甲型肝炎:病毒结构、分类、生命周期、临床症状、诊断错误和疫苗接种。

IF 2.6 4区 医学 Q3 INFECTIOUS DISEASES Canadian Journal of Infectious Diseases & Medical Microbiology Pub Date : 2023-01-01 DOI:10.1155/2023/4263309
Omid Gholizadeh, Sama Akbarzadeh, Mohamad Ghazanfari Hashemi, Marjan Gholami, Parya Amini, Zahra Yekanipour, Raheleh Tabatabaie, Saman Yasamineh, Parastoo Hosseini, Vahdat Poortahmasebi
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引用次数: 11

摘要

甲型肝炎病毒(HAV)是全球众所周知的引起肝炎的病毒之一。尽管由于广泛的免疫接种,这种疾病在发达国家已有所减少,但许多发展中国家和欠发达国家仍在与这种病毒作斗争。甲肝感染可通过口腔-粪便接触传播,并经常通过营养传播。社会经济和卫生条件的改善已使该疾病在世界范围内的流行发生了变化。年幼的儿童通常无症状,但随着年龄的增长,感染症状开始出现。症状范围从轻微的炎症和黄疸到老年人的急性肝功能衰竭。虽然急性感染可能是自限性的,但未被识别的持续性感染以及基于临床指南的治疗方法的错误应用与肝硬化、肝细胞癌和死亡率的较高发生率有关。幸运的是,大多数患者在感染后两个月内康复,尽管10-15%的患者会在前六个月内复发。病毒很少导致持续感染或肝损伤。治疗的主要基础是支持性护理。根据美国疾病控制与预防中心和美国儿科学会的建议,所有12-23个月大的儿童以及一些易感人群都应该接受常规疫苗接种。甲肝病毒的实验室诊断是基于抗原检测、检查肝酶水平和抗体筛查。此外,聚合酶链反应(PCR)技术已在可疑的营养来源中鉴定出甲肝病毒;因此,该技术用于预防措施和食品相关法律。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Hepatitis A: Viral Structure, Classification, Life Cycle, Clinical Symptoms, Diagnosis Error, and Vaccination.

Hepatitis A virus (HAV) is one of the well-known viruses that cause hepatitis all around the globe. Although this illness has decreased in developed countries due to extensive immunization, numerous developing and under-developed countries are struggling with this virus. HAV infection can be spread by oral-fecal contact, and there are frequent epidemics through nutrition. Improvements in socioeconomic and sanitary circumstances have caused a shift in the disease's prevalence worldwide. Younger children are usually asymptomatic, but as they become older, the infection symptoms begin to appear. Symptoms range from slight inflammation and jaundice to acute liver failure in older individuals. While an acute infection may be self-limiting, unrecognized persistent infections, and the misapplication of therapeutic methods based on clinical guidelines are linked to a higher incidence of cirrhosis, hepatocellular carcinoma, and mortality. Fortunately, most patients recover within two months of infection, though 10-15% of patients will relapse within the first six months. A virus seldom leads to persistent infection or liver damage. The mainstay of therapy is based on supportive care. All children from 12-23 months, as well as some susceptible populations, should receive routine vaccinations, according to the Centers for Disease Control and Prevention and the American Academy of Pediatrics. Laboratory diagnosis of HAV is based on antigen detection, checking liver enzyme levels, and antibody screening. Furthermore, polymerase chain reaction (PCR) technology has identified HAV in suspected nutrition sources; therefore, this technique is used for preventative measures and food-related laws.

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来源期刊
CiteScore
4.30
自引率
0.00%
发文量
108
审稿时长
>12 weeks
期刊介绍: Canadian Journal of Infectious Diseases and Medical Microbiology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to infectious diseases of bacterial, viral and parasitic origin. The journal welcomes articles describing research on pathogenesis, epidemiology of infection, diagnosis and treatment, antibiotics and resistance, and immunology.
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