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Clinical characteristics of Covid-19 cases in Guayaquil, Ecuador 厄瓜多尔瓜亚基尔新冠肺炎病例的临床特征
Pub Date : 2020-06-05 DOI: 10.15406/jhvrv.2020.08.00221
M. Bravo-Acosta, Paola Vélez-Solorzano, Dilia Martínez- Méndez
Introduction: Until April 20 in Ecuador there were 10,122 confirmed cases of Covid-19 with 507 deaths. We described the clinical characteristics of 115 confirmed Covid-19 cases. Methods: Nasopharyngeal swab or tracheal aspirate samples were collected to perform a confirmatory test for Covid-19. Clinical, laboratory and chest radiography data, invasive mechanical ventilation, days of hospitalization and number of deaths were recorded. Results: The mean was 54.1 years with 59% male. 96.5% had Dyspnea being the most frequent symptom and 20% had diarrhea. Hypertension and Diabetes Mellitus were the main comorbidities. The mean until death was 15.3 days with 9.2 days of hospitalization. 40.9% required invasive mechanical ventilation. 48.7% recovered, 9.6% remain hospitalized and 41.7% died. X-ray showed bilateral opacity. 46.9% had leukocytosis and 85.5% of the deceased presented lymphopenia versus 53.7% of the survivors (p<0.001). 77.4% with prolonged prothrombin time and 82.6% elevated lactic dehydrogenase. Discussion: Respiratory symptoms are the most frequent. However, the presence of diarrhea was greater than previously reported suggesting the importance of investigating gastrointestinal disorder as the primary symptom. The fatality rate was 41.7%, like critically ill patients. The age of the deceased was older than the survivors, being 62.5% male and 52.1% with some comorbidity, both considered risk factors for severe forms of Covid-19. Lymphopenia is a critical factor associated with severity and mortality.
简介:截至4月20日,厄瓜多尔共有10122例新冠肺炎确诊病例,507人死亡。我们描述了115例新冠肺炎确诊病例的临床特征。方法:采集鼻咽拭子或气管抽吸样本,对新冠肺炎进行验证性检测。记录临床、实验室和胸部放射照相数据、有创机械通气、住院天数和死亡人数。结果:平均年龄54.1岁,其中59%为男性。96.5%的患者呼吸困难是最常见的症状,20%的患者腹泻。高血压和糖尿病是主要的合并症。平均死亡时间为15.3天,住院9.2天。40.9%需要有创机械通气。48.7%康复,9.6%住院,41.7%死亡。X光片显示双侧不透明。46.9%的患者出现白细胞增多,85.5%的死者出现淋巴细胞减少,而幸存者为53.7%(p<0.001)。77.4%的患者出现凝血酶原时间延长,82.6%的患者出现乳酸脱氢酶升高。讨论:呼吸道症状是最常见的。然而,腹泻的出现比之前报道的要多,这表明研究胃肠道疾病作为主要症状的重要性。病死率为41.7%,与危重患者一样。死者的年龄比幸存者大,62.5%为男性,52.1%有一些合并症,这两种情况都被认为是严重形式新冠肺炎的危险因素。淋巴细胞减少是一个与严重程度和死亡率相关的关键因素。
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引用次数: 1
Environmental surface contamination with SARS-CoV-2 - a short review 严重急性呼吸系统综合征冠状病毒2型的环境表面污染-简评
Pub Date : 2020-04-27 DOI: 10.15406/jhvrv.2020.08.00215
Cameron L Jones
A highly contagious virus causing an illness called COVID-19 has rapidly emerged in the last four months. The growing demand for intensive healthcare, a rising death toll and disruption to supply chains and trade has led to mass implementation of testing, quarantine and lockdown in an effort to limit virus transmission. There are two ways to contract the virus: person-to-person (direct contact) or indirect (non-contact) transmission. This paper examines what is known to date about non-contact transmission in the built environment in the form of a mini review. The main takeaway message is that high-touch surfaces, toilets and often over-looked objects and surfaces are virus reservoirs and that transmission almost always occurs indoors. The use of reverse transcriptase polymerase chain reaction surveillance (RT-PCR, qPCR) in combination with careful or improved hand hygiene practice and regular surface disinfection cleaning can reduce the environmental viral burden and should not be overlooked or given preference over social distancing interventions.
