pathogen transmission

病原体传播
  • 文章类型: Journal Article
    作为宠物交易和饲养的外来动物可以将多种疾病传播给人类和其他动物,反之亦然。因此,这对宠物主人来说是必不可少的,特别是弱势群体,了解相关风险。兽医在告知宠物主人与人畜共患病原体和抗菌素耐药性(AMR)相关的健康风险方面发挥着至关重要的作用,因此,具有良好的沟通能力,可以有效地将信息传递给宠物主人。因此,德国异国情调的宠物主人对畜牧业进行了调查,兽医咨询和风险沟通。为了评估沟通的感知,使用自行编制的问卷得出沟通评分.对兽医交流的感知获得了很高的平均得分,显示出很高的满意度。兽医-客户关系的持续时间与更好的沟通感知相关,人畜共患病和AMR的交流频率与常任兽医的存在有关。然而,结果表明,兽医传播人畜共患病和/或AMR信息的频率低于宠物主人的期望.因此,应该提供更多关于人畜共患病和AMR的教育材料,应通过大学的进一步教育和培训来提高对风险沟通的认识。
    Exotic animals traded and kept as pets can transmit a variety of diseases to humans and other animals, and vice versa. Therefore, it is essential for pet owners, particularly vulnerable groups, to be informed about associated risks. Veterinarians play a crucial role in informing pet owners about health risks associated with zoonotic pathogens and antimicrobial resistance (AMR) and should, therefore, have good communication skills to effectively transfer information to pet owners. Thus, exotic pet owners in Germany were surveyed on animal husbandry, veterinary consultation and risk communication. To evaluate the perception of communication, a self-developed questionnaire was used to derive a communication score. The perception of veterinarian communication received a high average score showing a high level of satisfaction. The duration of the veterinarian-client relationship was associated with better communication perception, and the frequency of communication on zoonoses and AMR was associated with the presence of a permanent veterinarian. However, the results indicated that the frequency of disseminated information on zoonoses and/or AMR from veterinarians was lower than desired by the pet owners. Therefore, more educational material on zoonoses and AMR should be made available, and the awareness concerning risk communication should be increased by further education and training at universities.
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  • 文章类型: Journal Article
    亚洲长角蜱(Haemphysalislongicornis)于2017年在美国首次报道,此后至少在17个州被发现。这种蜱感染牛,由于其孤雌生殖的性质,可以迅速产生大量的种群,导致重大的牲畜死亡率和经济损失。虽然在德克萨斯州没有检测到H.longicornis,物种分布模型已将德克萨斯州南部确定为该tick的可能好客地区。得克萨斯州南部目前是南部牛tick(Rhipicephalusmicroplus)的所在地,可以传播牛发烧(Babesiabovis)的病原体。随着H.longicornis和B.bovis在德克萨斯州南部重叠的潜力,以及它们对国家和全球畜牧业产生负面影响的潜力,因此,必须明确长形目H.longicornis在牛发热疾病系统中可能发挥的作用。一个受控的采集和传输实验测试了H.longicornis是否是B.bovis的载体,与R.microplus-B.Bovis系统用作阳性对照。在这项研究中,测试了跨体育场(若虫到成虫)和跨血管(成虫到幼虫)传播以及随后的跨体育场维持(若虫和成虫)途径。收购,使用脾切除的动物来增加蜱感染的可能性。采集若虫被整体浸渍,采集成虫被解剖,以在五个时间点(补充后4、6、8、10和12天)去除内脏和卵巢,每个时间点和生命阶段处理40个蜱。具有可检测的牛芽孢杆菌DNA的若虫的最大百分比发生在补足后六天(20.0%)。对于成年人来说,随着补充后天数的进展,积极的中肠和卵巢的百分比增加,第12天的阳性样本百分比最高(67.5%和60.0%,分别)。当鸡蛋批次一式三份进行测试时,所有H.longicornis卵批次都对牛芽孢杆菌呈阴性,而所有R.microplus鸡蛋批次对牛芽孢杆菌呈阳性。在传输阶段,后继的生命阶段,为经stadial(成虫)和经varial传播/经stadial维持(幼虫,若虫,和成年人)被天真地喂养,脾切除的小牛。在传播过程中测试的所有生命阶段的H.longicornis壁虱对B.bovis均为阴性。此外,在蜱虫传播后的45天期间,饲喂传播的动物对牛B.bobis也呈阴性,并且没有显示牛babesiosis的迹象。鉴于缺乏成功的经房或经静脉曲张传播,不可能H.longicornis是B.bovis的载体。
    The Asian longhorned tick (Haemaphysalis longicornis) was first reported in the United States in 2017 and has since been detected in at least 17 states. This tick infests cattle and can produce large populations quickly due to its parthenogenetic nature, leading to significant livestock mortalities and economic losses. While H. longicornis has not been detected in Texas, species distribution models have identified southern Texas as a possible hospitable region for this tick. Southern Texas is currently home to the