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新生儿群体中的A组链球菌感染:对文献的系统审查
Rozeta Sokou1,2, Filippos Filippatos2, Vasiliki Daniil2
1Neonatal Intensive Care Unit, "Agios Panteleimon" General Hospital of Nikea, 18454 Piraeus, Greece.
Journal of clinical medicine
|November 25, 2023
概括
侵袭性A组链球菌 (GAS) 疾病在新生儿中很罕见,但严重. 早期发作的败血症表现为呼吸困难和快速衰退,而晚期发作的败血症表现为皮疹和胃肠道症状,死亡率为14%.
科学领域:
- 新生儿医学 新生儿医学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 在儿童和成年人中,A组链球菌 (GAS) 感染的严重程度是已知的.
- 没有系统性审查评估了新生儿的侵入性GAS (iGAS) 发病率和结果.
- 新生儿是严重GAS感染的高风险人群.
研究的目的:
- 系统地审查风险因素,临床表现和新生儿GAS感染的结果.
- 评估新生儿人口中侵入性GAS (iGAS) 疾病的发生率和严重程度.
- 为了确定早期发病 (EOS) 与晚期发病性败血症 (LOS) 呈现的差异.
主要方法:
- 对2023年7月至9月的文献进行系统审查.
- 在PubMed和Scopus数据库中搜索新生儿GAS感染的研究.
- 包括39项评估194名新生儿数据的研究.
主要成果:
- 在EOS和LOS之间临床表现,感染部位和结果的差异.
- EOS:呼吸困难,病情迅速恶化,死亡率高.
- LOS:皮疹,胃肠道症状,发烧;整体iGAS死亡率约为14%.
结论:
- iGAS在新生儿中罕见但严重,需要快速的诊断方法和及时的抗生素治疗.
- 意识和可访问的指南对于预防和管理孕产妇和新生儿iGAS至关重要.
- 管理包括抗微生物治疗和支持性护理,以抵消毒素.
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