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[俄罗斯A组链球菌所致疾病的患病率及临床流行病学特征]

[The prevalence and clinicoepidemiological characteristics of diseases caused by streptococcus group A in Russia].

作者信息

Pokrovskiĭ V I, Briko N I, Kleĭmenov D A

出版信息

Ter Arkh. 2009;81(11):5-9.

PMID:20141004
Abstract

AIM

to assess the significance of Streptococcus group A (SGA) infection in Moscow and the Russian Federation (RF).

MATERIALS AND METHODS

The materials contained in the 1996-2007 annual official statistical records (forms Nos. 12, 14, 16-BH, C-51, of the State Committee for Statistics) were analyzed.

RESULTS AND DISCUSSION

An average of 3.1 million (207.1 per 10,000 population) cases of SGA infection were annually notified in Russia. In the latter, the average annual rates of the incidence and prevalence of SGA infection (other than scarlet fever) in all age groups were much greater than those in Moscow. The average annual incidence of rheumatism was 5.1 and 6.0 per 10,000 in the RF and Moscow, respectively. The cases and days of temporary disability in Moscow were 2-3 times lower than those in the RF. The incidence and prevalence of other forms of SGA infection among the RF population significantly increased from 1 to 4%. In Moscow, there was a significant reduction in the incidence and prevalence of renal diseases, a decrease in the incidence of chronic rhinitis, nasopharyngitis, and sinusitis and in their prevalence. The prevalence of chronic tonsillitis, adenoiditis and paratonsillar abscesses tended to increase while their incidence showed no significant changes.

CONCLUSION

Despite the significant declining trends for its incidence, prevalence, temporary disability, and mortality, SGA infection continues to cause a substantial socioeconomic damage and to remain to be one of the urgent public health problems of the country.

摘要

目的

评估A组链球菌(SGA)感染在莫斯科及俄罗斯联邦(RF)的重要性。

材料与方法

分析了1996 - 2007年官方年度统计记录(俄罗斯国家统计委员会的第12、14、16 - BH、C - 51号表格)中的材料。

结果与讨论

俄罗斯每年平均报告310万例SGA感染病例(每10000人口中有207.1例)。在俄罗斯,所有年龄组中SGA感染(不包括猩红热)的年发病率和患病率平均水平远高于莫斯科。俄罗斯联邦和莫斯科的风湿年年发病率分别为每10000人5.1例和6.0例。莫斯科的病例数和临时残疾天数比俄罗斯联邦低2至3倍。俄罗斯联邦人口中其他形式的SGA感染发病率和患病率从1%显著增至4%。在莫斯科,肾脏疾病的发病率和患病率显著降低,慢性鼻炎、鼻咽炎和鼻窦炎的发病率及其患病率下降。慢性扁桃体炎、腺样体炎和扁桃体周围脓肿的患病率趋于上升,但其发病率无显著变化。

结论

尽管SGA感染的发病率、患病率、临时残疾率和死亡率呈显著下降趋势,但它继续造成重大的社会经济损害,仍是该国紧迫的公共卫生问题之一。

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