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感染流感后也會(huì)出現(xiàn)類(lèi)似長(zhǎng)新冠的癥狀

ERIN PRATER
2023-04-21

對(duì)感染者患病毒后疾病的比例以及癥狀的嚴(yán)重性研究發(fā)現(xiàn),新冠患者的病毒后疾病相比流感患者并不嚴(yán)重,至少在奧密克戎時(shí)代是這樣。

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本周在哥本哈根召開(kāi)的歐洲臨床微生物與傳染病學(xué)大會(huì)(European Congress of Clinical Microbiology & Infectious Diseases)上發(fā)布的最新研究結(jié)果。

本周發(fā)布的最新研究報(bào)告稱(chēng),感染流感還是新冠或許并不重要,因?yàn)槟憧赡芑忌系牟《竞蠹膊“Y狀看起來(lái)高度類(lèi)似。

長(zhǎng)新冠是感染新冠之后發(fā)生的一種病毒后疾病。新冠感染急性后遺癥(簡(jiǎn)稱(chēng)PASC)通常被定義為感染后出現(xiàn)的新癥狀,持續(xù)至少四周,往往可能長(zhǎng)達(dá)數(shù)月甚至幾年。

感染其他病毒后,例如流感、皰疹、萊姆病甚至埃博拉和SARS等,也可能出現(xiàn)類(lèi)似的病毒后疾病。病毒后疾病通常表現(xiàn)出與慢性疲勞綜合征類(lèi)似的癥狀,如疲勞、腦霧和勞累后不適等,這些癥狀會(huì)在精神或體力活動(dòng)后惡化。

對(duì)感染者患病毒后疾病的比例以及癥狀的嚴(yán)重性研究發(fā)現(xiàn),新冠患者的病毒后疾病相比流感患者并不嚴(yán)重,至少在奧密克戎時(shí)代是這樣。這是本周在哥本哈根召開(kāi)的歐洲臨床微生物與傳染病學(xué)大會(huì)(European Congress of Clinical Microbiology & Infectious Diseases)上發(fā)布的最新研究結(jié)果。

該項(xiàng)研究調(diào)查了澳大利亞昆士蘭的居民。在2022年初全球爆發(fā)奧密克戎之前,當(dāng)?shù)爻^(guò)90%的人口已經(jīng)接種了疫苗。

研究人員用12周時(shí)間,跟蹤了近2,200名實(shí)驗(yàn)室確診感染新冠的成年人,以及近1,000名實(shí)驗(yàn)室確診感染流感的成年人。有五分之一(21%)奧密克戎患者在12周內(nèi)有持續(xù)癥狀,有4%報(bào)告的癥狀對(duì)其日常生活產(chǎn)生了中等或嚴(yán)重影響。

流感患者的比例幾乎相同,有23%在12周內(nèi)有持續(xù)癥狀,有4%報(bào)告的癥狀對(duì)其日常生活產(chǎn)生了中等或嚴(yán)重影響。

但昆士蘭衛(wèi)生部的研究人員表示,長(zhǎng)新冠之所以對(duì)醫(yī)療體系產(chǎn)生巨大影響,原因是新冠感染者的絕對(duì)數(shù)量。

據(jù)世界衛(wèi)生組織(World Health Organization)統(tǒng)計(jì),過(guò)去三年,澳大利亞有超過(guò)1,100萬(wàn)例實(shí)驗(yàn)室確診的新冠感染者,而且這個(gè)數(shù)據(jù)可能?chē)?yán)重低估了實(shí)際人數(shù)。

相比之下,去年澳大利亞實(shí)驗(yàn)室確診的流感患者只有略超過(guò)225,000人。

昆士蘭首席健康官約翰·杰拉德博士在新聞稿中表示:“我們的人口疫苗接種率較高,因此長(zhǎng)新冠對(duì)公共健康的影響,似乎并不是源于SARS-CoV-2的任何特性。相反,這源于短期內(nèi)感染者的絕對(duì)人數(shù)?!?/p>

長(zhǎng)新冠風(fēng)險(xiǎn)因素

有趣的是,研究指出,下列群體在感染奧密克戎或新冠之后,日常生活受到中等或嚴(yán)重功能限制的可能性較低:

老年人

土著人

澳大利亞約5%至10%的新冠感染者報(bào)告的癥狀持續(xù)超過(guò)三個(gè)月。澳大利亞聯(lián)邦衛(wèi)生部門(mén)表示,下列群體面臨的風(fēng)險(xiǎn)更高:

女性

中年人

嚴(yán)重新冠患者

《健康事務(wù)》(Health Affairs)期刊3月份的一篇文章表示,總體而言,有下列健康問(wèn)題的患者出現(xiàn)長(zhǎng)新冠癥狀的風(fēng)險(xiǎn)更高:

高血壓

慢性肺病

肥胖癥

糖尿病

抑郁癥

如何預(yù)防長(zhǎng)新冠

預(yù)防長(zhǎng)新冠最好的方法依舊是防止感染新冠,可遵守美國(guó)疾病預(yù)防控制中心(U.S. Centers for Disease Control and Prevention)的下列建議:

戴口罩

保持社交距離

經(jīng)常仔細(xì)洗手

遠(yuǎn)離已知感染者

接種新冠疫苗被普遍認(rèn)為可以降低長(zhǎng)新冠風(fēng)險(xiǎn)?!豆鸾】怠罚℉arvard Health)雜志稱(chēng),接種一劑疫苗可將風(fēng)險(xiǎn)降低35%。

德克薩斯大學(xué)健康科學(xué)中心休斯敦大學(xué)(UTHealth Houston)和紀(jì)念赫爾曼德州醫(yī)療中心(Memorial Hermann)首席傳染病和流行病學(xué)專(zhuān)家、德克薩斯大學(xué)健康科學(xué)中心休斯敦大學(xué)新冠卓越中心(COVID-19 Center of Excellence)傳染病主任劉易斯·奧斯特羅斯基博士對(duì)《財(cái)富》雜志表示,在降低長(zhǎng)新冠風(fēng)險(xiǎn)方面,“接種疫苗的效果顯著”。

如何預(yù)防感染流感后的病毒后疾病

如果你希望在感染流感后避免病毒后疾病,上述建議同樣適用。奧斯特羅斯基表示:“前提是,避免長(zhǎng)新冠或病毒后疾病的最佳途徑是不感染病毒?!?/p>

他表示:“新冠真正讓我們認(rèn)識(shí)到戴口罩和洗手的重要性。在冬季并非一定會(huì)得病。你完全可以避免?!?/p>

接種新冠疫苗,不能幫助你預(yù)防流感。但他表示,流感疫苗可降低感染流感后出現(xiàn)病毒后并發(fā)癥的風(fēng)險(xiǎn)。(財(cái)富中文網(wǎng))

譯者:劉進(jìn)龍

審校:汪皓

本周在哥本哈根召開(kāi)的歐洲臨床微生物與傳染病學(xué)大會(huì)(European Congress of Clinical Microbiology & Infectious Diseases)上發(fā)布的最新研究結(jié)果。

本周發(fā)布的最新研究報(bào)告稱(chēng),感染流感還是新冠或許并不重要,因?yàn)槟憧赡芑忌系牟《竞蠹膊“Y狀看起來(lái)高度類(lèi)似。

長(zhǎng)新冠是感染新冠之后發(fā)生的一種病毒后疾病。新冠感染急性后遺癥(簡(jiǎn)稱(chēng)PASC)通常被定義為感染后出現(xiàn)的新癥狀,持續(xù)至少四周,往往可能長(zhǎng)達(dá)數(shù)月甚至幾年。

感染其他病毒后,例如流感、皰疹、萊姆病甚至埃博拉和SARS等,也可能出現(xiàn)類(lèi)似的病毒后疾病。病毒后疾病通常表現(xiàn)出與慢性疲勞綜合征類(lèi)似的癥狀,如疲勞、腦霧和勞累后不適等,這些癥狀會(huì)在精神或體力活動(dòng)后惡化。

對(duì)感染者患病毒后疾病的比例以及癥狀的嚴(yán)重性研究發(fā)現(xiàn),新冠患者的病毒后疾病相比流感患者并不嚴(yán)重,至少在奧密克戎時(shí)代是這樣。這是本周在哥本哈根召開(kāi)的歐洲臨床微生物與傳染病學(xué)大會(huì)(European Congress of Clinical Microbiology & Infectious Diseases)上發(fā)布的最新研究結(jié)果。

該項(xiàng)研究調(diào)查了澳大利亞昆士蘭的居民。在2022年初全球爆發(fā)奧密克戎之前,當(dāng)?shù)爻^(guò)90%的人口已經(jīng)接種了疫苗。

