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当流感嗜血杆菌与肺炎链球菌共同定植于鼻咽部时,除 19A 血清型菌株外,流感嗜血杆菌会占优势引起急性中耳炎。

When co-colonizing the nasopharynx haemophilus influenzae predominates over Streptococcus pneumoniae except serotype 19A strains to cause acute otitis media.

机构信息

Center for Infectious Diseases and Immunology, Rochester General Hospital Research Institute, Rochester, NY, USA.

出版信息

Pediatr Infect Dis J. 2012 Jun;31(6):638-40. doi: 10.1097/INF.0b013e31824ba6f7.

DOI:10.1097/INF.0b013e31824ba6f7
PMID:22301480
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3356506/
Abstract

Of 368 acute otitis media (AOM) cases among 7-valent pneumococcal conjugate-vaccinated children, 43.5% were colonized by multiple otopathogens in the nasopharynx but only 7.1% experienced polymicrobial AOM. When co-colonization occurred, Haemophilus influenzae predominated over all Streptococcus pneumoniae strains except 19A strains to cause AOM. Haemophilus influenzae and Streptococcus pneumoniae both predominated over Moraxella catarrhalis to cause AOM.

摘要

在 7 价肺炎球菌结合疫苗接种儿童的 368 例急性中耳炎 (AOM) 病例中,43.5% 的鼻咽部存在多种鼻咽病原体定植,但只有 7.1% 的儿童发生了多种微生物 AOM。当共同定植发生时,除 19A 菌株外,流感嗜血杆菌比所有肺炎链球菌菌株更易引起 AOM。流感嗜血杆菌和肺炎链球菌均比卡他莫拉菌更易引起 AOM。

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本文引用的文献

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Phylogenetic relatedness and diversity of non-typable Haemophilus influenzae in the nasopharynx and middle ear fluid of children with acute otitis media.儿童急性中耳炎患者鼻咽和中耳液中非典型流感嗜血杆菌的系统进化关系和多样性。
J Med Microbiol. 2011 Dec;60(Pt 12):1841-1848. doi: 10.1099/jmm.0.034041-0. Epub 2011 Jul 28.
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New patterns in the otopathogens causing acute otitis media six to eight years after introduction of pneumococcal conjugate vaccine.接种肺炎球菌结合疫苗 6-8 年后引起急性中耳炎的耳病原体的新发病模式。
Pediatr Infect Dis J. 2010 Apr;29(4):304-9. doi: 10.1097/INF.0b013e3181c1bc48.
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Microbial interactions during upper respiratory tract infections.上呼吸道感染期间的微生物相互作用。
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Pathogens causing recurrent and difficult-to-treat acute otitis media, 2003-2006.2003 - 2006年导致复发性及难治性急性中耳炎的病原体
Clin Pediatr (Phila). 2008 Nov;47(9):901-6. doi: 10.1177/0009922808319966. Epub 2008 Jun 16.
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Emergence of a multiresistant serotype 19A pneumococcal strain not included in the 7-valent conjugate vaccine as an otopathogen in children.一种7价结合疫苗未涵盖的多重耐药19A血清型肺炎球菌菌株作为儿童耳病原体出现。
JAMA. 2007 Oct 17;298(15):1772-8. doi: 10.1001/jama.298.15.1772.
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The dynamics of bacteria in the middle ear during the course of acute otitis media with tympanostomy tube otorrhea.鼓膜置管耳漏型急性中耳炎病程中中耳细菌的动态变化
Pediatr Infect Dis J. 2007 Oct;26(10):892-6. doi: 10.1097/INF.0b013e31812e4b6c.
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Vaccine-induced pathogen strain replacement: what are the mechanisms?疫苗诱导的病原体菌株替代:机制是什么?
J R Soc Interface. 2008 Jan 6;5(18):3-13. doi: 10.1098/rsif.2007.0236.
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The value of nasopharyngeal culture in predicting the etiology of acute otitis media in children less than two years of age.鼻咽部培养在预测两岁以下儿童急性中耳炎病因方面的价值。
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The role of innate immune responses in the outcome of interspecies competition for colonization of mucosal surfaces.固有免疫反应在黏膜表面定植的种间竞争结果中的作用。
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