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Streptococcus agalactiae infections and clinical relevance in adults, Thailand.
Diagnostic Microbiology and Infectious Disease ( IF 2.9 ) Pub Date : 2020-01-30 , DOI: 10.1016/j.diagmicrobio.2020.115005
Wantana Paveenkittiporn 1 , Ratchadabhorn Ungcharoen 2 , Anusak Kerdsin 2
Affiliation  

Streptococcus agalactiae is an important pathogen that causes infections in neonates and adults; infections especially in nonpregnant adults are increasing worldwide. Of 1736 S. agalactiae isolates from individuals throughout Thailand, serotypes III (46.4%) and V (21%) were demonstrated to be the most common serotypes. Human cases (56.5% female and 43.5% male) could be found all year round, with the peak occurring more frequently during the rainy season (May-October). The mortality rate of S. agalactiae infections was 11.6%, and serotype III was the most common serotype involved. Serotype III was strongly significantly (P value <0.001) correlated with meningitis (odds ratio [OR] = 26.72), sepsis (OR = 5.56), and septic arthritis (OR = 22.79). Serotype V was more associated with urinary tract infection than other serotypes. (P value = 0.005; OR = 2.32).

中文翻译:

成人无乳链球菌感染及其临床相关性,泰国。

无乳链球菌是引起新生儿和成年人感染的重要病原体。在世界范围内,尤其是未怀孕成年人的感染正在增加。在泰国的1736株无乳链球菌分离物中,III型(46.4%)和V型(21%)血清型被证明是最常见的血清型。全年可发现人类病例(女性为56.5%,男性为43.5%),高峰期在雨季(5月至10月)更为频繁。无乳链球菌感染的死亡率为11.6%,而血清型III是最常见的血清型。血清型III与脑膜炎(比值比[OR] = 26.72),败血症(OR = 5.56)和脓毒​​性关节炎(OR = 22.79)密切相关(P值<0.001)。与其他血清型相比,V型血清型与尿路感染相关性更高。(P值= 0.005;
更新日期:2020-04-20
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