在90天以下的阿曼婴儿中侵袭性B组链球菌感染的负担:一个多中心研究
Rajaa Al Aamri1, Laila Al Yazidi2,3, Hilal Al Hashami3,4
1From the Department of Microbiology, Nizwa Hospital, Nizwa.
The Pediatric infectious disease journal
|May 29, 2024
概括
乙组链球菌 (GBS) 感染对新生儿构成重大威胁. 这项研究发现,在阿曼的婴儿中,侵入性GBS疾病的发病率越来越高,死亡率很高.
科学领域:
- 新生儿感染 新生儿感染
- 传染病流行病学 传染病流行病学
- 公共卫生 公共卫生
背景情况:
- 乙组链球菌 (GBS) 是全球新生儿疾病和死亡的主要原因.
- 在阿曼调查90天以下婴儿的GBS疾病对于了解区域健康负担至关重要.
研究的目的:
- 为了确定入侵性GBS疾病在阿曼婴儿 (<90天) 的发病率.
- 为了确定该人群中GBS感染的风险因素,临床表现和结果.
主要方法:
- 从3家阿曼三级医院 (2009-2018) 进行了回顾性数据收集.
- 纳入标准:90天以下的婴儿从无菌部位培养阳性GBS.
主要成果:
- 总体发生率:每1000个活产儿中有0.53个 (92例/178,285个出生).
- 从2014年至2018年期间发生率显著增加 (0.69/1000) 与2009年至2013年 (0.36/1000).
- 晚期发病的GBS患脑膜炎的风险较高 (30.3%与10.2%相比);整体死亡率为13.5%.
结论:
- 奥曼的GBS发病率反映了全球的发病率,但死亡负担很高.
- 在过去十年中,在阿曼婴儿中观察到侵入性GBS疾病发病率的显著增加.
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