在成年人中侵袭性B组链球菌病. 一个以人口为基础的研究在大都会亚特兰大
B Schwartz1, A Schuchat, M J Oxtoby
1Meningitis and Special Pathogens Branch, Centers for Disease Control, Atlanta, GA 30333.
JAMA
|August 28, 1991
概括
在成年人中,B组链球菌 (GBS) 感染是严重的,死亡率为32%. 患有糖尿病或癌症的成年人面临更高的风险,突出了预防策略的必要性.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 细菌学 细菌学是一门学科.
背景情况:
- 乙组链球菌 (GBS) 是一种主要用于新生儿感染的重要病原体.
- 成年GBS感染的了解较少,但可能导致严重的后果.
研究的目的:
- 确定成年人GBS感染的发病率和临床表现.
- 为了确定特定的成年人群体,增加GBS感染的风险.
主要方法:
- 进行了一项基于人口的回顾性监测研究.
- 从1982-1983年大都会亚特兰大的微生物学记录和患者医疗病历中收集了数据.
主要成果:
- 成年人中的每年GBS发病率为每10万人的2.4,随着年龄的增长而增加,在黑人中更高.
- 病例死亡率为32%,常见症状包括皮肤/软组织感染和细菌血症.
- 患有糖尿病 (10.5倍增加的风险) 和癌症 (16.4倍增加的风险) 的人显著更容易受到影响.
结论:
- 在成年人中,GBS会引起严重的疾病,类似于新生儿,这强调了疫苗开发的必要性.
- 了解成人GBS发病率和风险因素对于有针对性的预防工作至关重要.
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