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在澳大利亚北部:披着羊皮的狼?

in Northern Australia: A Sheep in Wolf's Clothing?

机构信息

Department of Intensive Care, Cairns Hospital, Cairns, Australia.

James Cook University, Cairns, Australia.

出版信息

Am J Trop Med Hyg. 2018 Oct;99(4):844-848. doi: 10.4269/ajtmh.18-0311.

Abstract

In many parts of the world, the case-fatality rate of infection approaches 60%. To evaluate the spectrum of disease associated with in Far North Queensland (FNQ), Australia, we reviewed all culture-confirmed isolates from 1997 to 2017. There were 28 isolates, 15 represented infection, 11 were contaminants, and two charts were destroyed preventing detailed evaluation of these cases. The most common sites of infection were the skin and soft tissue and the urinary tract; there were two cases of bacteremia without focus. There were no deaths attributable to during the study period and only two cases required intensive care unit support, although in both patients this was not for the infection, but for the management of other health issues. Globally, has a reputation as a deadly pathogen, but in FNQ, Australia, infections usually follow a relatively benign course.

摘要

在世界上许多地方,感染的病死率接近 60%。为了评估与在澳大利亚远北昆士兰(FNQ)相关的疾病谱,我们回顾了 1997 年至 2017 年所有经培养确认的分离株。共有 28 株分离株,15 株代表感染,11 株为污染物,两份图表被销毁,无法对这些病例进行详细评估。感染最常见的部位是皮肤和软组织以及泌尿道;有两例菌血症无病灶。在研究期间,没有归因于的死亡病例,只有两例需要重症监护病房支持,尽管在这两例患者中,这并不是因为感染,而是因为管理其他健康问题。在全球范围内,被认为是一种致命的病原体,但在澳大利亚 FNQ,感染通常表现出相对良性的过程。

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