某军事训练基地发生大规模链球菌性脓皮病疫情。
A large outbreak of streptococcal pyoderma in a military training establishment.
作者信息
Cruickshank J G, Lightfoot N F, Sugars K H, Colman G, Simmons M D, Tolliday J, Oakley E H
出版信息
J Hyg (Lond). 1982 Aug;89(1):9-21. doi: 10.1017/s0022172400070492.
An outbreak of streptococcal pyoderma in a military institution into which fresh susceptible recruits were regularly introduced involved more than 1300 persons over an eighteen-month period. Two M types were responsible for the great majority of the cases and an attack by one conferred immunity to that strain but not to the other. Lesions varied from trivial to disabling. Epidemiological studies indicated that contact -- direct or indirect -- through such things as gymnasium equipment and room dust was the means of transmission. The outbreak was eventually controlled by vigorous case finding, thorough treatment of cases and the strict application of hygienic principles to prevent spread. There were no late complications and throat streptococci were not involved. It is possible to control such an outbreak without isolation or the making of any significant concessions in the training programme even when large numbers of persons are living and working at close quarters.
在一所军事机构中爆发了链球菌性脓皮病，该机构定期接收新的易感新兵。在18个月的时间里，超过1300人受到感染。绝大多数病例由两种M型菌株引起，感染其中一种菌株可对该菌株产生免疫力，但对另一种则无免疫力。病变程度从轻微到致残不等。流行病学研究表明，通过体育馆设备和室内灰尘等进行直接或间接接触是传播途径。通过积极的病例发现、对病例的彻底治疗以及严格应用卫生原则以防止传播，疫情最终得到了控制。没有出现晚期并发症，且未涉及咽喉部链球菌感染。即使大量人员在近距离生活和工作，也有可能在不进行隔离或不对训练计划做出重大让步的情况下控制此类疫情。
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