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An overview of travel-associated central nervous system infectious diseases:risk assessment, general considerations and future directions

机译:与旅行有关的中枢神经系统传染病概述:风险评估,一般考虑和未来方向

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摘要

Nervous system infections are among the most important diseases in travellers. Healthy travellers might be exposed to infectious agents of central nervous system, which may require in-patient care. Progressive course is not uncommon in this family of disorders and requires swift diagnosis. An overview of the available evidence in the field is, therefore, urgent to pave the way to increase the awareness of travel-medicine practitioners and highlights dark areas for future research. In November 2013, data were collected from PubMed, Scopus, and Web of Knowledge (1980 to 2013) including books, reviews, and peer-reviewed literature. Works pertained to pre-travel care, interventions, vaccinations related neurological infections were retrieved. Here we provide information on pre-travel care, vaccination, chronic nervous system disorders, and post-travel complications. Recommendations with regard to knowledge gaps, and state-of-the-art research are made. Given an increasing number of international travellers, novel dynamic ways are available for physicians to monitor spread of central nervous system infections. Newer research has made great progresses in developing newer medications, detecting the spread of infections and the public awareness. Despite an ongoing scientific discussion in the field of travel medicine, further research is required for vaccine development, state-of-the-art laboratory tests, and genetic engineering of vectors.
机译:神经系统感染是旅行者中最重要的疾病之一。健康的旅行者可能会接触中枢神经系统的传染源,这可能需要住院治疗。在这种疾病家族中,进行性病并不罕见,需要迅速诊断。因此,对本领域现有证据的概述迫切需要为提高旅行医学从业者的认识铺平道路,并强调需要进一步研究的黑暗领域。 2013年11月,从PubMed,Scopus和Web of Knowledge(1980年至2013年)收集了数据,包括书籍,评论和经过同行评审的文献。检索了与旅行前护理,干预措施,疫苗接种相关的神经系统感染有关的工作。在这里,我们提供有关旅行前护理,疫苗接种,慢性神经系统疾病和旅行后并发症的信息。提出了有关知识差距和最新研究的建议。鉴于国际旅行者的数量不断增加,医生可以使用新颖的动态方式来监视中枢神经系统感染的蔓延。较新的研究在开发较新的药物,检测感染的传播和公众意识方面取得了重大进展。尽管在旅行医学领域一直在进行科学讨论,但仍需要对疫苗开发,最新实验室测试和载体基因工程进行进一步研究。

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  • 来源
    《亚太热带生物医学杂志(英文版)》 |2014年第8期|589-596|共8页
  • 作者单位

    Baqiyatallah Hospital, Baqiyatallah University of Medical Sciences, Tehran, Iran;

    Department of Neurology, Tehran University of Medical Sciences, Tehran, Iran;

    Department of Infectious Diseases, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran Iran;

    Baqiyatallah Hospital, Baqiyatallah University of Medical Sciences, Tehran, Iran;

    Baqiyatallah Hospital, Baqiyatallah University of Medical Sciences, Tehran, Iran;

    Department of Neurology, Baqiyatallah University of Medical Sciences, Tehran, Iran;

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