Leng T, Chay S O
Ann Acad Med Singap. 1982 Jan;11(1):101-9.
The cumulative streptococcal pyoderma and pharyngitis rates of 491 children followed over a period of three years were 19.8 and 15.7% respectively. Streptococcal infections occurred more commonly in Malays, in children from families with monthly household incomes of less than $500/- and in those living in attap/zinc-roofed houses. During the three years, streptococcal pyoderma and pharyngitis rates varied from 1.6-5.3 and 0.4-4.3% respectively. Skin sores occurred most frequently on lower limbs. About one in six acquisitions of streptococci in throats was accompanied by clinical manifestations of respiratory infections. 90.9% of pyoderma cases responded to penicillin therapy. Penicillin was effective in eradicating group A streptococci from the throats of 84.6% of 136 children with previous positive cultures. The treatment schedule implemented for School C did not seem to reduce the streptococcal infection and carrier rates in that school to a great extent.
在三年期间对491名儿童进行随访，累积的链球菌脓皮病和咽炎发病率分别为19.8%和15.7%。链球菌感染在马来人中、在家庭月收入低于500美元的儿童中以及在居住在亚答屋/锌皮屋顶房屋中的儿童中更为常见。在这三年中，链球菌脓皮病和咽炎发病率分别在1.6%至5.3%和0.4%至4.3%之间变化。皮肤溃疡最常出现在下肢。约六分之一的咽喉部链球菌感染伴有呼吸道感染的临床表现。90.9%的脓皮病病例对青霉素治疗有反应。青霉素能有效清除136名先前培养呈阳性的儿童咽喉部84.6%的A组链球菌。为C校实施的治疗方案似乎没有在很大程度上降低该校的链球菌感染率和带菌率。
