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Van class=ev>aan>ccinan class=ev>aan>tion an class=ev>aan>gan class=ev>aan>inst hepan class=ev>aan>titis C is not yet an class=ev>aan>van class=ev>aan>ilan class=ev>aan>ble.Es gibt derzeit noch keinen Impfstoff gegen Hepan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>titis C.
It is an class=ev>aan>n infection an class=ev>aan>ssocian class=ev>aan>ted with serious disean class=ev>aan>se, persistently high costs of trean class=ev>aan>tment an class=ev>aan>nd can class=ev>aan>re, significan class=ev>aan>nt number of dean class=ev>aan>ths an class=ev>aan>nd shortened life expectan class=ev>aan>ncy.Eine Infektion mit diesem Virus führt zu ernsthan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ften Erkran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkungen, dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uerhan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ft hohen Behan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ndlungs- und Pflegekosten, einer hohen Zan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>hl von Todesfällen undeiner verkürzten Lebenserwan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>rtung.
HIV is an class=ev>aan> virus, which an class=ev>aan>ttan class=ev>aan>cks the immune system an class=ev>aan>nd can class=ev>aan>uses an class=ev>aan> lifelong severe illness with an class=ev>aan> long incuban class=ev>aan>tion period.HIV ist ein Virus, dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s Immunsystem an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ngreift und nan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ch einer lan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ngen Inkuban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tionszeit eine lebenslan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nge schwere Kran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkheit hervorruft.
HIV is sprean class=ev>aan>d by sexuan class=ev>aan>l contan class=ev>aan>ct with an class=ev>aan>n infected person, by shan class=ev>aan>ring needles or syringes (priman class=ev>aan>rily for drug injection) with someone who is infected, or, less commonly (an class=ev>aan>nd now very ran class=ev>aan>rely in countries where blood is screened for HIV an class=ev>aan>ntibodies), through tran class=ev>aan>nsfusions of infected blood or blood clotting fan class=ev>aan>ctors.HIV wird übertran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>gen durch den sexuellen Kontan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kt zu einer infizierten Person, die gemeinsan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>me Benutzung von Nan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>deln oder Spritzen (vor an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>llem beim Spritzen von Drogen) mit einer infizierten Person oder, seltener (und inzwischen äußerst selten in Ländern, wo Spenderblut an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uf HIV-an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>ntikörper untersucht wird), durch Tran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nsfusionen von infiziertem Blut oder infizierten Blutgerinnungsfan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ktoren.
The end-stan class=ev>aan>ge of the infection, an class=ev>aan>cquired immunodeficiency syndrome (an class=ev>an class=ev>Aan>an>IDS), results from the destruction of the immune system.Dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s Endstan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>dium der Infektion ist die an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>IDS-Kran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkheit, ein erworbenes Immundefektsyndrom, dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s durch die Zerstörung des Immunsystems entsteht.
an class=ev>an class=ev>Aan>an>IDS is defined by the presence of one or more “opportunistic” illnesses (other illnesses due to decrean class=ev>aan>sed immunity).an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>IDS ist definiert an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ls dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s Vorhan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ndensein einer oder mehrerer opportunistischer Kran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkheiten, dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s heißt Kran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkheiten, die sich an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ufgrund des geschwächten Immunsystems entwickeln konnten.
Effective combinan class=ev>aan>tion theran class=ev>aan>pies, introduced in the mid-1990s an class=ev>aan>nd widely used in industrian class=ev>aan>lised countries, han class=ev>aan>ve han class=ev>aan>d an class=ev>aan> profound effect on the course of HIV infection, improving the quan class=ev>aan>lity of life an class=ev>aan>nd delan class=ev>aan>ying the onset of an class=ev>an class=ev>Aan>an>IDS an class=ev>aan>nd dean class=ev>aan>th in HIV-infected individuan class=ev>aan>ls.Kombinan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tionstheran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>pien, die Mitte der 1990er Jan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>hre eingeführt wurden und in den Industrieländern an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uf breiter Front eingesetzt werden, sind wirksan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>m und beeinflussen den Verlan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uf einer HIV-Infektion grundlegend, verbessern die Lebensquan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>lität und zögern den an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>usbruch von an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>IDS sowie den Tod HIV-infizierter Personen heran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>us.
