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[从糖尿病儿童咽喉部分离出的A、B、C及G组溶血性链球菌的流行病学调查 链球菌病研究组]

[An epidemiological survey of group A, B, C & G hemolytic streptococci isolated from the Throat of Diabetic Children Streptococcicosis Study Group].

作者信息

Okuyama M, Nakajima K, Okuda K

机构信息

Osaka Municipal Shirokita Hospital.

出版信息

Kansenshogaku Zasshi. 1991 Aug;65(8):970-6. doi: 10.11150/kansenshogakuzasshi1970.65.970.

DOI:10.11150/kansenshogakuzasshi1970.65.970
PMID:1919132
Abstract

The incidence of group A, B, C & G hemolytic streptococci residing in the throat of children with diabetes was surveyed. The survey was carried out in August, 1982 and August, 1983. Included in the surveys were 136 diabetic children. The survey was also carried out with healthy school children at the same term as the contrast. The detection rate of the streptococci among the diabetic children was significantly higher than the healthy school children. A great portion of streptococci detected from these diabetic children was classified into group B, on the other hand, from the healthy school children, group A. Although from healthy school children, BIII, BIa and several other types were isolated, from diabetic children only BIa and BIII were isolated. The detection rate of the streptococci among the diabetic children was significantly higher in the early days in camp for improvement of diabetes than in the last day. In the latter case the detection rate was similar to that among healthy children. In the other words following antidiabetic therapy as diabetes improved the detection rate were also improved. Among these 136 diabetic children examined 31 gave positive cultures at both surveys each year. Serogroups or serotypes in each year examinations, isolates, were identical in 26 cases. Most of these groups were group B and the types were Ia and III.

摘要

对糖尿病患儿咽喉部A、B、C及G组溶血性链球菌的感染率进行了调查。调查于1982年8月和1983年8月进行。136名糖尿病患儿纳入调查。同时期还对健康学童进行了调查作为对照。糖尿病患儿中链球菌的检出率显著高于健康学童。这些糖尿病患儿检出的大部分链球菌属于B组,而健康学童中检出的大部分属于A组。虽然从健康学童中分离出了BIII、BIa及其他几种类型,但糖尿病患儿中仅分离出了BIa和BIII。糖尿病患儿在糖尿病改善营期早期的链球菌检出率显著高于末期。在后一种情况下,检出率与健康儿童相似。换言之,随着糖尿病病情改善,抗糖尿病治疗后检出率也有所提高。在这136名接受检查的糖尿病患儿中,每年两次调查均有31例培养结果呈阳性。每年检查中分离株的血清群或血清型在26例中相同。这些组大多数为B组,类型为Ia和III。

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