在过去的四个月里,一种引起COVID-19疾病的高传染性病毒迅速出现。对强化医疗保健的需求不断增长,死亡人数不断上升,供应链和贸易受到干扰,导致大规模实施检测、隔离和封锁措施,以限制病毒传播。感染该病毒的途径有两种:人与人之间(直接接触)或间接(非接触)传播。本文以一篇小型综述的形式考察了迄今为止已知的关于建筑环境中非接触传播的情况。主要的信息是,高接触表面、厕所和经常被忽视的物体和表面是病毒的宿主,传播几乎总是发生在室内。逆转录酶聚合酶链反应监测(RT-PCR, qPCR)的使用与仔细或改进的手卫生习惯和定期表面消毒清洁相结合,可以减少环境病毒负担,不应忽视或优先考虑社会距离干预措施。
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引用次数: 1
The zika virus: twelve months after WHO declared a state of emergency, much remains to be done in preventing and controlling 寨卡病毒:世界卫生组织宣布进入紧急状态12个月后,在预防和控制方面还有很多工作要做
Pub Date : 2018-12-03 DOI: 10.15406/JHVRV.2018.6.00201
E. Q. Lima
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引用次数: 0
Traditional approach, an alternative to human papillomavirus therapy 传统方法,人乳头瘤病毒治疗的替代方法
Pub Date : 2018-11-26 DOI: 10.15406/JHVRV.2018.06.00200
Y. Lukman, D. A. Bala, K. Malik, Abdulkadir Saidu, A. Kumurya, J. Bala, A. Isah
Human papillomavirus (HPV) is one of the leading cause of diseases transmitted through sexual activities but not gender specific, HPV occurs globally but more common in developing countries, asymptomatic infection account for almost 44% of the population.1 HPV is a small, double-stranded DNA virus; the viral tropism is the epithelium. Over 200 HPV type species have been discovered, their outer capsid protein L1 are differentiated by its genetic sequence which serve as the basis of classifying the various HPV types. Studies showed that the sexually active individuals are more at risk to be exposed to Human Papillomavirus as the virus is mostly found in the genitalia.2 Majority of Human Papillomavirus types invades the cutaneous epithelium (stratified epithelium) causing skin warts. While some types invade mucosal epithelium; they are classified in to two, base on severity of disease they cause, infection with low-risk (nononcogenic) types, such as types 6, 11, 40, 42, 43, 44, 54, 61, 72 and 81. Can cause benign reactive alterations or Atypical Squamous cell of undermined significance or low-grade cervical cell abnormalities, genital warts and laryngeal papillomas. High-risk (oncogenic), HPV types, such as type 16, 18 31, 33, 35 39, 45, 51, 52, 56 and 59 are the major cause of cervical cancer, it also causes anogenital cancers. The oncogenic HPVs can cause low-grade cervical intraepithelial lesion, high-grade cervical intraepithelial lesion that are precursors to cancer of the cervix, and anogenital cancers. Oncogenic HPVs are seen in about 99% of cancer of the cervix, it is also reported to be involved in the pathogenesis of penile, vulvar, anal, and head and neck carcinomas, and oral malignant disease. Despite the strong proofs that relate infection with a high-risk HPV type to pathogenesis of cancer of the cervix, most immuno-competent women have the ability to clear this virus. Also detection of this virus at an early stage will aid in the prevention of the malignancy.3 Papillomaviruses possess oncogenes (E5, E6, and E7 genes) that bind the products of tumor suppressor genes.4 Properties and biology of HPV
