埃可病毒感染特征及医院感染防控要点
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吴安华

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R373

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湖南省自然科学基金(2017JJ3490)


Characteristics of Echovirus infection and key points for prevention and control of healthcare-associated infection
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    摘要:

    人肠道病毒(HEV)属小RNA病毒科中的肠道病毒属,是重要的人类致病原,作为普通的机会性感染病原体可感染各年龄人群,婴幼儿的发病率明显高于成人。HEV的传染性较强,可引起流行和暴发。HEV包括脊髓灰质炎病毒、A组柯萨奇病毒、B组柯萨奇病毒、埃可病毒(EchoV)及新型肠道病毒,可导致脑(膜)炎、支气管炎、心肌炎、手足口病、弛缓性麻痹、1型糖尿病等疾病,其中由EchoV导致的感染较重,特别是新生儿在医院获得的感染,往往导致暴发流行。近年来,我国由EchoV引起的感染暴发疫情时有发生,传染性强。2019年广东某医院发生的新生儿EchoV感染,导致了5例致死性病例,后果严重,影响力极大。此文对EchoV感染特征及医院感染防控要点进行综述,以期为感染诊治及医院感染防控工作提供帮助。

    Abstract:

    Human enterovirus (HEV) belongs to the enterovirus genus of Picornaviridae family, it is an important human pathogen, as a common opportunistic infectious pathogen, it can infect people of all ages, the morbidity in infants is significantly higher than that of adults. HEV is highly infectious and can cause epidemics and outbreaks. HEV includes Poliovirus, Coxsackievirus A, Coxsackievirus B, Echovirus(EchoV) and new enterovirus. HEV can cause encephalitis (meningitis), bronchitis, myocarditis, hand-foot-and-mouth disease, flaccid paralysis, type 1 diabetes mellitus and other diseases, serious infection caused by EchoV, especially that acquired by newborns in hospitals, often leads to outbreaks and epidemics. In recent years, outbreaks of infection caused by EchoV in China have occurred from time to time, which is highly infectious. In 2019, EchoV infection among newborns in a hospital in Guangdong Province resulted in 5 fatal cases, with serious consequence and great influence. This paper reviews the characteristics of EchoV infection and the key points of healthcare-associated infection(HAI) prevention and control, so as to provide help for diagnosis and treatment of infection as well as prevention and control of HAI.

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引用本文

李春辉, 吴安华.埃可病毒感染特征及医院感染防控要点[J]. 中国感染控制杂志,2019,18(9):882-887. DOI:10.12138/j. issn.1671-9638.20195358.
LI Chun-hui, WU An-hua. Characteristics of Echovirus infection and key points for prevention and control of healthcare-associated infection[J]. Chin J Infect Control, 2019,18(9):882-887. DOI:10.12138/j. issn.1671-9638.20195358.

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  • 收稿日期:2019-08-10
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  • 在线发布日期: 2019-09-28
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