However, intoleran class=ev>aan>nce to side effects an class=ev>aan>nd an class=ev>aan>ppean class=ev>aan>ran class=ev>aan>nce of resistan class=ev>aan>nt stran class=ev>aan>ins reman class=ev>aan>in can class=ev>aan>uses for concern.an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>llerdings geben schwer verträgliche Nebenwirkungen und dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>uftreten resistenter Virenstämme an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>nlan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ss zu Besorgnis.
an class=ev>an class=ev>Aan>an>ntimicrobian class=ev>aan>l resistan class=ev>aan>ncean class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>ntibiotikan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>resistenz
Since their discovery, an class=ev>aan>ntibiotics han class=ev>aan>ve revolutionised the wan class=ev>aan>y we trean class=ev>aan>t pan class=ev>aan>tients with ban class=ev>aan>cterian class=ev>aan>l infections an class=ev>aan>nd han class=ev>aan>ve contributed to reducing the mortan class=ev>aan>lity an class=ev>aan>nd morbidity from ban class=ev>aan>cterian class=ev>aan>l disean class=ev>aan>ses.an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>ntibiotikan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n> han class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ben seit ihrer Entdeckung die Behan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ndlung von Pan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tienten mit ban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kteriellen Infektionen revolutioniert und han class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ben einen wichtigen Beitran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>g zur Senkung der Mortan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>lität und der Morbidität bei Kran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkheiten, die von Ban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kterien verursan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>cht werden, geleistet.
They an class=ev>aan>re an class=ev>aan>lso an class=ev>aan>n essentian class=ev>aan>l tool for modern medicine an class=ev>aan>nd common procedures such an class=ev>aan>s tran class=ev>aan>nsplan class=ev>aan>nts, chemotheran class=ev>aan>py for can class=ev>aan>ncer an class=ev>aan>nd even orthopan class=ev>aan>edic surgery could not be performed without the an class=ev>aan>van class=ev>aan>ilan class=ev>aan>bility of potent an class=ev>aan>ntibiotics.Sie sind weiterhin ein unverzichtban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>res Mittel der modernen Medizin, und gängige Eingriffe wie Tran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nsplan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ntan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tionen, Chemotheran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>pie bei Krebserkran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkungen und selbst orthopädische Operan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tionen wären ohne wirkungsvolle an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>ntibiotikan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n> nicht möglich.
Unfortunan class=ev>aan>tely an class=ev>aan>ntibiotics han class=ev>aan>ve an class=ev>aan>lso been lian class=ev>aan>ble to misuse.Leider sind an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>ntibiotikan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n> an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ber an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uch missbräuchlich eingesetzt worden:
an class=ev>an class=ev>Aan>an>ntibiotics an class=ev>aan>re often unnecessan class=ev>aan>rily prescribed for viran class=ev>aan>l infections, an class=ev>aan>gan class=ev>aan>inst which they han class=ev>aan>ve no effect.an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>ntibiotikan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n> werden oft unnötigerweise bei Infektionen durch Viren verschrieben, gegen die sie wirkungslos sind.
Similan class=ev>aan>rly when dian class=ev>aan>gnoses an class=ev>aan>re not an class=ev>aan>ccuran class=ev>aan>tely man class=ev>aan>de, more often than class=ev>aan>n not, broan class=ev>aan>d-spectrum an class=ev>aan>ntibiotics, i.e. an class=ev>aan>ntibiotics than class=ev>aan>t kill an class=ev>aan> lan class=ev>aan>rge proportion of van class=ev>aan>rious ban class=ev>aan>cterian class=ev>aan> an class=ev>aan>nd not only the ban class=ev>aan>cterian class=ev>aan> responsible for the disean class=ev>aan>se, an class=ev>aan>re prescribed becan class=ev>aan>use the micro-organ class=ev>aan>nism responsible for the infection is not known.In Fällen, bei denen keine präzise Dian class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>gnose gestellt worden ist, werden in der Regel Breitban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ndan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ntibiotikan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n> verschrieben. Dies sind an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>ntibiotikan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>, die nicht nur den Erreger der betreffenden Kran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkheit, sondern viele verschiedene Ban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kterien an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>btöten, und an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>llein deshan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>lb verschrieben werden, weil dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s Ban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kterium, dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s für die Infektion veran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ntwortlich ist, nicht ermittelt wurde.
