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[阿根廷巴里洛切地区化脓性链球菌咽炎的发病率]

[Incidence of Streptococcus pyogenes pharyngitis in Bariloche, Argentina].

作者信息

Rubinstein G, Bavdaz B, De Bunder S, Blázquez N

机构信息

Laboratorio de Bacteriología, Hospital Ramón Carrillo, F.P. Moreno 651 (8400), Bariloche, Argentina.

出版信息

Rev Argent Microbiol. 2005 Apr-Jun;37(2):84-6.

Abstract

The incidence and seasonality of pharyngitis by S. pyogenes in Bariloche, a city where long periods of low temperatures result in extended indoor activities were studied. A total of 5276 throat swab specimens collected during 2000-2003 in the clinical microbiology laboratories of the three main medical institutions of the city, were analyzed. Samples were cultured on blood-agar media containing 5% defibrinated sheep blood, and incubated for 24-48 h at 35 degrees C. Strains were identified using standard procedures. Monthly means for throat swabs, S. pyogenes isolates, and percent of S. pyogenes pharyngitis, were estimated. The incidence of pharyngitis by this microorganism was greater than 24% for every month within the April-December period, reaching a maximum in November (33%). February was the month with the lowest incidence (13%). It was observed an increasing trend since March through November with a through in July, and a marked decrease that began in December, reaching its lowest rate in January and February, the warmest months. This seasonal pattern differs from those observed for temperate climates. The incidence of S. pyogenes pharyngitis in Bariloche was high through the greater part of the year, since about the middle of autumn to the beginning of summer.

摘要

对巴里洛切市化脓性链球菌引起的咽炎发病率和季节性进行了研究,该市长期低温导致室内活动时间延长。对2000年至2003年期间在该市三个主要医疗机构的临床微生物实验室收集的总共5276份咽拭子标本进行了分析。样本在含有5%去纤维羊血的血琼脂培养基上培养,并在35摄氏度下孵育24至48小时。使用标准程序鉴定菌株。估算了咽拭子、化脓性链球菌分离株的月均值以及化脓性链球菌咽炎的百分比。该微生物引起的咽炎发病率在4月至12月期间的每个月都超过24%,11月达到最高(33%)。2月是发病率最低的月份(13%)。观察到从3月到11月呈上升趋势,7月有一个低谷,12月开始显著下降,在1月和2月(最温暖的月份)达到最低水平。这种季节性模式与温带气候中观察到的不同。在巴里洛切,从大约秋季中期到夏季开始,化脓性链球菌咽炎的发病率在一年的大部分时间里都很高。

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