关注欧美多国A族链球菌感染疫情

姚开虎, 郭孟杨, 赖云, 邓江红

中国当代儿科杂志 ›› 2023, Vol. 25 ›› Issue (4) : 333-338.

PDF(628 KB)
HTML
PDF(628 KB)
HTML
中国当代儿科杂志 ›› 2023, Vol. 25 ›› Issue (4) : 333-338. DOI: 10.7499/j.issn.1008-8830.2302013
疫情专栏

关注欧美多国A族链球菌感染疫情

  • 姚开虎1, 郭孟杨1, 赖云2, 邓江红3
作者信息 +

Paying attention to the epidemic of group A Streptococcus infections in multiple European and American countries

  • YAO Kai-Hu, GUO Meng-Yang, LAI Yun, DENG Jiang-Hong
Author information +
文章历史 +

摘要

2022年末世界卫生组织通报多国猩红热等A族链球菌(group A Streptococcus,GAS)感染增多,以10岁内儿童多见,死亡病例也超过预期,引起了国际社会的普遍关注。该文梳理此次GAS疾病暴发的现状,以及发生的原因和应对措施,希望能引起我国临床工作者的重视,提高认知和警惕性,及早发现新型冠状病毒感染(coronavirus disease 2019)管控措施优化后可能出现的感染性疾病异常的流行病学变化,以保障儿童健康。 [中国当代儿科杂志,2023,25(4):333-338]

Abstract

At the end of 2022, the World Health Organization reported an increase in group A Streptococcus (GAS) infections, such as scarlet fever, in multiple countries. The outbreak primarily affected children under 10 years old, and the number of deaths was higher than anticipated, causing international concern. This paper reviews the current state of the GAS disease outbreak, its causes, and response measures. The authors aim to draw attention from clinical workers in China and increase their awareness and vigilance regarding this epidemic. Healthcare workers should be aware of the potential epidemiological changes in infectious diseases that may arise after the optimization of control measures for coronavirus disease 2019 to ensure children's health.

关键词

A族链球菌 / 猩红热 / 侵袭性A族链球菌感染 / 流行病学

Key words

Group A Streptococcus / Scarlet fever / Invasive group A Streptococcus infection / Epidemiology

引用本文

导出引用
姚开虎, 郭孟杨, 赖云, 邓江红. 关注欧美多国A族链球菌感染疫情[J]. 中国当代儿科杂志. 2023, 25(4): 333-338 https://doi.org/10.7499/j.issn.1008-8830.2302013
YAO Kai-Hu, GUO Meng-Yang, LAI Yun, DENG Jiang-Hong. Paying attention to the epidemic of group A Streptococcus infections in multiple European and American countries[J]. Chinese Journal of Contemporary Pediatrics. 2023, 25(4): 333-338 https://doi.org/10.7499/j.issn.1008-8830.2302013

