Martin D R, Voss L M, Walker S J, Lennon D
Communicable Disease Centre, Porirua, New Zealand.
Pediatr Infect Dis J. 1994 Apr;13(4):264-9. doi: 10.1097/00006454-199404000-00004.
Annual specific rates for acute rheumatic fever (ARF) in Auckland children less than 15 years were 22/100,000 for the years 1980 to 1984. From 1984 to 1992 the rates remained relatively constant with an average of 45 (range, 30 to 70) children annually admitted with ARF to the Auckland Children's Hospital. This study examined retrospectively Group A streptococci identified from hospitalized pediatric patients during these 9 years. The total of 2410 isolates included 32 isolates from well-documented cases of ARF and an additional 6 from siblings of cases. Results of M typing indicated that streptococci associated with ARF are generally different from those described overseas and involved types which cause more skin than throat infections in the community.
1980年至1984年期间，奥克兰15岁以下儿童急性风湿热（ARF）的年发病率为22/10万。1984年至1992年期间，发病率相对保持稳定，平均每年有45名（范围为30至70名）患急性风湿热的儿童被收治到奥克兰儿童医院。本研究回顾性分析了这9年间从住院儿科患者中分离出的A组链球菌。总共2410株分离菌中，包括32株来自有充分记录的急性风湿热病例，另外6株来自病例的兄弟姐妹。M分型结果表明，与急性风湿热相关的链球菌通常与国外描述的不同，且在社区中引起皮肤感染多于咽喉感染的类型。
