在儿童中与Streptococcus Anginosus组相关的感染
Isil Ezel Taskin Karacay1, Gulsum Iclal Bayhan2, Tugba Erat1
1Department of Pediatric Infectious Disease, Ankara Bilkent City Hospital, Ankara, Türkiye.
Sisli Etfal Hastanesi tip bulteni
|August 4, 2025
概括
性菌群 (SAG) 在儿童中引起各种感染,其中星状菌是最常见的. 皮肤和软组织感染是最常见的,通常需要手术排水.
科学领域:
- 儿童传染病 儿童传染病
- 微生物学 微生物学
- 临床医学 临床医学
背景情况:
- Streptococcus anginosus群 (SAG),包括S. anginosus,S. intermedius和S. constellatus,是已知的病原体.
- SAG感染通常表现为皮肤,软组织,腹内,骨和ENT/宫感染.
- 评估SAG感染,特别是在儿童群体中,对于了解疾病模式至关重要.
研究的目的:
- 调查儿童中Streptococcus anginosus群引起的感染的临床特征和结果.
- 确定儿童患者中最常见的SAG物种和感染部位.
- 为了确定手术干预的必要性和这种队列中细菌病的发生率.
主要方法:
- 在2019年1月至2024年3月期间,对儿童患者 (0-18岁) 进行了回顾性评估,对SAG物种产生了阳性培养.
- 对患者人口统计,临床表现,孤立的SAG物种和治疗方式的分析.
- 倾向性因素,手术排水要求和细菌病的发生情况的文件.
主要成果:
- 113名患者有阳性SAG培养物,其中93例确诊感染.
- 星球菌 (49.5%) 是最常见的物种,其次是S. anginosus (38.7%) 和S. intermedius (11.8%).
- 皮肤和软组织感染 (63名患者) 是最常见的,其中74.4%需要手术排水;S. intermedius在深层组织感染中更为常见.
结论:
- 星球菌 (Streptococcus constellatus) 是导致儿童感染的主要SAG物种.
- 皮肤和软组织感染是最常见的表现,经常需要手术排水.
- 儿科SAG感染中细菌病的发生率很低,但S. intermedius可能表明更深层次的感染.
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