呼吸道合胞病毒(RSV)是一种有包膜、非节段、负义RNA病毒,呈球形或丝状,具有螺旋状核糖核蛋白核心。RSV基因组长度约为15.2 kb,包含10个基因共编码11种蛋白质,包括三种结构蛋白:融合蛋白(F)、附着糖蛋白(G)、小分子疏水蛋白(SH),以及六种核衣壳相关蛋白:核蛋白(N)、磷蛋白(P)、大聚合酶蛋白(L)、基质蛋白(M)、基质蛋白2-1(M2-1)、基质蛋白2-2(M2-2)和两种非结构蛋白(NS):NS1和NS2。RSV最初根据G蛋白特异性单克隆抗体的抗原差异,被分为两个亚组:RSV A和RSV B,并进一步鉴定出多种基因型。尽管尚未有统一的基因型定义标准,但目前已描述了15种RSV B基因型和9种RSV A基因型。
RSV在世界上多数地区的流行表现出明显的季节性,每年超过四分之三的病例发生在五个月内。在中国,大多数省份的RSV流行发生在11月至次年3月。位于北回归线或其附近省份(如福建、广东、云南和湖南)的RSV流行时间更长,季节性特征不明显。
RSV具有广泛的病理影响,其损害不仅局限于呼吸系统,还可能波及多个器官引发多种并发症。呼吸并发症可能包括呼吸衰竭、肺不张、肺实变和急性呼吸窘迫综合征。此外,RSV可能影响心血管系统,造成心肌损伤和心力衰竭等。部分患者还可能出现皮疹、结膜炎和免疫功能低下等症状。RSV虽然可以感染全年龄段人群,但其疾病负担在婴幼儿和老年群体中最为严重,其中婴儿和75岁及以上成人的住院率和死亡率居各年龄段之首。
RSV的治疗主要是支持性治疗。迄今为止,已有三种RSV疫苗获批用于60岁及以上人群的主动免疫。对于不符合这些疫苗接种条件的儿童,建议进行被动免疫。
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