Shackley F, Knox K, Morris J B, Crook D, Griffiths D, Mayon-White R, George R, Willocks L, Moxon E
Oxford Vaccine Group, University of Oxford, UK.
Arch Dis Child. 2000 Sep;83(3):231-3. doi: 10.1136/adc.83.3.231.
The records of 106 children aged less than 5 years with invasive disease caused by Streptococcus pneumoniae were reviewed.
The clinical manifestations were meningitis (37%), upper respiratory tract infection (24%), pneumonia (19%), and occult bacteraemia (18%). One child died and seven had persisting neurological impairment. Five serotypes caused 83% of disease and 92% of the serotypes are included in the seven valent conjugate vaccines which are undergoing trials.
These data suggest that S pneumoniae infection is associated with a low case fatality rate but substantial morbidity in the UK.
回顾了106例5岁以下由肺炎链球菌引起侵袭性疾病的儿童记录。
临床表现为脑膜炎(37%)、上呼吸道感染(24%)、肺炎(19%)和隐匿性菌血症(18%)。1名儿童死亡,7名有持续性神经功能损害。5种血清型导致83%的疾病,92%的血清型包含在正在进行试验的七价结合疫苗中。
这些数据表明,在英国肺炎链球菌感染病死率低但发病率高。