2022年猴痘暴发病例定义和接触者追踪指征概述。

Q2 Medicine Infezioni in Medicina Pub Date : 2022-01-01 DOI:10.53854/liim-3101-3
Giovanni Guarducci, Barbara Rita Porchia, Carlotta Lorenzini, Nicola Nante
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引用次数: 3

摘要

背景:2022年,在其通常流行地区非洲以外发生了一次新的麻疹病毒暴发。该病毒是在欧洲、美洲、亚洲和大洋洲国家发现的,这些国家的麻疹不常见或以前没有报告过,而且传播迅速。该研究旨在比较世界卫生组织(世卫组织)、欧洲疾病预防和控制中心(ECDC)和四个欧洲国家之间的麻疹病例定义和接触者追踪指征。方法:从2022年8月至2022年11月,我们首先在WHO和ECDC的官方网站进行研究,然后在四个欧洲国家(意大利、法国、西班牙和葡萄牙)的卫生部或国家卫生机构的官方网站进行研究。对发现的所有报告进行了比较,以阐明病例定义和接触者追踪指征方面的差异。结果:WHO将病例定义分为疑似、可能、确诊和丢弃四类,ECDC将病例定义分为确诊和可能。ECDC将接触定义为“密切接触”和“其他接触”,而世卫组织将其分为高、中、低风险。所分析的四个国家在病例定义和接触者追踪指征方面均存在异质性。结论:我们的分析揭示了WHO和ECDC在病例定义上的异质性。不同国家遵循不同的指征,或对病例定义和接触者追踪指征都给出了自己的指征。协调加强了公共卫生准备和应对,并创造了统一的沟通。
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Overview of case definitions and contact tracing indications in the 2022 monkeypox outbreak.

Background: In 2022, a new outbreak of the Mpox virus occurred outside of Africa, its usual endemic area. The virus was detected in European, American, Asian, and Oceanian countries where Mpox is uncommon or had not been reported previously and where the spread was rapid. The study aims to compare the case definition and the indications for contact tracing in case of Mpox infection among the World Health Organization (WHO), the European Centre for Disease Prevention and Control (ECDC), and four European Countries.

Methods: From August 2022 to November 2022, we conducted research, first on the WHO and ECDC official websites and then on the official websites of the Ministry of Health or National Health Agencies of four European Countries (Italy, France, Spain, and Portugal). All reports found were compared to enlighten the differences in the definition of the case and indications for contact tracing.

Results: The WHO divides the case definition into four categories: suspected, probable, confirmed, and discarded, while the ECDC divides cases into confirmed and probable. The ECDC defines contact as close and others, while the WHO divides it into high, medium, and minimal risk. The four countries analyzed show heterogeneity in both the case definitions and the indications for contact tracing.

Conclusions: Our analysis revealed heterogeneity in the case definition between the WHO and ECDC. Different countries followed different indications or have given their indications for both the case definition and contact tracing indications. Harmonization strengthens public health preparedness and response and creates unified communication.

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来源期刊
Infezioni in Medicina
Infezioni in Medicina Medicine-Infectious Diseases
CiteScore
8.40
自引率
0.00%
发文量
62
期刊介绍: The Journal publishes original papers, in Italian or in English, on topics concerning aetiopathogenesis, prevention, epidemiology, diagnosis, clinical features and therapy of infections, whose acceptance is subject to the referee’s assessment. The Journal is of interest not only to infectious disease specialists, microbiologists and pharmacologists, but also to internal medicine specialists, paediatricians, pneumologists, and to surgeons as well. The Editorial Board includes experts in each of the above mentioned fields.
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