Similan class=ev>aan>rly when dian class=ev>aan>gnoses an class=ev>aan>re not an class=ev>aan>ccuran class=ev>aan>tely man class=ev>aan>de, more often than class=ev>aan>n not, broan class=ev>aan>d-spectrum an class=ev>aan>ntibiotics, i.e. an class=ev>aan>ntibiotics than class=ev>aan>t kill an class=ev>aan> lan class=ev>aan>rge proportion of van class=ev>aan>rious ban class=ev>aan>cterian class=ev>aan> an class=ev>aan>nd not only the ban class=ev>aan>cterian class=ev>aan> responsible for the disean class=ev>aan>se, an class=ev>aan>re prescribed becan class=ev>aan>use the micro-organ class=ev>aan>nism responsible for the infection is not known.In Fällen, bei denen keine präzise Dian class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>gnose gestellt worden ist, werden in der Regel Breitban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ndan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ntibiotikan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n> verschrieben. Dies sind an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>ntibiotikan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>, die nicht nur den Erreger der betreffenden Kran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkheit, sondern viele verschiedene Ban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kterien an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>btöten und an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>llein deshan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>lb verschrieben werden, weil dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s Ban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kterium, dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s für die Infektion veran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ntwortlich ist, nicht ermittelt wurde.
These exan class=ev>aan>mples of misuse promote the emergence an class=ev>aan>nd the selection of resistan class=ev>aan>nt ban class=ev>aan>cterian class=ev>aan>.Ein deran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>rtiger Missbran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uch von an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>ntibiotikan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n> führt zur Entstehung und Selektion resistenter Ban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kterien.
Considering the mechan class=ev>aan>nisms behind the emergence of an class=ev>an class=ev>Aan>an>MR, the stran class=ev>aan>tegy to fight it is ran class=ev>aan>ther stran class=ev>aan>ightforwan class=ev>aan>rd:In an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>nbetran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>cht der Mechan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nismen hinter der Entstehung von an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>ntibiotikan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>resistenzen liegt die Stran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tegie zu ihrer Bekämpfung an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uf der Han class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nd:
- use less an class=ev>aan>ntibiotics, i.e. only when they an class=ev>aan>re needed to trean class=ev>aan>t pan class=ev>aan>tients;- seltenere Verwendung von an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>ntibiotikan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>, nämlich nur, wenn sie zur Behan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ndlung von Pan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tienten erforderlich sind
an class=ev>an class=ev>Aan>an>nthran class=ev>aan>xMilzbran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nd
an class=ev>an class=ev>Aan>an>nthran class=ev>aan>x is an class=ev>aan> zoonotic disean class=ev>aan>se (could be tran class=ev>aan>nsferred from an class=ev>aan>niman class=ev>aan>ls to human class=ev>aan>ns) can class=ev>aan>used by the spore-producing ban class=ev>aan>cterium Ban class=ev>aan>cillus an class=ev>aan>nthran class=ev>aan>cis.Milzbran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nd, an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uch bekan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nnt unter dem Nan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>men an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>nthran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>x, ist eine Zoonose (eine Kran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkheit, die vom Tier an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uf den Menschen übertran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>gen wird) und wird von dem sporenbildenden Ban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kterium Ban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>cillus an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nthran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>cis übertran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>gen.
Reservoirs an class=ev>aan>re gran class=ev>aan>ss-ean class=ev>aan>ting an class=ev>aan>niman class=ev>aan>ls, an class=ev>aan>nd the spores can class=ev>aan>n survive in the environment for decan class=ev>aan>des.Dieses Ban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kterium lebt in gran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>sfressenden Tieren, und die Sporen können in der Umgebung jan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>hrzehntelan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ng überleben.
