与喉炎相关的A组链球菌血清型的动态流行病学
E L Kaplan1, J T Wotton, D R Johnson
1Department of Pediatrics, WHO Collaborating Center for Reference and Research on Streptococci, University of Minnesota Medical School, Minneapolis, MN 55455, USA. kapla001@umn.edu
Lancet (London, England)
|October 31, 2001
概括
在主导的A组链球菌血清型中发生了快速转变,M1被M6取代. 这凸显了链球菌感染的动态性质,并影响了疫苗开发.
科学领域:
- 微生物学 微生物学
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 甲型链球菌 (GAS) 是重要的病原体,但血清型变化的流行病学影响仍然被低估.
- 人们对GAS致病潜力的认识增加并没有完全解决不断演变的流行血清型的影响.
研究的目的:
- 分析流行性A型 estreptococcal血清型的快速变化的流行病学影响.
- 调查半封闭社区内GAS血清型的动态变化.
主要方法:
- 在1999年1月至2000年4月期间,分析了来自500人社区的喉培养物.
- 用血清学分组,T-聚合和M蛋白/不透明因子血清定型来表征β-溶血性链球菌分离物.
主要成果:
- 喉炎病例的增加始于1999年中期,与GAS孤立病例的激增相吻合.
- 最初,血清型M1 GAS占主导地位 (1999年7月至12月为92%) 但很快转向M6 (2000年1月至3月为84%)
- 很大一部分 (28%) 患有M1感染的个体随后获得了M6感染.
结论:
- 在GAS中观察到的快速和几乎完全的血清型转变表明了这些细菌的动态流行病学.
- 这些发现对了解GAS感染模式以及开发和部署疫苗具有重要意义.
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