southern cattle tick (Rhipicephalus microplus), which can transmit the causative agent of cattle fever (Babesia bovis). With the potential for H. longicornis and B. bovis to overlap in southern Texas and their potential to negatively impact the national and global livestock industry, it is imperative to identify the role H. longicornis may play in the cattle fever disease system. A controlled acquisition and transmission experiment tested whether H. longicornis is a vector for B. bovis, with the R. microplus-B. bovis system used as a positive control. Transstadial (nymphs to adults) and transovarial (adults to larvae) transmission and subsequent transstadial maintenance (nymphs and adults) routes were tested in this study. Acquisition-fed, splenectomized animals were used to increase the probability of tick infection. Acquisition nymphs were macerated whole and acquisition adults were dissected to remove midguts and ovaries at five time points (4, 6, 8, 10, and 12 days post-repletion), with 40 ticks processed per time point and life stage. The greatest percentage of nymphs with detectable B. bovis DNA occurred six days post-repletion (20.0 %). For adults, the percentage of positive midguts and ovaries increased as days post-repletion progressed, with day 12 having the highest percentage of positive samples (67.5 % and 60.0 %, respectively). When egg batches were tested in triplicate, all H. longicornis egg batches were negative for B. bovis, while all R. microplus egg batches were positive for B. bovis. During the transmission phase, the subsequent life stages for transstadial (adults) and transovarial transmission/transstadial maintenance (larvae, nymphs, and adults) were fed on naïve, splenectomized calves. All life stages of H. longicornis ticks tested during transmission were negative for B. bovis. Furthermore, the transmission fed animals were also negative for B. bovis and did not show signs of bovine babesiosis during the 45-day post tick transmission period. Given the lack of successful transstadial or transovarial transmission, it is unlikely that H. longicornis is a vector for B. bovis.
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  • 文章类型: Journal Article
    蚊子是人类疾病的重要传播媒介,传播引起一系列寄生虫和病毒感染的病原体。蚊子的血液喂养是不均匀的,这意味着一些人类宿主比其他宿主受到叮咬的风险更高,这种异质性是多因素的。蚊子整合特定的线索来定位它们的宿主,和蚊子的吸引力在个体人类宿主之间有很大差异。不同种类的蚊虫叮咬是由于寄主吸引力和可用性的差异而导致的,并且会影响媒介传播疾病的传播。然而,这种异质性的程度和驱动因素及其对病原体传播的重要性仍未完全了解。这里,我们回顾了描述人类特征的方法和最新数据,这些特征会影响蚊子疾病媒介的寻找宿主行为和宿主偏好,以及对媒介传播疾病传播的影响。
    Mosquitoes are important vectors for human diseases, transmitting pathogens that cause a range of parasitic and viral infections. Mosquito blood-feeding is heterogeneous, meaning that some human hosts are at higher risk of receiving bites than others, and this heterogeneity is multifactorial. Mosquitoes integrate specific cues to locate their hosts, and mosquito attraction differs considerably between individual human hosts. Heterogeneous mosquito biting results from variations in both host attractiveness and availability and can impact transmission of vector-borne diseases. However, the extent and drivers of this heterogeneity and its importance for pathogen transmission remain incompletely understood. Here, we review methods and recent data describing human characteristics that affect host-seeking behavior and host preferences of mosquito disease vectors, and the implications for vector-borne disease transmission.
