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Эпидемиология и Вакцинопрофилактика

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Тяжелая лихорадка с тромбоцитопеническим синдромом: современная эпидемиологическая ситуация

https://doi.org/10.31631/2073-3046-2021-20-4-114-122

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Аннотация

Актуальность. Тяжелая лихорадка с тромбоцитопеническим синдромом (severe fever with thrombocytopenia syndrome (SFTS)) – вирусное заболевание, характеризующееся острой лихорадкой, сопровождающееся прогрессирующей тромбоцитопенией, лейкопенией и высокой летальностью (до 30%). Заболевание впервые было выявлено в 2009 г. в сельских районах центрального Китая – Хубэй и Хэнань. Возбудителем болезни является новый вирус, получивший название вирус тяжелой лихорадки с тромбоцитопеническим синдромом (severe fever with thrombocytopenia syndrome virus (SFTSV)). SFTSV передается в основном через укусы клещей, особенно Haemaphysalis longicornis, который является доминирующим видом клещей в Восточной Азии.

Цель – анализ актуальной информации о тяжелой лихорадке с тромбоцитопеническим синдромом, включая молекулярно- генетическую характеристику возбудителя, клинические проявления, географическое распространение, эпидемиологические особенности, а также возможность завоза и распространения инфекции на территории Российской Федерации.

Выводы. SFTS является серьезной проблемой здравоохранения, так как относится к новым и возвращающимся инфекциям. Дальней- шее распространение SFTS в Китае может осложнить эпидемиологическую ситуацию в стране. SFTSV может иметь гораздо более широкое распространение в Юго-Восточной Азии, чем известно сейчас. Прогнозируется риск распространения клещей H. longicornis на северо-востоке США, в Новую Зеландию, некоторые части Австралии и на несколько островов Тихого океана. Наличие переносчика H. longicornis на территории Приморского края на Дальнем Востоке свидетельствует о возможном риске формирования природного очага в случае интродукции возбудителя.

Об авторах

Е. И. Андаев
ФКУЗ Иркутский научно-исследовательский противочумный институт Роспотребнадзора
Россия

Андаев Евгений Иванович, д. м. н., заместитель директора по общим вопросам и организационно-методической работе

664047, г. Иркутск, ул. Трилиссера,78

+7 (3952) 22-00-70; факс: +7 (3952) 22-01-40



Р. В. Адельшин
ФКУЗ Иркутский научно-исследовательский противочумный институт Роспотребнадзора; ФГБОУ «Иркутский государственный университет»
Россия

Ренат Викторович Адельшин – старший научный сотрудник лаборатории природно-очаговых вирусных инфекций; доцент кафедры микробиологии биолого-почвенного факультета

г. Иркутск

+7 (3952) 22-01-39



С. В. Балахонов
ФКУЗ Иркутский научно-исследовательский противочумный институт Роспотребнадзора
Россия

Сергей Владимирович Балахонов – директор

г. Иркутск

+7 (3952) 22-01-35



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Для цитирования:


Андаев Е.И., Адельшин Р.В., Балахонов С.В. Тяжелая лихорадка с тромбоцитопеническим синдромом: современная эпидемиологическая ситуация. Эпидемиология и Вакцинопрофилактика. 2021;20(4):114-122. https://doi.org/10.31631/2073-3046-2021-20-4-114-122

For citation:


Andaev E.I., Adelshin R.V., Balakhonov S.V. Severe Fever with Thrombocytopenic Syndrome: Current Epidemiological Situation. Epidemiology and Vaccinal Prevention. 2021;20(4):114-122. (In Russ.) https://doi.org/10.31631/2073-3046-2021-20-4-114-122

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ISSN 2073-3046 (Print)
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