人乳头瘤病毒(HPV)是通过性活动传播的疾病的主要原因之一,但不是性别特异性的,HPV在全球范围内发生,但在发展中国家更常见,无症状感染者几乎占人口的44%。1 HPV是一种小型双链DNA病毒;病毒的向性是上皮细胞。已经发现了200多种HPV类型的物种,它们的外壳蛋白L1通过其基因序列进行分化,这是对各种HPV类型进行分类的基础。研究表明,性活跃的个体更容易接触人类乳头状瘤病毒,因为该病毒主要存在于生殖器中。2大多数人类乳头状癌病毒类型侵入皮肤上皮(复层上皮),导致皮肤疣。而某些类型侵犯粘膜上皮;根据他们引起的疾病的严重程度,他们被分为两类,即低风险(非致癌)类型的感染,如6、11、40、42、43、44、54、61、72和81型。可引起良性反应性改变或意义受损的非典型鳞状细胞或低度宫颈细胞异常、生殖器疣和喉乳头状瘤。高风险(致癌),HPV类型,如16型、18型、31型、33型、35型、39型、45型、51型、52型、56型和59型是导致宫颈癌症的主要原因,它也会导致肛门生殖器癌。致癌HPV可导致低级别宫颈上皮内病变、高级别宫颈上皮间病变,这些病变是宫颈癌症的前兆,以及肛门生殖器癌。在约99%的癌症宫颈中可以看到癌性HPV,据报道,它还参与了阴茎癌、外阴癌、肛门癌、头颈癌和口腔恶性疾病的发病机制。尽管有强有力的证据表明,高危型HPV感染与癌症的发病机制有关,但大多数具有免疫竞争力的女性都有能力清除这种病毒。此外,在早期检测这种病毒将有助于预防恶性肿瘤。3乳头瘤病毒具有与肿瘤抑制基因产物结合的致癌基因(E5、E6和E7基因)。4 HPV的特性和生物学
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引用次数: 0
Biochemical aberrations, viral genotypic patterns and viral loads among Sudanese patients with chronic hepatitis C virus infection 苏丹慢性丙型肝炎病毒感染患者的生化异常、病毒基因型和病毒载量
Pub Date : 2018-07-24 DOI: 10.15406/JHVRV.2018.06.00195
O. Musa, W. Saeed, M. E. Ahmed, Omima Osman, Heyam Kamal Mohammed, E. Khalil
Hepatitis C virus infection is a global public health problem and a leading cause of acute and chronic liver disease. HCV is a small, single-stranded RNA virus of the Flaviviridae family that can infect hepatocytes, lymphocytes and monocytes. It is classified into eleven genotypes and 67 subtypes on genetic differences. Hepatitis C infections can be concentrated in certain populations and/or in general populations.1–4 HCV is transmitted through needle sharing, contaminated surgical equipment, blood transfusion, sexual contact and from infected mothers to babies. Variable low to high prevalence (1.3%-55%) of HCV in patients with hepatocellular carcinoma or chronic liver disease have been reported form different African countries.5–7 The global prevalence of anti-HCV has been estimated at 2.0% (1.7–2.3%) among adults and 1.6% (1.3–2.1%) for all ages with an estimated 115 million people infected mainly adults. HCV infection is not preventable by vaccination, so improved surveillance and access to screening and treatment at national and regional levels are strongly recommended.8–14 Sudan is the largest country in the Nile valley with a land mass about the size of Europe with HCV infection prevalence among asymptomatic male Sudanese blood donors of 1.5%-4.4%. This is definitely an under-estimate since females do not usually donate blood in Sudan. The highest prevalence [66.7%] of HCV infection in Sudan was noted in patients with end-stage renal disease on regular hemodialysis.2,15 Early diagnosis and treatment of HCV infection minimize risks of both long-term complications and transmission of infection. HCV infection is usually diagnosed by the detection of anti-HCV antibodies in a patient’s serum that react to recombinant HCV proteins in ELISA or chemiluminescence immunoassays.16,17 However, various biochemical and molecular markers are now available that can be used in screening for hepatitis C infection, for both diagnosis and monitoring chronic HCV infection. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) are routinely employed for the initial assessment and monitoring of hepatic disease.7,16–20
