首页|关注侵袭性A族链球菌疾病及其高危因素——从1例典型病例谈起

关注侵袭性A族链球菌疾病及其高危因素——从1例典型病例谈起

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A族链球菌(GAS)可引起咽扁桃体炎、猩红热、链球菌中毒性休克综合征(STSS)、坏死性筋膜炎等多种疾病,因此要监测所有GAS感染极为困难。英美等发达国家通常将侵袭性GAS疾病/感染(iGAS)或其中某些特殊类型,如STSS等列为须报告疾病。我国只将GAS感染导致的猩红热纳入法定传染病管理。虽然可查及国内STSS、坏死性筋膜炎的病例报道或临床研究,但对iGAS缺乏整体性调查研究和总结,也很少有材料系统介绍iGAS的定义和诊断标准。现拟结合最近确诊的1个典型病例,介绍英美等国家采用的iGAS定义和诊断标准、具有提示意义的早期表现和高危因素以及iGAS的发病状况,并结合近期国内外GAS感染流行病学变化强调关注GAS感染,尤其是iGAS的重要性,期望能引起国内同道对该组疾病的重视,积极开展相关研究。
Focus on invasive Group A Streptococcal diseases and their risk factors based on a typical case
Group A Streptococci(GAS)can cause multiple diseases such as pharyngotonsillitis,scarlet fever,streptococcal toxic shock syndrome(STSS),necrotizing fasciitis,and so on,making it extremely difficult to monitor all GAS infections.Developed countries such as the United States and the United Kingdom have classified invasive GAS diseases/infections(iGAS)or certain specific types,such as STSS,as notifiable diseases.China only includes scarlet fever caused by GAS infections in the legal infectious diseases.Although case reports or clinical studies of STSS and necrotizing fasciitis in China can be found,there is a lack of investigation and summary on iGAS,and there are few materials to introduce its definition and diagnostic criteria.Based on a recently diagnosed typical case,this paper intends to introduce the definition and diagnostic criteria of iGAS adopted in the United States,the United Kingdom and other developed countries,as well as the valuable early manifestations and risk factors,and the incidence of iGAS.Given the epidemiological changes in GAS infections in recent years,this paper also emphasizes the importance of paying attention to GAS infections,especially iGAS,aiming to arouse the attention of China's clinical doctors and urge them to carry out research on this group of diseases.

ChildRisk factorEpidemiologyGroup A StreptococcusInvasive Group A Streptococcus disease

郭孟杨、梁珺、陈思语、张晓佳、高薇、蒋敬荟、姚开虎

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国家儿童医学中心,首都医科大学附属北京儿童医院,北京市儿科研究所感染与微生物研究室,国家呼吸系统疾病临床医学研究中心,儿科学国家重点学科,儿科重大疾病研究教育部重点实验室,北京 100045

聊城市人民医院儿童重症监护室,聊城 252000

儿童 危险因素 流行病学 A族链球菌 侵袭性A族链球菌疾病

2024

中华实用儿科临床杂志
中华医学会

中华实用儿科临床杂志

CSTPCD北大核心
影响因子:1.5
ISSN:2095-428X
年,卷(期):2024.39(6)
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