners. The research concludes that African institutions can significantly contribute towards addressing the scientific challenges needed to advance diagnostics, pioneer new drugs and develop vaccines, but only if they receive a significantly higher injection of funding. South African institutions are well positioned (scientifically) to lead research within the African context, having the human capacity to conduct research and benefiting from supportive state institutions.
该文件报告了为欧洲/国际结核与艾滋病合作网络(EUCO-Net)在13个选定的撒哈拉以南非洲国家开展的关于艾滋病毒/艾滋病和结核分枝杆菌/结核病的生物医学研究状况的调查。这些国家是博茨瓦纳、中非共和国、埃塞俄比亚、冈比亚、加蓬、肯尼亚、马拉维、莫桑比克、塞内加尔、南非、乌干达、赞比亚和津巴布韦。这项研究的一个重要目标是记录这些国家为解决合并感染而开展的艾滋病毒/艾滋病和结核病研究工作之间的联系程度。本研究考察了这些领域当前研究的五个方面。首先,它考虑到个别国家的人口和流行病学状况。其次,它审查了这些疾病诊断服务的范围和费用。第三,它考虑了对案例国家的生物医学研究产生积极或消极影响(或影响)的跨文化敏感性。第四,它确定了基础科学研究的资助程度,并详细说明了主要的资助机构和资助接受者。第五,报告详细说明了这两种疾病的医学研究规模,确定了病例国内研究活动的范围、供资和研究伙伴的性质。这项研究得出的结论是,非洲机构可以为解决推进诊断、开拓新药和开发疫苗所需的科学挑战做出重大贡献,但前提是它们获得大量的资金注入。南非的机构(在科学上)处于很好的位置,可以在非洲范围内领导研究,拥有进行研究的人力能力,并受益于支持性的国家机构。
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引用次数: 0
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The open infectious diseases journal
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