Title
Global research priorities for infections that affect the nervous system
Date Issued
18 November 2015
Access level
open access
Resource Type
review
Author(s)
John C.C.
Carabin H.
Bangirana P.
Zunt J.R.
Peterson P.K.
US Naval Medical Research Unit No. 6
Publisher(s)
Nature Publishing Group
Abstract
Infections that cause significant nervous system morbidity globally include viral (for example, HIV, rabies, Japanese encephalitis virus, herpes simplex virus, varicella zoster virus, cytomegalovirus, dengue virus and chikungunya virus), bacterial (for example, tuberculosis, syphilis, bacterial meningitis and sepsis), fungal (for example, cryptococcal meningitis) and parasitic (for example, malaria, neurocysticercosis, neuroschistosomiasis and soil-transmitted helminths) infections. The neurological, cognitive, behavioural or mental health problems caused by the infections probably affect millions of children and adults in low-and middle-income countries. However, precise estimates of morbidity are lacking for most infections, and there is limited information on the pathogenesis of nervous system injury in these infections. Key research priorities for infection-related nervous system morbidity include accurate estimates of disease burden; point-of-care assays for infection diagnosis; improved tools for the assessment of neurological, cognitive and mental health impairment; vaccines and other interventions for preventing infections; improved understanding of the pathogenesis of nervous system disease in these infections; more effective methods to treat and prevent nervous system sequelae; operations research to implement known effective interventions; and improved methods of rehabilitation. Research in these areas, accompanied by efforts to implement promising technologies and therapies, could substantially decrease the morbidity and mortality of infections affecting the nervous system in low-and middle-income countries.This article has not been written or reviewed by Nature editors. Nature accepts no responsibility for the accuracy of the information provided.
Start page
S178
End page
S186
Volume
527
Issue
7578
Language
English
OCDE Knowledge area
Neurología clínica Enfermedades infecciosas
Scopus EID
2-s2.0-84947592263
PubMed ID
Source
Nature
ISSN of the container
00280836
Sponsor(s)
Funding text The authors’ work was supported by the Fogarty International Center and by National Institutes of Health grants R01 NS055349 (C.C.J.), D43 NS078280 (C.C.J.), R25 TW009345 (J.R.Z., C.C.J.), R21 NS077466 (H.C.), R01 NS064901 (H.C.), and R01 NS55627 (J.R.Z.). We are grateful to D. Gilden for his insightful review and suggestions.
Sources of information: Directorio de Producción Científica Scopus