儿童 A 组链球菌肛门周围感染的临床症状和快速诊断检测的诊断准确性。
Diagnostic accuracy of clinical symptoms and rapid diagnostic test in group A streptococcal perianal infections in children.
机构信息
Association Clinique et Thérapeutique Infantile du Val de Marne, Saint-Maur des Fossés Clinical Research Center, Centre Hospitalier Intercommunal de Créteil Association Française de Pédiatrie Ambulatoire Unité Court Séjour, Petits Nourrissons, Service de Néonatologie, Centre Hospitalier Intercommunal de Créteil.
Association Clinique et Thérapeutique Infantile du Val de Marne, Saint-Maur des Fossés Clinical Research Center, Centre Hospitalier Intercommunal de Créteil Association Française de Pédiatrie Ambulatoire.
出版信息
Clin Infect Dis. 2015 Jan 15;60(2):267-70. doi: 10.1093/cid/ciu794. Epub 2014 Oct 13.
From 2009 to 2014, we prospectively enrolled 132 children with perianal infections. The presentation of painful defecation, anal fissures, and macroscopic blood in stools was highly suggestive of group A streptococcal perianal infection (probability 83.3%). We found a high sensitivity of a group A streptococcal rapid diagnostic testing (98%) but relatively low specificity (72.8%).
2009 年至 2014 年，我们前瞻性地招募了 132 名患有肛周感染的儿童。排便疼痛、肛裂和大便中肉眼可见的血液高度提示 A 组链球菌性肛周感染（可能性 83.3%）。我们发现 A 组链球菌快速诊断检测具有较高的敏感性（98%），但特异性相对较低（72.8%）。
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