Ebola and Marburg virus disease

被引:0
作者
Schmiedel, Stefan [1 ,3 ]
Wolf, Timo [2 ]
机构
[1] Univ Klinikum Eppendorf UKE, Med Klin & Poliklin 1, Sekt Infektiol, Hamburg, Hamburg, Germany
[2] Klinikum Johann Wolfgang Goethe Univ Frankfurt, Zentrum Innere Med 2, Infektiol, Frankfurt, Germany
[3] Univ Klinikum Eppendorf UKE, Med Klin & Poliklin 1, Sekt Infektiol, Martinistr 52, D-20246 Hamburg, Hamburg, Germany
关键词
Ebolavirus; Marburgvirus; Impfung; ebola virus; marburg virus; vaccine; NONHUMAN-PRIMATES;
D O I
10.1055/a-1966-9615
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Was ist neu? Ebola-Viruserkrankung Wahrend der durch die Zaire-Virusvariante hervorgerufenen Ebola-Ausbruche wurden klinische Studien mit Impfstoffen sowie antiviralen Substanzen durchgefuhrt. Aktuell stehen als Therapie die monoklonalen Antikorper Atoltivimab/Maftivimab/Odesivimab (kombiniert in Inmazeb) und Ansuvimab (Ebanga) zur Verfugung. Zur praventiven Impfung und zur Pra- und Postexpositionsprophylaxe einer Ebola-Virusinfektion (Variante Zaire) sind die Ebola-Zaire-Impfstoffe rVSV Delta G-ZEBOV-GP, lebend (Ervebo), Ebola-Zaire-Impfstoff Ad26.ZEBOV-GP, rekombinant (Zabdeno) und der Ebola-Impfstoff (MVA-BN-Filo, rekombinant (Mvabea) geeignet. Marburg-Viruserkrankung Es gibt derzeit kein zugelassenes Medikament zur Behandlung der Marburg-Viruserkrankung. Trotz erheblicher logistischer Schwierigkeiten und der Tatsache, dass die meisten Marburg-Ausbruche eher zu klein waren, um Impfstoffstudien zu ermoglichen, wurden von der WHO 3 Impfstoffkandidaten fur eine mogliche Studie favorisiert. Abstract Viral hemorrhagic fevers (VHF) are serious, often fatal diseases that affect humans and non-human primates. The nomenclature of these diseases has changed in that they are now referred to as viral diseases because the previously named symptoms of fever or hemorrhages are not obligatory. In this article, the focus will be on the VHFs Ebola and Marburg viral disease with the potential for human-to-human transmission; these diseases are so-called high-consequence infectious diseases (HCID), some with considerable potential for epidemic spread and the risk of nosocomial transmission.
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页码:1437 / 1442
页数:6
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