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侵袭性肺炎球菌病中肺炎链球菌血清型与年龄的相关性。

Association of serotypes of Streptococcus pneumoniae with age in invasive pneumococcal disease.

机构信息

Institute of Medical Microbiology, National Reference Center for Streptococci, University Hospital RWTH Aachen, Pauwelsstr 30, Aachen 52074, Germany.

出版信息

J Clin Microbiol. 2010 Apr;48(4):1291-6. doi: 10.1128/JCM.01937-09. Epub 2010 Jan 27.

Abstract

A total of 7,764 isolates from patients with invasive pneumococcal disease (IPD) were collected from 1992 to June 2006. Data on serotypes were available for 5,022 isolates (64.7% of all invasive isolates). Some 54.0% of the isolates originated from adults >or=16 years of age, and 46.0% were from children <16 years of age. The leading serotypes were 14, 23F, 1, 6B, 7F, 3, and 4. The serotypes significantly more common in children were 14, 6B, 19F, and 18C, while among adults, serotypes 3 and 4 were predominant. Serotype 7F was statistically more prevalent among children <4 months old than among the other age groups. Among children aged >or=4 months and <1 year, serotype 19F occurred statistically more frequently; and among children aged >or=1 year to <5 years, serotypes 14, 6B, and 18C were overrepresented. The serotypes predominantly affecting patients younger than the remaining collective of patients were 14, 6B, 19F, and 18C, while patients with IPD caused by serotypes 3, 4, and 9V were older than the collective, on average.

摘要

从 1992 年到 2006 年 6 月,共从侵袭性肺炎球菌病(IPD)患者中收集了 7764 株分离株。有 5022 株(所有侵袭性分离株的 64.7%)可提供血清型数据。大约 54.0%的分离株来自年龄≥16 岁的成年人,46.0%来自年龄<16 岁的儿童。主要血清型为 14、23F、1、6B、7F、3 和 4。在儿童中更为常见的血清型是 14、6B、19F 和 18C,而在成年人中,3 型和 4 型更为常见。血清型 7F 在<4 个月的儿童中比其他年龄组更为普遍。在年龄>4 个月且<1 岁的儿童中,19F 型发生率统计学上更高;在年龄>1 岁至<5 岁的儿童中,14、6B 和 18C 型血清型占比过高。主要影响年龄小于其余患者的患者的血清型是 14、6B、19F 和 18C,而由 3、4 和 9V 血清型引起的 IPD 患者的平均年龄大于整体患者。

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