Department of Respiratory and Critical Care Medicine, Affilitated Hospital of Jining Medical University, Jining, Shandong, 272000, China.
Department of Respiratory and Critical Care Medicine, Jining NO.1 People's Hospital, Jining, Shandong, 272000, China.
Sci Rep. 2020 Jun 3;10(1):9032. doi: 10.1038/s41598-020-65977-z.
This study aimed to investigate the clinical characteristics, distribution of different strains and risk factors of patients infected with Streptococcus anginosus group (SAG). In the population of 463 patients, the male-to-female ratio was 1.95:1, and the patient age ranged from 6 months to 103 years. There were 49 children (10.58%), 311 young and middle-aged adults (67.17%), and 103 elderly adults (22.25%). Approximately 45.4% had underlying conditions, which were mostly malignant tumors and diabetes. Of the 463 specimens, 254 were S. anginosus (54.86%), 173 were S. constellatus (37.37%), and 36 were S. intermedius (7.77%). According to the age distribution, the incidence peaked in the 35-54 year age group. Different sites of infection had statistically significant differences regarding the constituent ratios of these three species. Different age groups also exhibited statistically significant differences in constituent ratios of the pathogenic organisms, as well as organ infections. In our population, 269 were clinically cured, 184 reported satisfactory improvement, and 10 died. SAG, as an opportunistic pathogen, can induce pyogenic infections in patients of all ages and shows no significant gender predilection in any age group. The three pathogenic organisms had differences with respect to patient age and infections of body sites.
本研究旨在探讨酿脓链球菌群(SAG)感染患者的临床特征、不同菌株分布及危险因素。在 463 例患者中,男女比例为 1.95:1,年龄 6 个月至 103 岁。其中 49 例为儿童(10.58%),311 例为中青年(67.17%),103 例为老年人(22.25%)。约 45.4%的患者存在基础疾病,主要为恶性肿瘤和糖尿病。463 份标本中,254 份为咽峡炎链球菌(S. anginosus,54.86%),173 份为星座链球菌(S. constellatus,37.37%),36 份为中间链球菌(S. intermedius,7.77%)。按年龄分布,35-54 岁年龄组发病率最高。不同感染部位三种菌的构成比差异有统计学意义。不同年龄组的病原菌构成比及器官感染也存在统计学差异。在本研究人群中,269 例临床治愈,184 例好转,10 例死亡。SAG 作为机会致病菌,可引起各年龄段患者的化脓性感染,在任何年龄段均无明显性别倾向。三种病原菌在患者年龄和感染部位上存在差异。