丙型肝炎病毒感染是一个全球性的公共卫生问题,也是急性和慢性肝病的主要原因。HCV是黄病毒科的一种小型单链RNA病毒,可感染肝细胞、淋巴细胞和单核细胞。根据遗传差异可分为11个基因型和67个亚型。丙型肝炎感染可能集中在某些人群和/或普通人群中。1-4丙型肝炎病毒通过共用针头、受污染的手术设备、输血、性接触以及从受感染的母亲传播给婴儿。据不同非洲国家的报道,肝细胞癌或慢性肝病患者的丙型肝炎病毒的低至高患病率(1.3%至55%)各不相同。5-7据估计,全球成人抗丙型肝炎病毒患病率为2.0%(1.7%至2.3%),所有年龄段的抗HCV患病率为1.6%(1.3%至2.1%),估计有1.15亿人主要感染成人。HCV感染不能通过接种预防,因此,强烈建议在国家和地区层面改善监测以及获得筛查和治疗的机会。8-14苏丹是尼罗河流域最大的国家,其陆地面积约为欧洲大小,无症状男性苏丹献血者的丙型肝炎病毒感染率为1.5%-4.4%。这肯定是一个低估值,因为女性在苏丹通常不献血。在苏丹,定期血液透析的终末期肾病患者的HCV感染率最高[66.7%]。2,15 HCV感染的早期诊断和治疗可将长期并发症和感染传播的风险降至最低。HCV感染通常是通过检测患者血清中的抗HCV抗体来诊断的,这些抗体在ELISA或化学发光免疫分析中与重组HCV蛋白反应。16,17然而,现在有各种生化和分子标记物可用于筛查丙型肝炎感染,用于诊断和监测慢性HCV感染。丙氨酸转氨酶(ALT)和天冬氨酸转氨酶(AST)通常用于肝病的初步评估和监测。7,16-20
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引用次数: 1
Lifestyle drugs: concept and impact on society 生活方式药物:概念及对社会的影响
Pub Date : 2018-07-11 DOI: 10.15406/JHVRV.2018.06.00194
I. Mounika, B. Ramu
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引用次数: 2
Use of viral phage-therapy in periodontal disease: animminent future chance coming from the past 病毒噬菌体治疗牙周病的应用:来自过去的未来机会
Pub Date : 2018-04-09 DOI: 10.15406/JHVRV.2018.06.00193
L. Viganó, Matteo Fanuli, C. Casu
Agents that inhibit the synthesis of cell membrane (eg penicillin and cephalosporin); Agents that interfere with the cell membrane of the microorganism, influencing the permeability (for example some antimycotic agents); Agents that inhibit protein synthesis by influencing 30S or 50S sub-ribosomal units functions (e.g. tetracyclines, macrolides and clindamycin) Agents that block important metabolic phases of microorganisms (for example in sulfonamides). Agents that interfere with nucleic acid synthesis (eg. metronidazole and quinolones). Antimicrobial resistance can be classified into 3 groups: intrinsic, mutational and acquired resistance. Intrinsic resistance developed to a specific antibiotic is a peculiar natural feature of the microorganism. For example, some oral bacteria, such many streptococci, lack in nitroreductase needed for converting and processing metronidazole inactive metabolites in their active form and therefore are not affected by the drug. Mutational resistance occurs due to a spontaneous chromosomal mutation that produces a g en tically modiified bacterial popuplation that is resist ant to the drug. Finally, the acquired resistance is an acquisition from another microorganism of a genetic element that codes for antibiotic resistance. This process can take place by transduction, transformation or conjugation. Phages can play a key role in bacteria in oral dysbiosis even in the presence of resistant species. This previously ignored idea is becoming one of the most reliable hypotheses on the complex structures of oral biofilm. Bacteriophage therapy can be developed for most infections because bacteriophages are present in almost all species of bacteria. The oral cavity is one of the most densely populated habitats of microorganisms and includes about 6 billion bacteria.2–4 These bacteria together with saliva are the main components of oral microbioma, they can be harmful, but they also play beneficial and necessary role in the immune system. These bacteria have evolved to survive on the surface of the tooth, on the gingival epithelium and in the oral cavity. Bacteria aggregate into complex communities called biofilms. Within the oral biofilm the