参考文献

1 Hay AD. The group A strep crisis: can we do better?[J]. BMJ, 2023, 380: 58. PMID: 36627126. DOI: 10.1136/bmj.p58.
2 World Health Organization.Increased incidence of scarlet fever and invasive group A Streptococcus infection—multi-country[EB/OL]. (2022-12-15)[2023-01-20]. https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON429.
3 UK Health Security Agency. Group A streptococcal infections: eighth update on seasonal activity in England[EB/OL]. (2023-02-16)[2023-02-20]. https://www.gov.uk/government/publications/group-a-streptococcal-infections-activity-during-the-2022-to-2023-season/group-a-streptococcal-infections-eighth-update-on-seasonal-activity-in-england.
4 UK Health Security Agency. UKHSA update on scarlet fever and invasive group A strep: latest data from the UK Health Security Agency (UKHSA) on scarlet fever and invasive group A strep cases[EB/OL]. (2023-02-16)[2023-02-20]. https://www.gov.uk/government/news/ukhsa-update-on-scarlet-fever-and-invasive-group-a-strep-1.
5 Ledford H. Why is strep A surging - and how worried are scientists?[J]. Nature, 2022, 612(7941): 603. PMID: 36494446. DOI: 10.1038/d41586-022-04403-y.
6 Ladhani SN, Guy R, Bhopal SS, et al. Paediatric group A streptococcal disease in England from October to December, 2022[J]. Lancet Child Adolesc Health, 2023, 7(2): e2-e4. PMID: 36566755. DOI: 10.1016/S2352-4642(22)00374-1.
7 Bamford A, Whittaker E. Resurgence of group A streptococcal disease in children[J]. BMJ, 2023, 380: 43. PMID: 36627119. DOI: 10.1136/bmj.p43.
8 de Gier B, Marchal N, de Beer-Schuurman I, et al. Increase in invasive group A streptococcal (Streptococcus pyogenes) infections (iGAS) in young children in the Netherlands, 2022[J]. Euro Surveill, 2023, 28(1): 2200941. PMID: 36695447. PMCID: PMC9817208. DOI: 10.2807/1560-7917.ES.2023.28.1.2200941.
9 Centers for Disease Control and Prevention. Increase in pediatric invasive group A streptococcal infections[EB/OL]. (2022-12-22)[2023-01-20]. https://emergency.cdc.gov/han/2022/han00484.asp.
10 Centers for Disease Control and Prevention. Increase in invasive group A strep infections, 2022-2023[EB/OL]. (2022-12-22)[2023-01-20]. https://www.cdc.gov/groupastrep/igas-infections-investigation.html.
11 The Lancet Microbe. Strep A treatment, working for now[J]. Lancet Microbe, 2023, 4(1): e1. PMID: 36565711. DOI: 10.1016/S2666-5247(22)00360-3.
12 Centers for Disease Control and Prevention. ABCs 2020 data and impacts of COVID-19[EB/OL]. (2022-11-23)[2023-01-20]. https://www.cdc.gov/abcs/reports-findings/data-2020.html.
13 Cordery R, Purba AK, Begum L, et al. Frequency of transmission, asymptomatic shedding, and airborne spread of Streptococcus pyogenes in schoolchildren exposed to scarlet fever: a prospective, longitudinal, multicohort, molecular epidemiological, contact-tracing study in England, UK[J]. Lancet Microbe, 2022, 3(5): e366-e375. PMID: 35544097. PMCID: PMC9042792. DOI: 10.1016/S2666-5247(21)00332-3.
14 Frère J, Bidet P, Tapiéro B, et al. Clinical and microbiological characteristics of invasive group A streptococcal infections before and after implementation of a universal varicella vaccine program[J]. Clin Infect Dis, 2016, 62(1): 75-77. PMID: 26409062. DOI: 10.1093/cid/civ793.
15 孟青, 武宇辉, 杨燕澜, 等. 儿童A族链球菌感染致中毒性休克综合征临床分析[J]. 中华实用儿科临床杂志, 2022, 37(21): 1665-1668. DOI: 10.3760/cma.j.cn101070-20220519-00576.
16 UK Health Security Agency. Notifications of infectious diseases (NOIDs): notifications about suspected infectious diseases, collected by the UK Health Security Agency (UKHSA)[EB/OL]. (2023-01-09)[2023-01-16]. https://www.gov.uk/government/collections/notifications-of-infectious-diseases-noids.
17 Holdstock V, Twynam-Perkins J, Bradnock T, et al. National case series of group A Streptococcus pleural empyema in children: clinical and microbiological features[J]. Lancet Infect Dis, 2023, 23(2): 154-156. PMID: 36634683. DOI: 10.1016/S1473-3099(23)00008-7.
18 尤元海. 猩红热流行及其影响因素研究进展[J]. 中华实用儿科临床杂志, 2022, 37(21): 1626-1629. DOI: 10.3760/cma.j.cn101070-20220606-00669.
19 UK Health Security Agency. Group A Streptococcus: information and guidance on group A streptococcal infections[EB/OL]. (2022-12-16)[2023-01-30]. https://www.gov.uk/government/collections/group-a-streptococcal-infections-guidance-and-data.
20 World Health Organization. Preventing antimicrobial resistance together[EB/OL]. (2022-11-16)[2023-01-20]. https://www.who.int/campaigns/world-antimicrobial-awareness-week/2022.
21 Pickover E. Strep A—five times more penicillin prescribed compared with three weeks ago[EB/OL]. (2022-12-14)[2022-12-20]. https://www.standard.co.uk/news/health/strep-a-experts-gps-imperial-college-london-department-of-health-b1047312.html.
22 American Academy of Pediatrics. Amoxicillin shortage: antibiotic options for common pediatric conditions[EB/OL]. (2022-11-21)[2023-01-20]. https://www.aap.org/en/pages/amoxicillin-shortage-antibiotic-options-for-common-pediatric-conditions/.
23 Mustafa Z, Ghaffari M. Diagnostic methods, clinical guidelines, and antibiotic treatment for group A streptococcal pharyngitis: a narrative review[J]. Front Cell Infect Microbiol, 2020, 10: 563627. PMID: 33178623. PMCID: PMC7593338. DOI: 10.3389/fcimb.2020.563627.
24 Ma Y, Gao S, Kang Z, et al. Epidemiological trend in scarlet fever incidence in China during the COVID-19 pandemic: a time series analysis[J]. Front Public Health, 2022, 10: 923318. PMID: 36589977. PMCID: PMC9799716. DOI: 10.3389/fpubh.2022.923318.
25 Hu CY, Tang YW, Su QM, et al. Public health measures during the COVID-19 pandemic reduce the spread of other respiratory infectious diseases[J]. Front Public Health, 2021, 9: 771638. PMID: 34858936. PMCID: PMC8631357. DOI: 10.3389/fpubh.2021.771638.

基金

兵团财政科技计划项目南疆重点产业创新发展支撑计划(2021DB020)。

PDF(628 KB)
HTML

Accesses

Citation

Detail

段落导航
相关文章

/