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頁籤選單縮合
題名 | 2011至2015年臺灣A群鏈球菌侵襲性感染及毒性休克症候群流行病學分析=Epidemiology of Invasive Group A Streptococcal Infections and Associated Toxic Shock Syndrome in Taiwan, 2011-2015 |
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作者姓名(中文) | 陳英彥; 姚淑滿; 江春雪; | 書刊名 | 疫情報導 |
卷期 | 37:3 2021.02.09[民110.02.09] |
頁次 | 頁30-39 |
分類號 | 412.42 |
關鍵詞 | 侵襲性A群鏈球菌感染; 毒性休克症候群; 猩紅熱; Invasive Group A Streptococcal infections; Toxic shock syndrome; Scarlet fever; |
語文 | 中文(Chinese) |
中文摘要 | A群鏈球菌侵襲性感染或毒性休克症候群(Invasive group A streptococcal disease/ streptococcal toxic shock syndrome, IGASD/STSS)可能造成死亡、嚴重後遺症或增加醫療負擔等,是重要傳染病之一。2011年香港發生A群鏈球菌感染引起的猩紅熱大規模疫情,感染個案較往年增加3倍以上,且多位兒童受到A群鏈球菌的侵襲性感染或併發毒性休克等症狀。因此,疾病管制署在2011年7月建立「IGASD/STSS」通報系統,籲請國內醫療院所醫師主動自願通報,以監測此感染症在國內流行情形,此系統業已於2015年6月終止。 本研究針對2011年7月至2015年6月期間,經此通報系統收集的IGASD/STSS的流行情形。這段期間各醫療院所共通報876例感染個案,年發生率每十萬人口0.9人;各年發生率以2011年7月到2012年6月最高,每十萬人口1.2人;以7至10月為主要流行季節。感染個案數及發生率隨年齡上升而增加,75歲以上長者年發生率最高,每十萬人口4.5–6.5人;男性個案較女性個案為多,各年齡層差距在1.4–4.2倍之間。感染個案的致死率為3.1%。 本研究報告整理IGASD/STSS近年國內的流行情形,以為未來防治的參考依據。 |
英文摘要 | Invasive Group A Streptococcus infections and associated toxic shock syndrome are important infectious diseases worldwide, in the view of mortality, severe sequelae or medical burden. In 2011, the number of scarlet fever cases due to Group A streptococcal infections tripled in Hong Kong, including several children having invasive infection and toxic shock syndrome. Therefore, the Taiwan Centers for Disease Control set up a surveillance system to monitor the situation of invasive Group A Streptococcus infections and associated toxic shock syndrome in Taiwan in July, 2011. The surveillance ended in June, 2015. In this research we analyzed the surveillance data from July, 2011 to June, 2015. A total of 876 cases were reported. The average annual incidence was 0.9 per 100,000 populations, with the highest incidence of 1.2 per 100,000 populations from July 2011 to June 2012. The number of cases and incidences increased with age. The elderly over 75 years old had the highest incidence of 4.5 to 6.5 per 100,000 populations. Male cases were more than female ones, with a ratio of 1.4 to 4.2. The case fatality rate was 3.1%. The research revealed the current situation of the disease in Taiwan, and provided a valuable baseline data for future studies and policy formulation. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。