Kodama H, Hayashi M, Gyobu Y
Kansenshogaku Zasshi. 1989 Nov;63(11):1244-8. doi: 10.11150/kansenshogakuzasshi1970.63.1244.
The pattern of group distribution of hemolytic streptococci and the source of specimen, when these organisms were isolated from the clinical specimen of the aged, were quite different from that of streptococcosis among children. The isolation frequency from the upper respiratory tract was rather low in comparison to the other specimen, such as sputum, exudate and urine. Both groups B and G were predominant among isolates from sputum, B more prevailing than G from exudate, and the isolates from the urinary tract were consisted almost solely of group B. These trends have been unchanged in the past 3 years. Normal pharyngeal streptococcus flora among the aged also differ from that of healthy children, the carrier rate being rather low, and groups B and G, instead of A in the case of children, being predominant. This pattern of group distribution, among the isolates of normal pharyngeal streptococci of the aged, seemed to be reflected on that of isolates from clinical specimen, especially those from the sputum. The type distribution of group B isolates from normal throat swabs of the aged resemble that of clinical isolates from the same generation, types Ia and III dominating in both cases.
从老年人临床标本中分离出溶血性链球菌时,其菌群分布模式及标本来源与儿童链球菌感染病的情况有很大不同。与痰液、渗出液和尿液等其他标本相比,上呼吸道的分离频率相当低。在痰液分离株中,B组和G组占主导地位,在渗出液中B组比G组更常见,而尿路分离株几乎仅由B组组成。在过去3年中,这些趋势一直未变。老年人正常咽部链球菌菌群也与健康儿童不同,携带率相当低,B组和G组而非儿童中的A组占主导地位。老年人正常咽部链球菌分离株中的这种菌群分布模式似乎反映在临床标本尤其是痰液分离株的分布模式上。从老年人正常咽拭子中分离出的B组菌株的型别分布与同代临床分离株相似,Ia型和III型在两种情况下均占主导。