研究人員用12周時(shí)間,跟蹤了近2,200名實(shí)驗(yàn)室確診感染新冠的成年人,以及近1,000名實(shí)驗(yàn)室確診感染流感的成年人。有五分之一(21%)奧密克戎患者在12周內(nèi)有持續(xù)癥狀,有4%報(bào)告的癥狀對(duì)其日常生活產(chǎn)生了中等或嚴(yán)重影響。

流感患者的比例幾乎相同,有23%在12周內(nèi)有持續(xù)癥狀,有4%報(bào)告的癥狀對(duì)其日常生活產(chǎn)生了中等或嚴(yán)重影響。

但昆士蘭衛(wèi)生部的研究人員表示,長(zhǎng)新冠之所以對(duì)醫(yī)療體系產(chǎn)生巨大影響,原因是新冠感染者的絕對(duì)數(shù)量。

據(jù)世界衛(wèi)生組織(World Health Organization)統(tǒng)計(jì),過(guò)去三年,澳大利亞有超過(guò)1,100萬(wàn)例實(shí)驗(yàn)室確診的新冠感染者,而且這個(gè)數(shù)據(jù)可能?chē)?yán)重低估了實(shí)際人數(shù)。

相比之下,去年澳大利亞實(shí)驗(yàn)室確診的流感患者只有略超過(guò)225,000人。

昆士蘭首席健康官約翰·杰拉德博士在新聞稿中表示:“我們的人口疫苗接種率較高,因此長(zhǎng)新冠對(duì)公共健康的影響,似乎并不是源于SARS-CoV-2的任何特性。相反,這源于短期內(nèi)感染者的絕對(duì)人數(shù)?!?/p>

長(zhǎng)新冠風(fēng)險(xiǎn)因素

有趣的是,研究指出,下列群體在感染奧密克戎或新冠之后,日常生活受到中等或嚴(yán)重功能限制的可能性較低:

老年人

土著人

澳大利亞約5%至10%的新冠感染者報(bào)告的癥狀持續(xù)超過(guò)三個(gè)月。澳大利亞聯(lián)邦衛(wèi)生部門(mén)表示,下列群體面臨的風(fēng)險(xiǎn)更高:

女性

中年人

嚴(yán)重新冠患者

《健康事務(wù)》(Health Affairs)期刊3月份的一篇文章表示,總體而言,有下列健康問(wèn)題的患者出現(xiàn)長(zhǎng)新冠癥狀的風(fēng)險(xiǎn)更高:

高血壓

慢性肺病

肥胖癥

糖尿病

抑郁癥

如何預(yù)防長(zhǎng)新冠

預(yù)防長(zhǎng)新冠最好的方法依舊是防止感染新冠,可遵守美國(guó)疾病預(yù)防控制中心(U.S. Centers for Disease Control and Prevention)的下列建議:

戴口罩

保持社交距離

經(jīng)常仔細(xì)洗手

遠(yuǎn)離已知感染者

接種新冠疫苗被普遍認(rèn)為可以降低長(zhǎng)新冠風(fēng)險(xiǎn)。《哈佛健康》(Harvard Health)雜志稱(chēng),接種一劑疫苗可將風(fēng)險(xiǎn)降低35%。

德克薩斯大學(xué)健康科學(xué)中心休斯敦大學(xué)(UTHealth Houston)和紀(jì)念赫爾曼德州醫(yī)療中心(Memorial Hermann)首席傳染病和流行病學(xué)專(zhuān)家、德克薩斯大學(xué)健康科學(xué)中心休斯敦大學(xué)新冠卓越中心(COVID-19 Center of Excellence)傳染病主任劉易斯·奧斯特羅斯基博士對(duì)《財(cái)富》雜志表示,在降低長(zhǎng)新冠風(fēng)險(xiǎn)方面,“接種疫苗的效果顯著”。

如何預(yù)防感染流感后的病毒后疾病

如果你希望在感染流感后避免病毒后疾病,上述建議同樣適用。奧斯特羅斯基表示:“前提是,避免長(zhǎng)新冠或病毒后疾病的最佳途徑是不感染病毒?!?/p>

他表示:“新冠真正讓我們認(rèn)識(shí)到戴口罩和洗手的重要性。在冬季并非一定會(huì)得病。你完全可以避免?!?/p>

接種新冠疫苗,不能幫助你預(yù)防流感。但他表示,流感疫苗可降低感染流感后出現(xiàn)病毒后并發(fā)癥的風(fēng)險(xiǎn)。(財(cái)富中文網(wǎng))

譯者:劉進(jìn)龍

審校:汪皓

When looking at the percentage of those infected who develop post-viral illness, as well as the severity of symptoms, post-viral illness from COVID generally isn’t more of a problem than that from flu—in the Omicron era, at least. That’s according to new findings presented this week at the European Congress of Clinical Microbiology & Infectious Diseases in Copenhagen.

