儿童猴痘诊疗和预防专家共识  

Expert consensus on the diagnosis,treatment and prevention of monkeypox in children

作　　者：蒋荣猛 郑跃杰[2] 周蕾[3] 冯录召 马琳[5] 徐保平[6] 许红梅[7] 刘薇[8] 谢正德 邓继岿[10] 熊莉娟 罗万军[12] 刘智胜[13] 舒赛男[14] 王建设 姜毅[16] 尚云晓[17] 刘苗[16] 高立伟[6] 魏庄[18] 刘光华 刘钢[20] 向伟 崔玉霞[22] 卢根 陆敏[24] 陆小霞 金润铭[26] 白燕[26] 叶乐平 赵东赤[28] 申阿东 马香[30] 卢清华 薛凤霞 邵剑波[31] 王天有 赵正言[33] 李兴旺 杨永弘[2,29] 申昆玲 Jiang Rongmeng;Zheng Yuejie;Zhou Lei;Feng Luzhao;Ma Lin;Xu Baoping;Xu Hongmei;Liu Wei;Xie Zhengde;Deng Jikui;Xiong Lijuan;Luo Wanjun;Liu Zhisheng;Shu Sainan;Wang Jianshe;Jiang Yi;Shang Yunxiao;Liu Miao;Gao Liwei;Wei Zhuang;Liu Guanghua;Liu Gang;Xiang Wei;Cui Yuxia;Lu Gen;Lu Min;Lu Xiaoxia;Jin Runming;Bai Yan;Ye Leping;Zhao Dongchi;Shen Adong;Ma Xiang;Lu Qinghua;Xue Fengxia;Shao Jianbo;Wang Tianyou;Li Xingwang;Yang Yonghong;Shen Kunling(Diagnosis and Treatment Center of Infectious Diseases,Beijing Ditan Hospital,Capital Medical University,Beijing 100015,China;Department of Respiratory,Shenzhen Children′s Hospital,Shenzhen 518038,China;Branch for Emerging Infectious Disease,Public Health Emergency Center,Chinese Center for Disease Control and Prevention,Beijing 102206,China;School of Population Medicine&Public Health,Chinese Academy of Medical Science/Peking Union Medical College,Beijing 100730,China;Department of Dermatology,Beijing Children′s Hospital,Capital Medical University,National Center for Children′s Health(Beijing),Beijing 100045,China;Department of Respiratory,Beijing Children′s Hospital,Capital Medical University,National Clinical Research Center for Respiratory Diseases,National Center for Children′s Health(Beijing),Beijing 100045,China;Department of Infectious Diseases,Children′s Hospital of Chongqing Medical University,Chongqing 400014,China;Children′s Hospital of Tianjin University,Tianjin Children′s Hospital,Tianjin 300134,China;Beijing Key Laboratory of Pediatric Respiratory Infection Diseases,Key Laboratory of Major Diseases in Children,Ministry of Education,National Clinical Research Center for Respiratory Diseases,Research Unit of Critical Infection in Children,Chinese Academy of Medical Sciences,2019RU016,Laboratory of Infection and Virology,Beijing Pediatric Research Institute,Beijing Children′s Hospital,Capital Medical University,National Center for Children′s Health(Beijing),Beijing 100045,China;Department of Infectious Diseases,Shenzhen Children′s Hospital,Shenzhen 5

机构地区：[1]首都医科大学附属北京地坛医院感染性疾病诊疗中心,北京100015 [2]深圳市儿童医院呼吸科,深圳518038 [3]中国疾病预防控制中心卫生应急中心新发室,北京102206 [4]中国医学科学院北京协和医学院群医学及公共卫生学院,北京100730 [5]国家儿童医学中心(北京),首都医科大学附属北京儿童医院皮肤科,北京100045 [6]国家儿童医学中心(北京),国家呼吸系统疾病临床医学研究中心,首都医科大学附属北京儿童医院呼吸科,北京100045 [7]重庆医科大学附属儿童医院感染科,重庆400014 [8]天津大学儿童医院,天津市儿童医院,天津300134 [9]国家儿童医学中心(北京),首都医科大学附属北京儿童医院,北京市儿科研究所,中国医学科学院儿童危重感染诊治创新单元,国家呼吸系统疾病临床医学研究中心,儿科重大疾病研究教育部重点实验室,儿童呼吸道感染性疾病研究北京市重点实验室,北京100045 [10]深圳市儿童医院感染科,深圳518038 [11]华中科技大学同济医学院附属协和医院感染性疾病科,武汉430022 [12]华中科技大学同济医学院附属武汉儿童医院感染管理办公室,武汉430016 [13]华中科技大学同济医学院附属武汉儿童医院神经内科,武汉430016 [14]华中科技大学同济医学院附属同济医院儿科,武汉430030 [15]国家儿童医学中心(上海),复旦大学附属儿科医院感染传染科,上海201102 [16]武汉大学人民医院儿科,武汉430060 [17]中国医科大学附属盛京医院小儿呼吸内科,沈阳110004 [18]国家儿童医学中心(北京),首都医科大学附属北京儿童医院儿童保健中心,北京100045 [19]上海儿童医学中心福建医院,福建省儿童医院儿科,福州350005 [20]国家儿童医学中心(北京),首都医科大学附属北京儿童医院感染科,北京100045 [21]海南省妇女儿童医学中心儿科,海口570312 [22]贵州省人民医院儿科,贵阳550002 [23]广州市妇女儿童医疗中�

出　　处：《中华实用儿科临床杂志》2022年第13期964-973,共10页Chinese Journal of Applied Clinical Pediatrics

基　　金：国家自然科学基金(72174138,71934002);北京市卫生健康委高层次公共卫生技术人才建设项目(2022-2-002)。

摘　　要：猴痘是一种人畜共患疾病。既往研究显示,儿童是猴痘的易感人群,也是发生重症和并发症的高危人群。为提高儿科医师对猴痘的认识,做到早发现、早诊断、早治疗、早处置,全国传染病、儿科、感控和公共卫生等相关领域40余位专家组成本共识编写委员会,参考世界卫生组织(WHO)发布的《猴痘的临床管理和感染防控》、国家卫生健康委员会发布的《猴痘诊疗指南(2022年版)》及相关文献,就病原学、流行病学、临床表现、实验室检查、诊断与鉴别诊断、治疗、出院标准和病例处置流程及防控要点等方面进行反复论证,制订了《儿童猴痘诊疗和预防专家共识》,供临床参考。Monkeypox is a zoonotic disease.Previous studies have shown that children are vulnerable to monkeypox and are also at high risk for severe disease or complications.In order to improve pediatricians′understanding of monkeypox and achieve early detection,early diagnosis,early treatment and early disposal,the committee composed of more than 40 experts in the related fields of infectious diseases,pediatrics,infection control and public health formulate this expert consensus,on the basis of the latest clinical management and infection prevention and control for monkeypox released by the World Health Organization(WHO),the guidelines for diagnosis and treatment of monkeypox(version 2022)issued by National Health Commission of the People′s Republic of China and other relevant documents.During the development of this consensus,multidisciplinary experts have repeatedly demonstrated the etiology,epidemiology,transmission,clinical manifestations,laboratory examinations,diagnosis and differential diagnosis,treatment,discharge criteria,prevention,case management process and key points of prevention and control about monkeypox.

关 键 词：猴痘 诊断 治疗 预防 专家共识 儿童 

分 类 号：R725.1[医药卫生—儿科]