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A Murine Model of Group B Streptococcus Vaginal Colonization
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在儿童中爆发A型链球菌败血症. 临床,流行病学和微生物学的相关性
M C Wheeler1, M H Roe, E L Kaplan
1Section of Epidemiology, Children's Hospital, Denver, CO 80218.
JAMA
|July 24, 1991
概括
儿童中A型链球菌感染病例增加,在1989-1990年间,病例的增加令人担忧. 这表明这种细菌感染的潜在毒性更强的菌株.
科学领域:
- 儿童传染病 儿童传染病
- 细菌学 细菌学是一门学科.
- 流行病学 流行病学
背景情况:
- 甲型链球菌 (GAS) 是一个重要的儿科病原体.
- 了解GAS败血症的流行病学和临床表现对于及时诊断和治疗至关重要.
- 之前的研究强调了侵入性GAS感染的严重程度.
研究的目的:
- 调查儿童A组链球菌败血症的流行病学,临床和微生物学的特征.
- 在11年的时间内确定GAS细菌病发病率的趋势.
- 为了将特定的GAS菌株特征与临床结果相关联.
主要方法:
- 一个描述系列的34个儿科病例的GAS败血症诊断在1980年和1990年之间.
- 数据收集自一个学术三级护理儿科医院,作为区域推中心.
- 分析隔离的GAS菌株的年度发病率,临床特征和微生物特征.
主要成果:
- 在11年的研究期间 (P = .01) 观察到GAS细菌病发病率的统计显著增加.
- 1989年和1990年发生了明显的病例激增,占所有病例的41%.
- 患者通常呈现出快速进展的疾病,通常没有先前的喉炎. M型1和T型12是显著的,而73%的测试菌株产生了 pyrogenic exotoxin B,与蛋白酶产生相关.
结论:
- 这些发现表明,儿童群体A型 estreptococcus bacteremia的趋势越来越大.
- 这种增加与特定的GAS菌株表型有关,表明有机体毒性可能发生变化.
- 对GAS毒性因素及其临床影响的进一步研究是有必要的.
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