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侵袭性肺炎球菌疾病的结局:一项基于英国的研究。牛津肺炎球菌监测小组。

Outcome of invasive pneumococcal disease: a UK based study. Oxford Pneumococcal Surveillance Group.

作者信息

Shackley F, Knox K, Morris J B, Crook D, Griffiths D, Mayon-White R, George R, Willocks L, Moxon E

机构信息

Oxford Vaccine Group, University of Oxford, UK.

出版信息

Arch Dis Child. 2000 Sep;83(3):231-3. doi: 10.1136/adc.83.3.231.

Abstract

METHODS

The records of 106 children aged less than 5 years with invasive disease caused by Streptococcus pneumoniae were reviewed.

RESULTS

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.

CONCLUSIONS

These data suggest that S pneumoniae infection is associated with a low case fatality rate but substantial morbidity in the UK.

摘要

方法

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。

结果

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。

结论

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。

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