Nair P, Glazer-Semmel E, Gould C, Ruff E
Clin Pediatr (Phila). 1986 Mar;25(3):160-3. doi: 10.1177/000992288602500306.
This report describes the occurrence of gonococcal infection among prepubertal household contacts of children younger than 12 years of age. The records of 14 index cases (12 females and 2 males) reported during the period January 1979 and June 1983 were reviewed. Among 31 asymptomatic contacts of 10 index cases, nine (29%) had positive cultures (5 females and 4 males). Three were siblings of the index cases, and six were other children in the index households. The predominant site of positive cultures was the throat (7/9). This high recovery rate of gonococci among young asymptomatic household contacts makes clear the need for aggressive surveillance of prepubertal household contacts of children with gonococcal infection, and the importance of culturing all three sites, e.g., vagina/urethra, rectum, and throat.
本报告描述了12岁以下儿童青春期前家庭接触者中淋病感染的发生情况。回顾了1979年1月至1983年6月期间报告的14例索引病例（12名女性和2名男性）的记录。在10例索引病例的31名无症状接触者中，9例（29%）培养结果呈阳性（5名女性和4名男性）。3例为索引病例的兄弟姐妹，6例为索引家庭中的其他儿童。培养结果呈阳性的主要部位是咽喉（7/9）。淋病双球菌在年轻无症状家庭接触者中的高检出率明确表明，需要对淋病感染儿童的青春期前家庭接触者进行积极监测，以及对阴道/尿道、直肠和咽喉这三个部位进行培养的重要性。