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  • 文章类型: Journal Article
    变形虫-细菌相互作用在自然生态系统和工程环境中都很普遍。变形虫,作为重要的消费者,在生态系统中具有重要的生态重要性。此外,它们可以与细菌建立稳定的共生关系。铜通过杀死或限制吞噬体中摄入的细菌的生长,在变形虫的捕食中起着至关重要的作用。然而,某些共生细菌已经进化了在吞噬体液泡中持续存在的机制,逃避抗菌防御。尽管有这些见解,铜对变形虫和细菌之间共生关系的影响仍然知之甚少。在这项研究中,我们研究了铜胁迫对变形虫的影响及其与细菌的共生关系。我们的发现表明,铜浓度升高会对变形虫的生长产生不利影响,并改变细胞命运。共生类型显著影响共生关系对铜胁迫的响应。有益共生体在铜应力下保持稳定,但是寄生共生体表现出变形虫的定殖增强。此外,铜胁迫有利于变形虫和有益共生体之间的共生关系向宿主的利益转变。相反,在铜胁迫下,寄生共生体对宿主的致病作用加剧。本研究揭示了土壤变形虫和变形虫-细菌共生系统对铜胁迫的复杂响应机制。为非生物因素下的共生动力学提供新的见解。此外,结果强调了铜在环境中积累对病原体传播和生物安全的潜在风险。
    Amoeba-bacteria interactions are prevalent in both natural ecosystems and engineered environments. Amoebae, as essential consumers, hold significant ecological importance within ecosystems. Besides, they can establish stable symbiotic associations with bacteria. Copper plays a critical role in amoeba predation by either killing or restricting the growth of ingested bacteria in phagosomes. However, certain symbiotic bacteria have evolved mechanisms to persist within the phagosomal vacuole, evading antimicrobial defenses. Despite these insights, the impact of copper on the symbiotic relationships between amoebae and bacteria remains poorly understood. In this study, we investigated the effects of copper stress on amoebae and their symbiotic relationships with bacteria. Our findings revealed that elevated copper concentration adversely affected amoeba growth and altered cellular fate. Symbiont type significantly influenced the responses of the symbiotic relationships to copper stress. Beneficial symbionts maintained stability under copper stress, but parasitic symbionts exhibited enhanced colonization of amoebae. Furthermore, copper stress favored the transition of symbiotic relationships between amoebae and beneficial symbionts toward the host\'s benefit. Conversely, the pathogenic effects of parasitic symbionts on hosts were exacerbated under copper stress. This study sheds light on the intricate response mechanisms of soil amoebae and amoeba-bacteria symbiotic systems to copper stress, providing new insights into symbiotic dynamics under abiotic factors. Additionally, the results underscore the potential risks of copper accumulation in the environment for pathogen transmission and biosafety.
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  • 文章类型: Journal Article
    隐球菌是全球分布的腐生真菌属。两种复合物,C.新生动物和C.gattii,对人类和动物构成健康风险。隐球菌感染是由于吸入来自陆地水库如土壤的雾化孢子和/或干燥酵母而引起的,树木,和鸟粪.最近,C.gattii与海洋哺乳动物的感染有关,这表明从空气-水界面吸入液滴或气溶胶也很重要,然而研究不足,呼吸暴露模式。还建议水运在C.gattii从热带环境向温带环境的传播中起作用。然而,真菌存活的动态,持久性,水路运输尚未得到充分研究。先前已显示隐球菌胶囊的大小可降低细胞密度并增加浮力。这里,我们证明了细胞浮力也受到细胞悬浮培养基的盐度的影响,随着卤层界面的形成显着减慢隐球菌细胞通过水的沉降速率,导致在空气-水界面的1厘米内持续超过60分钟,C.gattii持续4-6小时。我们的数据还表明,在酵母蛋白胨葡萄糖培养基(YPD)中培养期间,积累在上清液中的多糖形成了一个筏子,增加了浮力并进一步减缓了隐球菌细胞的沉降。这些发现说明了隐球菌细胞可能在水生环境中持续存在的新机制,对水性运输和病原体暴露具有重要意义。
    隐球菌病是一种导致全球发病率和死亡率的主要真菌病。C.新型真菌是公共卫生关注的主要真菌物种,导致免疫功能低下患者的机会性全身感染。C.gattii传统上是一种热带病原体,但在1990年代出现在不列颠哥伦比亚省和美国西北太平洋的温带气候中。这些地区的爆发也导致了自由放养鲸目动物隐球菌病的第一个宿主记录。C.gattii是特别值得关注作为一种新兴的真菌病原体,由于其能力引起临床疾病的免疫能力的患者,它最近传播到一个新的生态位,以及它对抗真菌疗法的较高抗性。我们的研究定义了影响隐球菌通过水的运输及其在空气-水界面的持久性的特征,这提高了我们对隐球菌水性运输和持久性机制的理解。
