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1987 - 1997年美国在消除婴幼儿b型流感嗜血杆菌疾病方面取得的进展

Progress toward eliminating Haemophilus influenzae type b disease among infants and children--United States, 1987-1997.

出版信息

MMWR Morb Mortal Wkly Rep. 1998 Nov 27;47(46):993-8.

PMID:9843325
Abstract

Haemophilus influenzae type b (Hib) causes serious invasive diseases among previously healthy children aged <5 years. Before the availability of conjugate vaccines in 1988, Hib was the most common cause of bacterial meningitis among preschool-aged children. Since 1993, the incidence of Hib invasive disease (defined as illness clinically compatible with invasive disease such as meningitis or sepsis, with isolation of the bacterium from a normally sterile site) among children aged <5 years has declined >95% in the United States. This report describes the continued decline of reported Hib invasive disease cases and underscores the need for investigation of Haemophilus influenzae (Hi) invasive disease cases.

摘要

b型流感嗜血杆菌(Hib)可在5岁以下原本健康的儿童中引发严重的侵袭性疾病。在1988年出现结合疫苗之前,Hib是学龄前儿童细菌性脑膜炎最常见的病因。自1993年以来,美国5岁以下儿童中Hib侵袭性疾病(定义为临床上与侵袭性疾病如脑膜炎或败血症相符的疾病,且从通常无菌的部位分离出该细菌)的发病率已下降超过95%。本报告描述了报告的Hib侵袭性疾病病例的持续下降情况,并强调了对流感嗜血杆菌(Hi)侵袭性疾病病例进行调查的必要性。

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