抑制细胞膜合成的药物(如青霉素和头孢菌素);干扰微生物细胞膜、影响渗透性的制剂(例如一些抗真菌制剂);通过影响30S或50S亚核糖体单元功能来抑制蛋白质合成的药物(如四环素类、大环内酯类和克林霉素)阻断微生物重要代谢阶段的药物(例如磺酰胺类)。干扰核酸合成的药物(如甲硝唑和喹诺酮类药物)。抗微生物耐药性可分为3类:内在耐药性、突变耐药性和获得性耐药性。对特定抗生素产生的内在耐药性是微生物特有的自然特征。例如,一些口腔细菌,如许多链球菌,缺乏转化和处理活性形式的甲硝唑非活性代谢产物所需的硝基还原酶,因此不受药物影响。突变耐药性是由于自发的染色体突变而产生的,这种突变会产生对药物具有耐药性的基因修饰的细菌繁殖。最后,获得性耐药性是从另一种微生物获得编码抗生素耐药性的遗传元素。这个过程可以通过转导、转化或结合来进行。噬菌体在细菌的口腔微生态失调中发挥着关键作用,即使在存在抗性物种的情况下也是如此。这个以前被忽视的想法正在成为关于口腔生物膜复杂结构的最可靠的假设之一。噬菌体疗法可以用于大多数感染,因为噬菌体几乎存在于所有种类的细菌中。口腔是微生物最密集的栖息地之一,包括约60亿个细菌。2-4这些细菌和唾液是口腔微生物群的主要组成部分,它们可能有害,但也在免疫系统中发挥有益和必要的作用。这些细菌已经进化为在牙齿表面、牙龈上皮和口腔中生存。细菌聚集成称为生物膜的复杂群落。在口腔生物膜内
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引用次数: 0
A review on torque teno virus 扭矩病毒研究进展
Pub Date : 2018-01-01 DOI: 10.15406/jhvrv.2018.06.00202
A. Adeleye
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引用次数: 0
High Prevalence of HIV/HTLV Co-Infection in Porto Alegre, Southern Brazil 巴西南部阿雷格里港HIV/HTLV合并感染的高患病率
Pub Date : 2017-12-01 DOI: 10.15406/jhvrv.2017.05.00184
C. C. Nunes, Eduardo Steintresser, I. Lamego, I. O. Freitas, Jessica Bianchessi
Type 1 and type 2 human T-cell lymphotropic viruses (HTLV1 and HTLV2) were the first retroviruses described, in 1979 and 1981, respectively [1]. HTLV1 and 2 viruses share 60% of their genomes [2]. Despite the fact that most individuals infected by these viruses remain asymptomatic throughout life, it is known that these agents are responsible for clinical neoplastic, inflammatory or degenerative syndromes, and HTLV-2 poses lower risk for the development of pathologies [1-4]. HIV-1 virus was discovered in 1983, and it was considered the etiological agent of the Acquired Immunodeficiency Syndrome in 1984 [1] .Retroviruses display tropism for cytotoxic T-cells CD4 and CD8. While the HTLV 1 and HIV-1 viruses show tropism primarily for CD4+ T-cells, HTLV-2 displays tropism for CD8+ T-cells. It is known that HTLV-1 and 2 viruses infect about 10-20 million individuals worldwide, whereas HIV virus infects sixty million individuals [3]. Regions with higher prevalence of HTLV-1 are the southwestern area of Japan, the Caribbean, Central and South America, Melanesia, and Africa [5,1] .
1型和2型人t细胞嗜淋巴病毒(HTLV1和HTLV2)是第一批被发现的逆转录病毒,分别于1979年和1981年被发现。HTLV1和htlv2的基因组有60%是相同的。尽管大多数感染这些病毒的个体终生无症状,但已知这些病原体可导致临床肿瘤、炎症或退行性综合征,而HTLV-2对病理发展的风险较低[1-4]。HIV-1病毒于1983年被发现,1984年被认为是获得性免疫缺陷综合征的病原。逆转录病毒对细胞毒性t细胞CD4和CD8表现出趋向性。HTLV 1和HIV-1病毒主要对CD4+ t细胞有趋向性,而HTLV-2对CD8+ t细胞有趋向性。据了解,HTLV-1和htlv -2病毒在全世界感染了大约1000万到2000万人,而HIV病毒每年感染6000万人。HTLV-1患病率较高的地区为日本西南部地区、加勒比地区、中南美洲、美拉尼西亚和非洲[5,1]。
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引用次数: 0
Human Papillomavirus, Cervical Cancer and Preventive Vaccines 人乳头瘤病毒、子宫颈癌及预防疫苗
Pub Date : 2017-11-24 DOI: 10.15406/JHVRV.2017.05.00183
A. Cheepsattayakorn, R. Cheepsattayakorn
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引用次数: 0
期刊
Journal of human virology & retrovirology
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