    Cryptococcus is a genus of saprophytic fungi with global distribution. Two species complexes, C. neoformans and C. gattii, pose health risks to humans and animals. Cryptococcal infections result from inhalation of aerosolized spores and/or desiccated yeasts from terrestrial reservoirs such as soil, trees, and avian guano. More recently, C. gattii has been implicated in infections in marine mammals, suggesting that inhalation of liquid droplets or aerosols from the air-water interface is also an important, yet understudied, mode of respiratory exposure. Water transport has also been suggested to play a role in the spread of C. gattii from tropical to temperate environments. However, the dynamics of fungal survival, persistence, and transport via water have not been fully studied. The size of the cryptococcal capsule was previously shown to reduce cell density and increase buoyancy. Here, we demonstrate that cell buoyancy is also impacted by the salinity of the media in which cells are suspended, with formation of a halocline interface significantly slowing the rate of settling of cryptococcal cells through water, resulting in persistence of C. neoformans within 1 cm of the air-water interface for over 60 min and C. gattii for 4-6 h. Our data also showed that during culture in yeast peptone dextrose media (YPD), polysaccharide accumulating in the supernatant formed a raft that augmented buoyancy and further slowed settling of cryptococcal cells. These findings illustrate new mechanisms by which cryptococcal cells may persist in aquatic environments, with important implications for aqueous transport and pathogen exposure.
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  • 文章类型: Editorial
    自然,地理障碍在历史上限制了传染病的传播。在当今相互联系的世界中,情况已不再如此,伴随着前所未有的环境和气候变化,强调进化生物学的交叉点,流行病学和地理学(即生物地理学)。题为“地理与健康:人类易位和获得护理的作用”的特刊共14篇文章,文件增加了疾病的疾病传播,比如疟疾,利什曼病,血吸虫病,尽管进行了时空监测,但COVID-19(严重急性呼吸综合征电晕2)和Oropouche热。高分辨率卫星图像可用于了解传播风险和疾病传播的空间分布,并强调增加人畜共患病的发病率和地理范围的主要途径,这些人畜共患病是冠状病毒从蝙蝠溢出传播到猪或果子奶的传播。气候变化和全球化增加了侵入性蚊子在非热带地区的传播和建立,导致新出现的感染爆发,需要改善身体,化学和生物媒介控制策略。病原体及其载体的易位与人类的流动性密切相关,移民和全球货物运输。其他促成因素是森林砍伐和城市化侵蚀野生动物区。自然生态系统的破坏,再加上低收入和社会经济地位,增加被忽视的热带和人畜共患疾病的传播概率。本期特刊中的文章记录了新出现或重新出现的疾病以及发烧症状的监测。健康公平与医疗保健的可及性和医疗保健资源的针对性密切相关,需要空间方法。公共卫生包括整合空间监视系统的成功疾病管理,包括获得卫生设施。引起的抗菌素耐药性,例如,在健康中增加使用抗生素,农业和水产养殖,或者获得抗性基因,可以通过水平基因转移传播。这篇社论回顾了这篇14篇特刊的主要发现,确定了与我们相互联系的世界相关的重要差距,并提出了一些具体建议,以减轻后COVID-19大流行时代传染病的传播风险。
    Natural, geographical barriers have historically limited the spread of communicable diseases. This is no longer the case in today\'s interconnected world, paired with its unprecedented environmental and climate change, emphasising the intersection of evolutionary biology, epidemiology and geography (i.e. biogeography). A total of 14 articles of the special issue entitled \"Geography and health: role of human translocation and access to care\" document enhanced disease transmission of diseases, such as malaria, leishmaniasis, schistosomiasis, COVID-19 (Severe acute respiratory syndrome corona 2) and Oropouche fever in spite of spatiotemporal surveillance. High-resolution satellite images can be used to understand spatial distributions of transmission risks and disease spread and to highlight the major avenue increasing the incidence and geographic range of zoonoses represented by spill-over transmission of coronaviruses from bats to pigs or civets. Climate change and globalization have increased the spread and establishment of invasive mosquitoes in non-tropical