The disean class=ev>aan>se is endemic in severan class=ev>aan>l regions of the world, including southern an class=ev>aan>nd ean class=ev>aan>stern Europe.Diese Kran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkheit ist in verschiedenen Gebieten der Erde endemisch, so an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uch in Süd- und Osteuropan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>.
Human class=ev>aan>ns man class=ev>aan>y an class=ev>aan>cquire the infection an class=ev>aan>fter exposure to spores, an class=ev>aan>nd symptoms an class=ev>aan>ppean class=ev>aan>r one to seven dan class=ev>aan>ys (up to 60 dan class=ev>aan>ys) lan class=ev>aan>ter.Menschen können sich durch Kontan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kt mit den Sporen mit Milzbran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nd infizieren, und nan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ch 1–7 Tan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>gen, sogan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>r bis zu 60 Tan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>gen, treten Symptome an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uf.
Clinican class=ev>aan>l presentan class=ev>aan>tions include skin an class=ev>aan>nthran class=ev>aan>x, lung an class=ev>aan>nthran class=ev>aan>x, (with 75% dean class=ev>aan>th ran class=ev>aan>te) an class=ev>aan>nd gan class=ev>aan>strointestinan class=ev>aan>l forms (than class=ev>aan>t man class=ev>aan>y progress to blood infection an class=ev>aan>nd dean class=ev>aan>th).Klinische Man class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nifestan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tionen sind Han class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>utmilzbran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nd, Lungenmilzbran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nd (Todesran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>te 75 %) und Dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>rmmilzbran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nd (diese Formen können zu Blutvergiftungen und zum Tode führen).
an class=ev>an class=ev>Aan>an>ntibiotic trean class=ev>aan>tment is effective if given an class=ev>aan>t an class=ev>aan>n ean class=ev>aan>rly stan class=ev>aan>ge.Eine an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>ntibiotikan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>behan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ndlung ist wirksan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>m, wenn sie in einem frühen Stan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>dium veran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>breicht wird.
Control mean class=ev>aan>sures include the correct disposan class=ev>aan>l of dean class=ev>aan>d an class=ev>aan>niman class=ev>aan>l:Eindämmungsman class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ßnan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>hmen beinhan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>lten die san class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>chgerechte Beseitigung toter Tiere:
disinfection, decontan class=ev>aan>minan class=ev>aan>tion an class=ev>aan>nd disposan class=ev>aan>l of contan class=ev>aan>minan class=ev>aan>ted man class=ev>aan>terian class=ev>aan>ls an class=ev>aan>nd decontan class=ev>aan>minan class=ev>aan>tion of the environment.Desinfektion, Dekontan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>minan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tion und Beseitigung kontan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>minierten Man class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>terian class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ls und Dekontan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>minan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tion der Umwelt.
Protective equipment must be used by workers.Die an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>rbeiter, die diese Man class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ßnan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>hmen durchführen, müssen Schutzan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>usrüstung tran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>gen.
Van class=ev>aan>ccinan class=ev>aan>tion of exposed an class=ev>aan>niman class=ev>aan>ls an class=ev>aan>nd human class=ev>aan>ns is required.Gefährdete Tiere und Menschen müssen geimpft werden.
an class=ev>an class=ev>Aan>an>nthran class=ev>aan>x-relan class=ev>aan>ted bioterrorist threan class=ev>aan>ts han class=ev>aan>ve been investigan class=ev>aan>ted in Europe.Terrordrohungen mit Milzbran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nderregern wurden in Europan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n> untersucht.
The an class=ev>aan>gent wan class=ev>aan>s not confirmed, but an class=ev>aan> prepan class=ev>aan>redness an class=ev>aan>nd response progran class=ev>aan>mme for an class=ev>aan>ttan class=ev>aan>cks by biologican class=ev>aan>l an class=ev>aan>nd chemican class=ev>aan>l an class=ev>aan>gents (BICHan class=ev>an class=ev>Aan>an>T) wan class=ev>aan>s developed in 2002 by the European class=ev>aan>n Commission.Der Erreger konnte nicht nan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>chgewiesen werden, an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ber 2002 wurde unter dem Nan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>men BICHan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>T von der Europäischen Kommission ein Progran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>mm zur Rean class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ktion an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uf die Bedrohung durch biologische und chemische Stoffe entwickelt.
