Carapetis J R, Currie B J, Kaplan E L
Menzies School of Health Research, Darwin, NT, Australia.
Clin Infect Dis. 1999 Feb;28(2):205-10. doi: 10.1086/515114.
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.
A组链球菌引起的上呼吸道和皮肤感染很常见，且该病原体具有高度传染性。在工业化国家以及在一定程度上在发展中国家，防控工作仍继续强调应正确诊断和适当治疗A组链球菌性咽炎。在A组链球菌疾病负担似乎最重的发展中国家和原住民群体中，其流行病学情况尚未完全明确，可能与工业化国家有所不同。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组链球菌感染及其后遗症的发病机制。虽然对所有人群而言，正确治疗A组链球菌性咽炎仍然至关重要，但在发展中国家，考虑采取额外策略降低脓疱病发病率可能是合适的。