areas leading to emerging outbreaks of infections warranting improved physical, chemical and biological vector control strategies. The translocation of pathogens and their vectors is closely connected with human mobility, migration and the global transport of goods. Other contributing factors are deforestation with urbanization encroaching into wildlife zones. The destruction of natural ecosystems, coupled with low income and socioeconomic status, increase transmission probability of neglected tropical and zoonotic diseases. The articles in this special issue document emerging or re-emerging diseases and surveillance of fever symptoms. Health equity is intricately connected to accessibility to health care and the targeting of healthcare resources, necessitating a spatial approach. Public health comprises successful disease management integrating spatial surveillance systems, including access to sanitation facilities. Antimicrobial resistance caused, e.g. by increased use of antibiotics in health, agriculture and aquaculture, or acquisition of resistance genes, can be spread by horizontal gene transfer. This editorial reviews the key findings of this 14-article special issue, identifies important gaps relevant to our interconnected world and makes a number of specific recommendations to mitigate the transmission risks of infectious diseases in the post-COVID-19 pandemic era.
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  • 文章类型: Journal Article
    小龙虾鼠疫病原体阿phanomycesastaci与欧洲本地小龙虾的大量死亡和不可逆转的种群减少有关。目前,在欧洲,病原体的水库主要是入侵的北美小龙虾种群。在欧洲西南部,包括法国,一种特别普遍的入侵者是红色沼泽小龙虾Procambarusclarkii。最近的分布数据证实,克拉氏疟原虫至少存在于75个法国部门,即超过78%的法国大都市。我们分析了法国西部(NouvelleAquitaine地区)该物种42个种群中的A.astaci的患病率和病原体负荷,物种分布最密集的地方,特别是在吉伦德河口周围的各种环境中。通过两种不同的定量PCR测定法在所研究的四分之三以上的种群中检测到了病原体(42个中的34个);480个被分析的小龙虾个体中,有163个被测试为存在A。在大多数情况下,个体感染水平非常低,用定量PCR检测,但不足以进行病原体基因分型。在四个种群的七个克氏疟原虫个体中,然而,我们能够通过微卫星标记和线粒体标记测序来评估A.astaci变异。所有这些宿主标本都带有A.astaci基因型D组,单倍型d1,在邻国西班牙引起了大多数小龙虾鼠疫的爆发。相比之下,迄今为止,法国爆发的基因分型(包括本研究中最新分析的8次)主要是由基因型B组的菌株引起的,特定于信号小龙虾Pacifastacusleniusculus。在克氏疟原虫中发现的单倍型d1参与了其中一个新特征的爆发。我们的研究证实,克拉氏疟原虫是法国小龙虾鼠疫病原体的潜在重要水库,但不是螺旋藻大规模死亡率中病原体的主要来源,可能是由于不同生态要求的不同入侵宿主小龙虾。然而,随着Clarkii继续传播,该物种对本地小龙虾构成的威胁可能会增加。
    The crayfish plague pathogen Aphanomyces astaci has been implicated in a number of mass mortalities and irreversible population declines of native crayfish across Europe. At present, the reservoirs of the pathogen in Europe are mainly populations of invasive North American crayfish species. In southwestern Europe, including France, a particularly widespread invader is the red swamp crayfish Procambarus clarkii. Recent distribution data confirm that P. clarkii is present in at least 75 French departments, i.e. more than 78% of those in metropolitan France. We analysed the prevalence and pathogen load of A. astaci in 42 populations of this species in western France (Nouvelle Aquitaine region), where the species is most densely distributed, particularly in a wide range of environments around the Gironde estuary. The pathogen was detected by two different quantitative PCR assays in more than three quarters of the populations studied (34 out of 42); 163 out of 480 analysed crayfish individuals tested positive for the presence of A. astaci. In most cases, individual infection levels