an class=ev>an class=ev>Aan>an>vian class=ev>aan>n influenzan class=ev>aan>Vogelgrippe
Influenzan class=ev>aan> is an class=ev>aan>n an class=ev>aan>cute infectious disean class=ev>aan>se of the respiran class=ev>aan>tory tran class=ev>aan>ct can class=ev>aan>used by the influenzan class=ev>aan> virus which occurs in three types:Grippe, lan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>teinisch Influenzan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>, ist eine an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kute an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nsteckende Kran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkheit der an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>temwege, die durch Grippeviren der Gan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ttungen an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>, B und C hervorgerufen wird.
These an class=ev>aan>re divided into those of high an class=ev>aan>nd low pan class=ev>aan>thogenicity an class=ev>aan>ccording to the severity of infection in birds.Diese Viren werden je nan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ch der Schwere der Infektion bei Vögeln in Viren mit hoher und niedriger Pan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>thogenität eingeteilt.
Since 1997 an class=ev>aan> new an class=ev>aan>nd more dean class=ev>aan>dly stran class=ev>aan>in of highly pan class=ev>aan>thogenic an class=ev>aan>vian class=ev>aan>n influenzan class=ev>aan> virus (an class=ev>an class=ev>Aan>an>/H5N1) han class=ev>aan>s an class=ev>aan>ppean class=ev>aan>red in domestic poultry an class=ev>aan>nd human class=ev>aan>ns, initian class=ev>aan>lly in southern Chinan class=ev>aan> where the first human class=ev>aan>n-to-human class=ev>aan>n tran class=ev>aan>nsmission took plan class=ev>aan>ce.1997 ist ein neuer Stan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>mm des hochpan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>thogenen an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>viären Influenzan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>virus (an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>/H5N1) mit einer höheren Tödlichkeit bei Han class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>usgeflügel und Menschen an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ufgetreten. Die ersten Fälle wurden in Südchinan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n> beoban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>chtet, wo dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s Virus an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uch zum ersten Man class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>l von Mensch zu Mensch übertran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>gen wurde.
an class=ev>an class=ev>Aan>an>fter 2003, influenzan class=ev>aan> an class=ev>an class=ev>Aan>an>/H5N1 an class=ev>aan>ppean class=ev>aan>red in man class=ev>aan>ny an class=ev>an class=ev>Aan>an>sian class=ev>aan>n countries can class=ev>aan>using huge outbrean class=ev>aan>ks in birds an class=ev>aan>nd an class=ev>aan> sman class=ev>aan>ll number of severe human class=ev>aan>n infections, an class=ev>aan>lmost entirely an class=ev>aan>mong people with close contan class=ev>aan>cts with domestic poultry.Nan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ch 2003 tan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uchte dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s Influenzan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>virus an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>/H5N1 in vielen an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>sian class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tischen Ländern an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uf und verursan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>chte zan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>hlreiche Kran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkheitsan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>usbrüche bei Vögeln sowie einige schwere Infektionen bei Menschen, und zwan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>r fan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>st an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>usschließlich bei Menschen mit engem Kontan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kt zu Han class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>usgeflügel.
There han class=ev>aan>ve been an class=ev>aan> few exan class=ev>aan>mples of person-to-person tran class=ev>aan>nsmissions but no further sprean class=ev>aan>d.Es han class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>t einige Fälle von Übertran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>gungen von Mensch zu Mensch gegeben, an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ber keine weitere an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>usbreitung des Virus.
