Epidemiology and prevention of group A streptococcal infections: Acute respiratory tract infections, skin infections, and their sequelae at the close of the twentieth century

Epidemiology and prevention of group A streptococcal infections: Acute respiratory tract infections, skin infections, and their sequelae at the close of the twentieth century
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DOI:
10.1086/515114
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发表时间:
1999-02-01
影响因子:
11.8
通讯作者:
Kaplan, EL
Kaplan, EL
中科院分区:
医学1区
文献类型:
--
作者:
Carapetis, JR;Currie, BJ;Kaplan, EL

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由A群链球菌引起的上呼吸道和皮肤感染是常见的,而且这种生物具有高度传染性。在工业化国家和在某种程度上在发展中国家,控制工作继续强调应正确诊断和适当治疗A组链球菌性咽炎。在A群链球菌病负担最重的发展中国家和土著居民中,流行病学的定义不太完全,可能与工业化国家不同。需要从发展中国家准确收集流行病学数据,这也可能进一步阐明a群链球菌感染及其后遗症的发病机制。虽然对A群链球菌性咽炎的适当治疗在所有人群中仍然至关重要,但在发展中国家考虑采取其他战略以降低脓皮病的发病率可能是适当的。
Infections of the upper respiratory tract and skin due to group A Streptococcus are common, and the organism is highly transmissible. In industrialized countries and to some extent in developing countries, control efforts continue to emphasize that group A streptococcal pharyngitis should be properly diagnosed and appropriately treated. In developing countries and in indigenous populations where the burden of group A streptococcal diseases appears greatest, the epidemiology is less completely defined and may differ from that in industrialized countries. There is a need for accurately collected epidemiological data from developing countries, which may also further clarify the pathogenesis of group A streptococcal infections and their sequelae. While proper treatment of group A streptococcal pharyngitis continues to be essential in all populations, it may be appropriate in developing countries to consider additional strategies to reduce rates of pyoderma.