were very low, detectable with quantitative PCR but not sufficient for pathogen genotyping. In seven P. clarkii individuals from four populations, however, we were able to assess A. astaci variation by microsatellite markers and sequencing of mitochondrial markers. All these host specimens carried A. astaci genotype group D, haplotype d1, which has caused the majority of crayfish plague outbreaks in neighbouring Spain. In contrast, the French outbreaks genotyped to date (including eight newly analysed in this study) were mostly caused by strains of genotype group B, specific to the signal crayfish Pacifastacus leniusculus. Haplotype d1 found in P. clarkii was involved in one of the newly characterised outbreaks. Our study confirms that P. clarkii is a potentially important reservoir of the crayfish plague pathogen in France, but not the main source of the pathogen in mass mortalities of A. pallipes, probably due to different ecological requirements of the different invasive host crayfish. However, as P. clarkii continues to spread, the threat posed by this species to native crayfish is likely to increase.
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  • 文章类型: Journal Article
    研究亮点:米斯特立克,J.,维奇,J.S.M.,厨房,S、M、Clague,S、纽曼,B.C.,Hall,R.J.,Budischak,S、A、福布斯,K.M.,&Craft,M、E、(2024)。食物补充和蠕虫去除对野生啮齿动物种群空间利用和空间重叠的影响。动物生态学杂志。http://doi.org/10.1111/1365-2656.14067。病原体的传播一直受到人们的关注,甚至在禽流感和冠状病毒大流行爆发之前,就已经引起了广泛的公众兴趣。然而,病原体在野生种群中传播的动态是复杂的,具有多种效果,可以塑造动物的去向(它们的空间使用),人口密度和,更根本的是,个人之间(直接或间接)联系的结果模式。因此,需要进行实验研究,探索不同条件下的接触动力学。在目前的实地研究中,Mistrick等人。(2024)使用多因素实验设计,在野生银行田鼠(Clethrionomysglaeolus)中操纵食物供应和个体病原体感染状态。他们发现,虽然食物供应,个体特征和季节性会影响个体田鼠移动的距离,尽管种群密度存在很大差异,但单个田鼠之间的重叠程度基本保持不变,而种群密度本身受到食物供应的影响。这些结果强调了生物和非生物因素如何通过多种途径塑造空间使用模式并平衡空间重叠水平。
    Research Highlight: Mistrick, J., Veitch, J. S. M., Kitchen, S. M., Clague, S., Newman, B. C., Hall, R. J., Budischak, S. A., Forbes, K. M., & Craft, M. E. (2024). Effects of food supplementation and helminth removal on space use and spatial overlap in wild rodent populations. Journal of Animal Ecology. http://doi.org/10.1111/1365-2656.14067. The spread of pathogens has been of long-standing interest, even before dramatic outbreaks of avian influenza and the coronavirus pandemic spiked broad public interest. However, the dynamics of pathogen spread in wild populations are complex, with multiple effects shaping where animals go (their space use), population density and, more fundamentally, the resultant patterns of contacts (direct or indirect) among individuals. Thus, experimental studies exploring the dynamics of contact under different sets of conditions are needed. In the current field study, Mistrick et al. (2024) used a multifactorial experimental design, manipulating food availability and individual pathogen infection state in wild bank voles (Clethrionomys glareolus). They found that while food availability, individual traits and seasonality can affect how far individual voles moved, the degree of overlap between individual voles remained largely the same despite a high variation in population density-which itself was affected by food availability. These results highlight how biotic and abiotic factors can shape patterns of space use and balance the level of spatial overlap through multiple pathways.
