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抗生素、咽喉痛与风湿热。

Antibiotics, sore throats and rheumatic fever.

作者信息

Howie J G, Foggo B A

出版信息

J R Coll Gen Pract. 1985 May;35(274):223-4.

Abstract

From a retrospective study of hospital records, it is calculated that the present incidence of rheumatic fever in Scottish children is 0.6 per 100 000 per year. This is in keeping with recent research from other developed communities. An attempt is made to assess the relative risk of developing rheumatic fever after antibiotic-treated streptococcal sore throats and non-antibiotic-treated streptococcal sore throats. The risk in both cases is low (probably in the order of 1:30 000) and there is no evidence that prescribing antibiotics for prodromal sore throats confers benefit.

摘要

通过对医院记录的回顾性研究计算得出,苏格兰儿童风湿热的当前发病率为每年每10万人中有0.6例。这与其他发达社区的近期研究结果一致。研究试图评估抗生素治疗的链球菌性咽喉炎和未用抗生素治疗的链球菌性咽喉炎后发生风湿热的相对风险。两种情况下的风险都很低(可能约为1:30000),而且没有证据表明为前驱性咽喉炎开抗生素会带来益处。

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