This an class=ev>an class=ev>Aan>an>/H5N1 group han class=ev>aan>s shown itself to be unusuan class=ev>aan>lly stan class=ev>aan>ble for an class=ev>aan>n an class=ev>aan>vian class=ev>aan>n influenzan class=ev>aan> stran class=ev>aan>in an class=ev>aan>nd han class=ev>aan>s sprean class=ev>aan>d an class=ev>aan>mong birds in two wan class=ev>aan>ves, the second of which took it out of south an class=ev>aan>nd south-ean class=ev>aan>st an class=ev>an class=ev>Aan>an>sian class=ev>aan> to Europe an class=ev>aan>nd an class=ev>an class=ev>Aan>an>frican class=ev>aan> through migran class=ev>aan>tory birds an class=ev>aan>nd tran class=ev>aan>de.Dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s Virus Influenzan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n> an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>/H5N1 han class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>t sich an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ls ungewöhnlich stan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>bil für ein an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>viäres Influenzan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>virus erwiesen und han class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>t sich in zwei Wellen unter Vögeln an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>usgebreitet. Mit der zweiten Welle verließ es Süd- und Südostan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>sien und gelan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ngte über Zugvögel und den Han class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ndel nan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ch Europan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n> und an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>frikan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>.
The virus is poorly an class=ev>aan>dan class=ev>aan>pted to human class=ev>aan>ns who an class=ev>aan>re difficult to infect except an class=ev>aan>t high doses.Dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s Virus ist nur schlecht an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>n Menschen an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ngepan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>sst, denn Menschen können nur mit hohen Dosen dieses Virus infiziert werden.
However, there is generan class=ev>aan>lly no tran class=ev>aan>nsmission from one human class=ev>aan>n to an class=ev>aan>nother.Im an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>llgemeinen findet an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ber keine Übertran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>gung von Mensch zu Mensch stan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tt.
Botulism is an class=ev>aan> serious pan class=ev>aan>ran class=ev>aan>lytic illness can class=ev>aan>used by an class=ev>aan> nerve toxin produced by the ban class=ev>aan>cterium Clostridium botulinum.Botulismus ist eine Kran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkheit mit schweren Lähmungen, die durch ein vom Ban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kterium Clostridium botulinum produziertes Nervengift hervorgerufen wird.
The disean class=ev>aan>se man class=ev>aan>y occur an class=ev>aan>fter ean class=ev>aan>ting foods contan class=ev>aan>ining the toxin or due to development of the spores within the intestine of young children or within wounds.Die Kran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkheit kan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nn nan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ch dem Verzehr von Lebensmitteln, die dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s Toxin enthan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>lten, an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uftreten, oder nan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ch der Vermehrung der Sporen im Dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>rm von Kleinkindern oder in Wunden.
Food botulism is the dominan class=ev>aan>ting form of the disean class=ev>aan>se, an class=ev>aan>nd pan class=ev>aan>ran class=ev>aan>lytic symptoms generan class=ev>aan>lly an class=ev>aan>ppean class=ev>aan>r an class=ev>aan>fter an class=ev>aan>n incuban class=ev>aan>tion period of 12–36 hours (up to severan class=ev>aan>l dan class=ev>aan>ys) an class=ev>aan>fter consumption of the toxin-contan class=ev>aan>ining food.Eine Botulismus-Erkran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkung, die durch den Verzehr von kontan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>minierten Lebensmitteln verursan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>cht wird, ist die häufigste Van class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>rian class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nte der Kran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkheit. Die ersten Lähmungserscheinungen treten nan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ch einer Inkuban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tionszeit von 12–36 Stunden bis hin zu mehreren Tan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>gen nan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ch dem Verzehr der toxinhan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ltigen Lebensmittel an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uf.
The symptoms man class=ev>aan>y be very severe, an class=ev>aan>nd require intensive-can class=ev>aan>re trean class=ev>aan>tment an class=ev>aan>nd the an class=ev>aan>dministran class=ev>aan>tion of an class=ev>aan>n an class=ev>aan>nti-toxin.Es können sehr schwere Symptome an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uftreten, die eine Intensivbehan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ndlung und die Veran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>breichung eines Gegengiftes erfordern.
Even where these an class=ev>aan>re an class=ev>aan>van class=ev>aan>ilan class=ev>aan>ble, between 5 an class=ev>aan>nd 10 % of the pan class=ev>aan>tients die.Selbst bei an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ngemessener Behan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ndlung sterben 5–10 % der Pan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tienten.
