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Abstract |
| Infectious
diseases were a past problem few years ago, but recent appearance of Aids,
the increase of tuberculosis, the expansion of unusual and multiresistant
bacterial pathogens and new viral agents represent a serious danger for
the public health even in developed countries such as Italy.
Recently, during an important meeting in Washington, Lederberg affirmed that “the viruses are the real competitors of mankind because acts both as parasites and as genetic substances conditioning the human host”. This co-evolution (man-virus) is a complex mechanism and has been reinforcing the importance of immune response as a key system in the balance between human host and viruses during the natural history of the diseases. Infectious diseases are many and may interest different tissues determining many diseases such as pulmonary infections, hepatitis, gastroenteritis, encephalitis, tuberculosis and other. Particularly, tubercolosis is an important disease and according to the data of World Health Organization (WHO) it represents a serious problem for the public health. This dramatic increase seems related to Hiv epidemic (in 1994, the coinfections of tubercolosis and Hiv interested around 5 millions people). Not only tubercolosis and Hiv infections are a serious therapeutic problem but also many bacterial diseases because an increasing number of organism are resistant to antibiotics and there are more immunosuppressed patients in the hospital population. This background underlines the role of different in the strategy against these infections: A. Vaccination and correct information on disease epidemiology In this context, it is much important the collaboration between the specialists in infectious diseases and the general practitioners and, in particular, in the treatment of those diseases in which the prevention is the single available method. B. Correct and rapid diagnosis of the infectious diseases It is important to use new
sensitive methods of pathogen detection such as the polymerase chain reaction
(PCR) and branched DNA techniques (bDNA) because the diagnosis of infections
using the classical parameters has many false-negative and false-positive
interpretations.
C. Evaluation of the mechanisms of the immune response against the infectious pathogens. Our understanding of immune
response has increased considerably in recent years and these knowledges
have contributed to a global view of immune response during the infections.
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