Woods W A, Carter C T, Stack M, Connors A F, Schlager T A
Department of Emergency Medicine, University of Virginia Health Sciences Center, Charlottesville, USA.
South Med J. 1999 May;92(5):491-2. doi: 10.1097/00007611-199905000-00008.
Although the frequency of group A streptococcal pharyngitis in adults is assumed to be low, there is little information on frequency other than in military populations.
A prospective, observational study was done to determine the frequency of group A streptococcal pharyngitis in adults seen in the emergency department. Throat swabs were obtained on adults (30 to 65 years of age) with sore throat and pharyngitis on examination. Swabs were also obtained in a group of control subjects.
Of the 148 adults with pharyngitis, 65 (44%) had throat specimens positive for group A streptococci. In the 50 control subjects, all throat cultures were negative for group A streptococci. A significant number of patients with group A streptococcal pharyngitis had school-aged children at home.
The high rate of detection of group A streptococci in adults outside the military has not been previously reported.
尽管成人A组链球菌性咽炎的发病率被认为较低，但除军人人群外，关于其发病率的信息很少。
进行了一项前瞻性观察研究，以确定急诊科成人中A组链球菌性咽炎的发病率。对检查时有咽痛和咽炎的成人（30至65岁）采集咽拭子。还对一组对照受试者采集了咽拭子。
在148例咽炎成人中，65例（44%）咽拭子标本A组链球菌呈阳性。在50例对照受试者中，所有咽拭子培养A组链球菌均为阴性。相当数量的A组链球菌性咽炎患者家中有学龄儿童。
此前尚未报道过军队以外成人中A组链球菌的高检出率。
