MYCOPLASMA-PNEUMONIAE IN COMMUNITY
MYCOPLASMA-PNEUMONIAE IN COMMUNITY
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DOI：
10.1093/oxfordjournals.aje.a121228
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发表时间：
1971-01-01
影响因子：
5
通讯作者：
GRAYSTON, JT
中科院分区：
文献类型：
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作者：
FOY, HM;KENNY, GE;GRAYSTON, JT
福伊，H。M.（华盛顿州西雅图，华盛顿大学公共卫生和社区医学学院。98105），G. E.肯尼河McMahan，G. Kaiser和J. T.社区中的支原体肺炎。Amer J Epidem 93：55-67，1971。通过对1）一个有16，500名居民的郊区岛屿，2）三所小学，3）大学生群体和4）邻近家庭的监测，研究了肺炎支原体感染的流行病学。肺炎是西雅图的地方病。1966年至1967年，发生了一场流行病。在这一流行期间和地方病流行年份，社区内的发病率差异很大，如在郊区岛屿的不同地区和两所类似的小学之间所观察到的。传播媒介通常是儿童，他们往往只患轻微的疾病。肺炎感染在有儿童玩伴的相邻家庭之间和通过妇女联谊会的房子传播缓慢但有效，但在两个就业办公室没有传播。传播似乎主要发生在急性疾病期间。带菌者状态最长持续5个月，没有引起继发病例。虽然大多数感染儿童有发热性下呼吸道疾病，但只有13%被诊断为肺炎。M.西雅图的肺炎感染可以解释为从一个地区到另一个地区传播缓慢，潜伏期长，家庭环境外的传播性低。
Foy, H. M. (School of Public Health and Community Medicine, Univ. of Washington, Seattle, Wash. 98105), G. E. Kenny, R. McMahan, G. Kaiser, and J. T. Gray-ston.Mycoplatma pneumoniaein the community.Amer J Epidem93: 55–67, 1971.— The epidemiology ofMycoplasma pneumoniaeinfections was studied by surveillance of 1) a suburban island of 16,500 residents, 2) three elementary schools, 3) university student groups, and 4) neighborhood households.M. pneumoniaepneumonia is endemic in Seattle. In 1966–1967, an epidemic occurred. Both during this epidemic period and in endemic years, attack rates varied considerably within the community as observed between different parts of the suburban island and between two similar elementary schools. The vectors of spread were usually children, who often suffered only mild illness.M. pneumoniaeinfection spread slowly but effectively between adjacent households with children playmates and through a sorority house, but not in two offices of employment. Transmission appears to occur primarily during acute disease. The carrier state, which lasted up to five months, did not give rise to secondary cases. Although most infected children had febrile lower respiratory tract disease, only 13% were diagnosed as having pneumonia. The endemic occurrence ofM. pneumoniaeinfection in Seattle can be explained by slow spread from area to area, long incubation period and low communicability outside the family setting.