Significance of Hemolytic Streptococci for Nashville School ChildrenClinical and Serologic Observations
作者:
ROBERT QUINN,
PANUEL LOWRY,
ROGER ZWAAG,
期刊:
Southern Medical Journal
(OVID Available online 1978)
卷期:
Volume 71,
issue 3
页码: 242-245
ISSN:0038-4348
年代: 1978
出版商: OVID
数据来源: OVID
摘要:
The results of this study (1969–1971) confirm previous findings that incidence rates for hemolytic and group A streptococci in Nashville school children fluctuate sporadically. During these two years, there was a significant decrease in streptococcal incidence and in typability of group A streptococci. A positive throat culture was not associated significantly more often with symptoms of an infection of the upper respiratory tract than when symptoms were absent. The larger the number of group A streptococci present in the throat culture, the more likely was a streptococcal antibody increase to occur. Nevertheless, some children with small numbers of group A streptococci had an antibody increase, and the degree of positivity of the throat culture was not a very accurate indication of whether an antibody response would occur. Epidemiologic factors such as age, sex, race, or crowding in the home did not seem to play a highly significant role in rates. Seasonal influences were marked in 1969–1970 but not in 1970–1971. Regarding socioeconomic background, the rates were consistently lower in Clemons school, which serves a predominantly black neighborhood of higher socioeconomic level, than in the other two schools. Our findings confirm that the incidence of acquisition of the hemolytic streptococcus is a continually changing, dynamic process among school children.
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