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在以色列南部的成年人中携带A组链球菌:一项前性研究
Limor Adler1, Or Tzadok Zehavi2, Miriam Parizade3
1Department of Family Medicine, Maccabi Healthcare Services, Tel Aviv, Israel, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
The Israel Medical Association journal : IMAJ
|April 15, 2024
概括
在以色列成年人中,A组链球菌 (GAS) 携带率为6.98%,主要影响年轻,极端正统的犹太人. 这一发现凸显了初级保健机构需要有针对性的意识.
科学领域:
- 微生物学 微生物学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 与儿童相比,成年人中甲型 estreptococcus (GAS) 携带的患病率尚未得到充分研究.
- 报告的GAS运输率在不同人口和地理区域之间存在显著的变化.
研究的目的:
- 确定以色列成年人中A组链球菌 (GAS) 携带的流行率.
- 在这个人群中确定与GAS运输相关的人口和社会经济因素.
主要方法:
- 在2022年5月至12月在以色列医疗机构进行的前性研究.
- 从172名没有上呼吸道症状或发烧的成年人身上采集的喉培养物.
- 收集关于参与者人口统计数据的数据,包括年龄,性别,孩子数量和宗教信仰.
主要成果:
- 燃气运输的总体流行率为6.98% (95%CI:3.7%-11.9%).
- 气体运输商年轻得多,主要来自极端正统犹太社区.
- 极端正统的犹太个人 (调整的OR 5.6) 和较低的社会经济地位与增加的GAS运输有关.
结论:
- 作为一个极端正统的犹太人是以色列成年人中GAS运输的唯一重要风险因素,可能与家庭规模和生活条件有关.
- 初级保健医生在评估患者时应考虑这一关联,特别是极端正统犹太人的患者,出现喉疼痛.
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