Okuyama Y, Inoue Y, Oshima M
Kansenshogaku Zasshi. 1989 Nov;63(11):1249-56. doi: 10.11150/kansenshogakuzasshi1970.63.1249.
In order to analyze the trends of hemolytic streptococcal infections, we have investigated the source of clinical specimens, monthly isolation rates, and the isolation rates by sex and age o patients of 6,440 hemolytic streptococci (group A, B, C and G) isolated from clinical specimens in hospitals in Saitama during the period of 1979-1987. 1) Serological group of 6,440 hemolytic streptococci isolated from clinical specimens were 4,691 (72.9%) isolates of group A, 1,535 (23.8%) isolates of group B, 47 (0.7%) isolates of group C, and 169 (2.6%) isolates of group G. 2) The main clinical sources of hemolytic streptococci, group A streptococci were 4,243 (90.7%) isolates from throat swabs, 117 (2.5%) isolates from ear secretions, 87 (1.9%) isolates from nose secretions, and 58 (1.2%) isolates etc., group B streptococci were 647 (42.2%) isolates from urines, 446 (29.1%) isolates from vaginal swabs, 127 (8.3%) isolates from throat swabs, 118 (7.7%) isolates from semen, 55 (3.6%) isolates from urethral secretions, 13 (0.8%) isolates from blood, and 9 (0.6%) isolates from cerebrospinal fluid etc.. 3) The monthly isolation rates of hemolytic streptococci, showed that group A streptococci had a general trend by the season, that is, the highest ratio in winter and the lowest ratio in summer, group B streptococci was not influenced by the season. 4) The isolation rates by sex of patients showed that group A streptococci had no difference between male and female, however, group B streptococci showed that the isolation rate of female was higher than that of male with the ratio of 7 to 3.(ABSTRACT TRUNCATED AT 250 WORDS)
为分析溶血性链球菌感染的趋势,我们调查了1979年至1987年期间从埼玉县医院临床标本中分离出的6440株溶血性链球菌(A、B、C和G组)的临床标本来源、月分离率以及患者的性别和年龄分离率。1)从临床标本中分离出的6440株溶血性链球菌的血清学分组为:A组4691株(72.9%),B组1535株(23.8%),C组47株(0.7%),G组169株(2.6%)。2)溶血性链球菌的主要临床来源,A组链球菌中,4243株(90.7%)来自咽拭子,117株(2.5%)来自耳分泌物,87株(1.9%)来自鼻分泌物,58株(1.2%)来自其他等;B组链球菌中,647株(42.2%)来自尿液,446株(29.1%)来自阴道拭子,127株(8.3%)来自咽拭子,118株(7.7%)来自精液,55株(3.6%)来自尿道分泌物,13株(0.8%)来自血液,9株(0.6%)来自脑脊液等。3)溶血性链球菌的月分离率显示,A组链球菌有随季节变化的总体趋势,即冬季比例最高,夏季比例最低,B组链球菌不受季节影响。4)患者性别分离率显示,A组链球菌男女之间无差异,然而,B组链球菌显示女性分离率高于男性,比例为7比3。(摘要截选至250字)