Flu or COVID, it may not matter—the post-viral illness you potentially wind up with could look pretty similar, according to new research released this week.

Long COVID is a post-viral illness that occurs after infection with COVID. Also known as PASC, or post-acute sequelae of COVID, it’s typically defined as new symptoms that develop after infection and persist for at least four weeks—often for months, and sometimes for years.

Similar post-viral illnesses can occur with other viruses, too, like the flu, herpes, Lyme disease—and even Ebola and SARS. Post-viral illnesses often have a chronic fatigue syndrome-like presentation, with symptoms like fatigue, brain fog, and post-exertional malaise, in which symptoms get worse after mental or physical activity.

When looking at the percentage of those infected who develop post-viral illness, as well as the severity of symptoms, post-viral illness from COVID generally isn’t more of a problem than that from flu—in the Omicron era, at least. That’s according to new findings presented this week at the European Congress of Clinical Microbiology & Infectious Diseases in Copenhagen.

The research took place among residents of Queensland, Australia, where more than 90% of the population had been vaccinated before Omicron burst onto the global scene in early 2022.

For 12 weeks, researchers followed nearly 2,200 adults who had been diagnosed with lab-confirmed COVID, and nearly 1,000 adults who had been diagnosed with lab-confirmed flu. Of those who experienced Omicron, a fifth (21%) had ongoing symptoms at 12 weeks, and 4% reported symptoms that had a moderate or severe impact on daily living.

When it came to those who had experienced the flu, the numbers were almost identical, with 23% reporting ongoing symptoms at 12 weeks, and 4% reporting moderate or severe impacts on daily living.

But there’s a reason why long COVID is having an outsized impact on the health care system, researchers from Queensland Health said in a news release: the sheer volume of COVID infections.

There have been more than 11 million lab-confirmed COVID infections over Australia in the last three years, according to the World Health Organization—a number that is likely a massive undercount.

By comparison, Australia only recorded only a little more than 225,000 lab-confirmed cases of flu last year.

“In our highly vaccinated population, the public health impact of long COVID does not appear to result from any unique property of SARS-CoV-2,” Dr. John Gerrard, Queensland’s chief health officer, said in the release. “Rather, the impact results from the sheer number of people infected over a short period of time.”

Long COVID risk factors

Interestingly, the study noted that those who were members of the following groups were less likely to report moderate or severe functional limitations on their daily lives after Omicron or flu:

older individuals

members of indigenous populations

Around 5% to 10% of Australians who’ve had COVID report symptoms lasting for longer than three months. People who are part of the following groups seem to be at greater risk, according to the country’s federal health agency:

female

middle age

those who’ve had severe COVID

In general, people with the following health conditions are at a greater risk of developing long COVID, according to a March journal article in?Health Affairs:

hypertension

chronic lung disease

obesity

diabetes

depression

How to prevent long COVID

The best way to prevent long COVID continues to be to prevent COVID infection, by doing the following, according to the U.S. Centers for Disease Control and Prevention:

masking

social distancing

frequent, quality hand-washing

staying away from those with known illness

It’s widely thought that COVID vaccination could reduce the risk of developing long COVID. Just a single shot could reduce your risk by 35%, according to Harvard Health.

When it comes to reducing long COVID risk, “vaccinating goes a very long way,” Dr. Luis Ostrosky—chief of infectious diseases and epidemiology at UTHealth Houston and Memorial Hermann in Texas, and the infectious diseases director for?UTHealth Houston’s COVID-19 Center of Excellence—tells Fortune.

How to prevent post-viral illness from the flu

If you’re looking to prevent potential post-viral illness from the flu, the same recommendations apply, Ostrosky says: “The premise is that the best way not to get long COVID or post-flu issues is to not experience the diseases themselves.”

“COVID was a real eye-opener for all of us as to the power of masking and hand hygiene,” he adds. “It’s no longer automatic to get sick in the winter. You can very likely avoid it.”

A COVID vaccine won’t help you when it comes to the flu. But a flu vaccine could reduce your risk of developing post-viral complications from the flu, he advises.

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