Nimmo G R, Tinniswood R D, Nuttall N, Baker G M, McDonald B
Princess Alexandra Hospital, Woolloongabba, QLD.
Med J Aust. 1992 Oct 19;157(8):521-2. doi: 10.5694/j.1326-5377.1992.tb137346.x.
To determine whether group A streptococcal infection and poststreptococcal sequelae are still a significant health issue for Aboriginal communities.
A cross-sectional survey of streptococcal carriage, infection and antibody levels.
A north Queensland Aboriginal community.
One hundred and twenty preschool and school-aged children (2 to 12 years of age) living in the Lockhart River Community on Cape York Peninsula.
Pyoderma was present in 43% of the children and in 76% of these culture of skin lesions grew group A streptococci. Group A streptococci also grew from 13% of throat swabs, making a total of 36% of children culture positive. Anti-streptolysin O and anti-DNAase B levels were remarkably high and increased with age.
The evidence presented confirms a high level of group A streptococcal carriage and infection in children of the Lockhart River Community. Further investigation of this problem is warranted in other Aboriginal communities with a view to instituting appropriate control programs.
确定A组链球菌感染及链球菌感染后后遗症对原住民社区而言是否仍是一个重大的健康问题。
一项关于链球菌携带、感染及抗体水平的横断面调查。
昆士兰州北部的一个原住民社区。
居住在约克角半岛洛克哈特河社区的120名学龄前和学龄儿童（2至12岁）。
43%的儿童患有脓疱病，其中76%的皮肤损伤培养物中培养出A组链球菌。13%的咽拭子中也培养出A组链球菌，总计36%的儿童培养结果呈阳性。抗链球菌溶血素O和抗DNA酶B水平显著升高且随年龄增长而增加。
所提供的证据证实洛克哈特河社区儿童中A组链球菌携带和感染水平较高。鉴于此，有必要在其他原住民社区对该问题展开进一步调查，以便制定适当的控制方案。
