国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2014年
10期
776-780
,共5页
呼吸道合胞病毒%预防%治疗%儿童
呼吸道閤胞病毒%預防%治療%兒童
호흡도합포병독%예방%치료%인동
Respiratory syncytial virus%Prevention%Therapy%Child
呼吸道合胞病毒(respiratory syncytial virus,RSV)是婴幼儿急性下呼吸道感染的首要原因.目前尚无RSV疫苗批准上市,手卫生和隔离是防止RSV传播的有效措施.帕利珠单抗能为高危婴儿提供安全、有效的被动预防,但非常昂贵.目前RSV感染仍主要依靠支持治疗.支气管扩张剂、糖皮质激素和白三烯拮抗剂等并未显示出决定性的疗效.利巴韦林也不常规用于治疗RSV感染.继续研发RSV疫苗和寻找更有效的抗病毒药物可能是未来预防和治疗RSV的方向.
呼吸道閤胞病毒(respiratory syncytial virus,RSV)是嬰幼兒急性下呼吸道感染的首要原因.目前尚無RSV疫苗批準上市,手衛生和隔離是防止RSV傳播的有效措施.帕利珠單抗能為高危嬰兒提供安全、有效的被動預防,但非常昂貴.目前RSV感染仍主要依靠支持治療.支氣管擴張劑、糖皮質激素和白三烯拮抗劑等併未顯示齣決定性的療效.利巴韋林也不常規用于治療RSV感染.繼續研髮RSV疫苗和尋找更有效的抗病毒藥物可能是未來預防和治療RSV的方嚮.
호흡도합포병독(respiratory syncytial virus,RSV)시영유인급성하호흡도감염적수요원인.목전상무RSV역묘비준상시,수위생화격리시방지RSV전파적유효조시.파리주단항능위고위영인제공안전、유효적피동예방,단비상앙귀.목전RSV감염잉주요의고지지치료.지기관확장제、당피질격소화백삼희길항제등병미현시출결정성적료효.리파위림야불상규용우치료RSV감염.계속연발RSV역묘화심조경유효적항병독약물가능시미래예방화치료RSV적방향.
Respiratory syncytial virus (RSV) is the leading cause of acute lower respiratory tract infections in infants and young children worldwide.Despite the magnitude of RSV disease,there remains no licensed vaccine product.Hand washing and isolation are highly effective in reducing the spread of RSV infection.Palivizumab can protect infants at high risk for RSV disease with safe and effective passive prophylaxis despite of the high costs.Treatment of RSV disease remains primarily supportive therapy.Clinical trials of bronchodilators,corticosteroids and leukotriene antagonists have not demonstrated conclusive benefit.The antiviral drug ribavirin is also not recommended for routine treatment of RSV infection.Future directions in treatment and prevention of RSV infections likely include the more potent antiviral compounds and the successful vaccination against RSV.