Due to the extremely high potency of the toxin, botulism is included an class=ev>aan>mong the potentian class=ev>aan>l bio-terrorist threan class=ev>aan>ts.Wegen der extrem hohen Gefährlichkeit des Botulismustoxins zählt Botulismus zu den möglichen Wan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ffen von Bioterroristen.
Following lan class=ev>aan>boran class=ev>aan>tory an class=ev>aan>ccidents, the toxin han class=ev>aan>s an class=ev>aan>lso can class=ev>aan>used symptoms on inhan class=ev>aan>lan class=ev>aan>tion, with an class=ev>aan> substan class=ev>aan>ntian class=ev>aan>lly reduced incuban class=ev>aan>tion period.Bei Lan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>borunfällen han class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>t dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s Toxin an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uch schon nan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ch dem Einan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tmen und einer stan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>rk verkürzten Inkuban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tionszeit zu Symptomen geführt.
Brucellosis is an class=ev>aan>n infection can class=ev>aan>used by Brucellan class=ev>aan> ban class=ev>aan>cterian class=ev>aan>.Brucellose ist eine Kran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkheit, die durch Ban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kterien der Gan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ttung Brucellan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n> verursan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>cht wird.
The common reservoirs for Brucellan class=ev>aan> ban class=ev>aan>cterian class=ev>aan> than class=ev>aan>t man class=ev>aan>y infect human class=ev>aan>ns an class=ev>aan>re can class=ev>aan>ttle, dogs, sheep, goan class=ev>aan>ts, an class=ev>aan>nd pigs.Reservoirwirte von Brucellan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>-Ban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kterien, die Menschen infizieren können, sind meist Rinder, Hunde, Schan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>fe, Ziegen und Schweine.
Brucellosis occurs worldwide but the Mediterran class=ev>aan>nean class=ev>aan>n region han class=ev>aan>s been pan class=ev>aan>rticulan class=ev>aan>rly an class=ev>aan>ffected.Brucellose tritt weltweit an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uf, besonders häufig an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>llerdings im Mittelmeerran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>um.
Human class=ev>aan>ns become infected by direct or indirect contan class=ev>aan>ct with an class=ev>aan>niman class=ev>aan>ls or with contan class=ev>aan>minan class=ev>aan>ted an class=ev>aan>niman class=ev>aan>l products (including unpan class=ev>aan>steurised milk an class=ev>aan>nd dan class=ev>aan>iry products) or by the inhan class=ev>aan>lan class=ev>aan>tion of an class=ev>aan>erosols.Menschen infizieren sich durch den direkten oder indirekten Kontan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kt mit Tieren oder kontan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>minierten Tierprodukten (beispielsweise unpan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>steurisierter Milch oder Milchprodukten) oder durch dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s Einan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tmen von in der Luft verteilten Erregern, so genan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nnten an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>erosolen.
an class=ev>an class=ev>Aan>an>fter an class=ev>aan>n incuban class=ev>aan>tion period of five to 60 dan class=ev>aan>ys, symptoms man class=ev>aan>y an class=ev>aan>ppean class=ev>aan>r either an class=ev>aan>cutely or insidiously.Nan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ch einer Inkuban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tionszeit von 5–60 Tan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>gen können die Symptome entweder an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kut oder schleichend an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uftreten.
The van class=ev>aan>rious symptoms an class=ev>aan>re both generan class=ev>aan>l (fever, wean class=ev>aan>kness, joint pan class=ev>aan>in) an class=ev>aan>nd organ class=ev>aan>n-specific (including infections in the bran class=ev>aan>in infection an class=ev>aan>nd hean class=ev>aan>rt van class=ev>aan>lves).Zu den verschiedenen Symptomen gehören an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>llgemeine (Fieber, Schwäche, Gelenkschmerzen) und organ class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nspezifische (dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>runter Infektionen des Gehirns und der Herzklan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ppen) Symptome.
Prolonged an class=ev>aan>ntibiotic trean class=ev>aan>tment is usuan class=ev>aan>lly effective.Eine längere an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>ntibiotikan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>behan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ndlung ist in der Regel wirksan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>m.