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  • 文章类型: Journal Article
    The use of devices for tissue dissection and hemostasis during surgery is almost unavoidable. Electrically powered devices such as electrocautery, ultrasonic and laser units produce surgical smoke containing more than a thousand different products of combustion. These include large amounts of carcinogenic, mutagenic and potentially teratogenic noxae. The smoke contains particles that range widely in size, even as small as 0.007 µm. Most of the particles (90%) in electrocautery smoke are ≤6.27 µm in size, but surgical masks cannot filter particles smaller than 5 µm. In this situation, 95% of the smoke particles which pass through the mask reach deep into the respiratory tract and frequently cause various symptoms, such as headache, dizziness, nausea, eye and respiratory tract irritation, weakness, and abdominal pain in the acute period. The smoke can transport bacteria and viruses that are mostly between 0.02 µm and 3 µm in size and there is a risk of contamination. Among these viruses, SARS-CoV-2, influenza virus, HIV, HPV, HBV must be considered. The smoke may also carry malignant cells. The long-term effects of the surgical smoke are always ignored, because causality can hardly be clarified in individual cases. The quantity of the smoke changes with the technique of the surgeon, the room ventilation system, the characteristics of the power device used, the energy level at which it is set, and the characteristics of the tissue processed. The surgical team is highly exposed to the smoke, with the surgeon experiencing the highest exposure. However, the severity of exposure differs according to certain factors, e.g., ventilation by laminar or turbulent mixed airflow or smoke evacuation system. In any case, the surgical smoke must be removed from the operation area. The most effective method is to collect the smoke from the source through an aspiration system and to evacuate it outside. Awareness and legal regulations in terms of hygiene, toxicology, as well as occupational health and safety should increase.
    Der Einsatz von Devices zur Gewebedissektion und Blutstillung während des Eingriffs ist im Allgemeinen unumgänglich. Elektrisch betriebene Devices wie Elektrokauter, Ultraschall- und Lasergeräte erzeugen chirurgischen Rauch, der mehr als tausend verschiedene Verbrennungsprodukte enthält. Darunter befinden sich große Mengen an krebserregenden, mutagenen und potentiell teratogene Noxen. Der Rauch enthält Partikel in einem weiten Größenspektrum, das bis zu 0,007 µm betragen kann. Die meisten Partikel (90%) im Elektrokauterisationsrauch sind ≤6,27 µm groß. Chirurgische Masken können Partikel <5 µm nicht filtern. Daher gelangen 95% der durch die Maske gelangenden der Rauchpartikel tief in die Atemwege und verursachen in der akuten Phase häufig Symptome wie Kopfschmerz, Schwindel, Übelkeit, Reizungen der Augen und Atemwege, Schwäche und Bauchschmerzen. Der Rauch kann Bakterien und Viren transportieren, die meist zwischen 0,02 µm und 3 µm groß sind, so dass ein Kontaminationsrisiko besteht. Unter diesen Viren sind SARS-CoV-2, Influenzaviren, HIV, HPV und HBV zu nennen. Der Rauch kann auch Krebszellen enthalten. Langfristige Auswirkungen des OP-Rauchs werden stets ignoriert, da die Kausalität im Einzelfall kaum geklärt werden kann.Die Menge des Rauchs hängt von der Technik des Chirurgen, dem Belüftungssystem des Operationsraums, den Eigenschaften des verwendeten Devices, der eingestellten Energiestufe und den Eigenschaften des verarbeiteten Gewebes ab. Das Operationsteam ist in hohem Maße dem Rauch ausgesetzt, am stärksten jedoch der Chirurg. Das Ausmaß der Exposition hängt jedoch von verschiedenen Faktoren ab, insbesondere von der Art der Belüftung (laminare Luftströmung oder turbulente Mischströmung) und dem Rauchabzugssystem. In jedem Fall muss der chirurgische Rauch aus dem Operationsbereich entfernt werden. Die wirksamste Methode besteht darin, den Rauch durch ein Absaugsystem an der Quelle zu erfassen und ins Freie abzuführen. Abschließend ist festzustellen, dass das Bewusstsein und die gesetzlichen Vorschriften in Bezug auf Hygiene, Toxikologie, Arbeitsschutz und Sicherheit verbessert werden sollten.
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  • 文章类型: Editorial
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