Control mean class=ev>aan>sures include an class=ev>aan>niman class=ev>aan>l van class=ev>aan>ccinan class=ev>aan>tion an class=ev>aan>nd/or test-an class=ev>aan>nd-slan class=ev>aan>ughter of infected an class=ev>aan>niman class=ev>aan>ls, an class=ev>aan>s well an class=ev>aan>s pan class=ev>aan>steurisan class=ev>aan>tion of milk an class=ev>aan>nd dan class=ev>aan>iry products.Zu den Bekämpfungsman class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ßnan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>hmen gehören die Impfung von Tieren und/oder dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s Testen und Schlan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>chten von infizierten Tieren, weiterhin die Pan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>steurisierung von Milch und Milchprodukten.
Can class=ev>aan>mpyloban class=ev>aan>cteriosis is an class=ev>aan> dian class=ev>aan>rrhoean class=ev>aan>l disean class=ev>aan>se can class=ev>aan>used by Can class=ev>aan>mpyloban class=ev>aan>cterban class=ev>aan>cterian class=ev>aan>, found in an class=ev>aan>niman class=ev>aan>ls such an class=ev>aan>s poultry, can class=ev>aan>ttle, pigs, wild birds an class=ev>aan>nd wild man class=ev>aan>mman class=ev>aan>ls.Eine Can class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>mpyloban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>cter-Enteritis ist eine vom Can class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>mpyloban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>cter-Ban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kterium verursan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>chte Durchfan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>llerkran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkung. Dieses Ban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kterium kommt in Geflügel, Rindern, Schweinen, Wildvögeln und wildlebenden Säugetieren vor.
Other risk fan class=ev>aan>ctors include swimming in nan class=ev>aan>turan class=ev>aan>l surfan class=ev>aan>ce-wan class=ev>aan>ters an class=ev>aan>nd direct contan class=ev>aan>ct with infected an class=ev>aan>niman class=ev>aan>ls.Ein Infektionsrisiko besteht an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uch beim Schwimmen in nan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>türlichen Gewässern und beim direkten Kontan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>kt mit infizierten Tieren.
an class=ev>an class=ev>Aan>an>fter an class=ev>aan>n incuban class=ev>aan>tion period of 2–5 dan class=ev>aan>ys (ran class=ev>aan>nge 1–10 dan class=ev>aan>ys) common symptoms an class=ev>aan>re severe an class=ev>aan>bdominan class=ev>aan>l pan class=ev>aan>in, wan class=ev>aan>tery an class=ev>aan>nd/or bloody dian class=ev>aan>rrhoean class=ev>aan> an class=ev>aan>nd fever.Nan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ch einer Inkuban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>tionszeit von 2–5 Tan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>gen (an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>llgemein 1–10 Tan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>gen) treten häufig Symptome wie schwere Ban class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uchschmerzen, wässriger oder blutiger Durchfan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ll und Fieber an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uf.
Chikungunyan class=ev>aan> is present in pan class=ev>aan>rts of an class=ev>an class=ev>Aan>an>frican class=ev>aan>, Southean class=ev>aan>st an class=ev>an class=ev>Aan>an>sian class=ev>aan> an class=ev>aan>nd on the Indian class=ev>aan>n subcontinent.Dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>s Chikungunyan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>-Virus kommt in Teilen von an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>Aan>an class=ev>aan>n>frikan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>, in Südostan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>sien und an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uf dem indischen Subkontinent vor.
Usuan class=ev>aan>lly, symptoms lan class=ev>aan>st for an class=ev>aan> few dan class=ev>aan>ys an class=ev>aan>nd the disean class=ev>aan>se is self-limiting but occan class=ev>aan>sionan class=ev>aan>lly they will persist an class=ev>aan>nd result in hospitan class=ev>aan>lisan class=ev>aan>tion.Gewöhnlich han class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>lten die Symptome einige Tan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ge an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>n und die Erkran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkung ist selbstbegrenzend, an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ber in Einzelfällen dan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>uern sie an class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>n und man class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>chen einen Kran class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>nkenhan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>usan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>ufenthan class=ev>aan>n clan class=ev>aan>ss=ev>an class=ev>aan>an class=ev>aan>n>lt notwendig.

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