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根据基础人群侵袭性肺炎球菌病的病例—对照研究 ,Nuorti及其同事推断在 18岁～ 6 4岁的免疫活性个体 ,吸烟对患肺炎球菌病是最强的非依赖性危险因子。令人遗憾的是 ,Nuorti及其同事不能充分地论述未被诊断的人体免疫缺陷病毒 (HIV )感染作为肺炎球菌病危险因子或观察到的吸烟
Based on a case-control study of invasive pneumococcal disease in the primary population, Nuorti and colleagues concluded that smoking was the strongest independent risk factor for pneumococcal disease in immunocompetent individuals aged 18 to 64 years. Regrettably, Nuorti and coworkers fail to adequately address the undigested human immunodeficiency virus (HIV) infection as a risk factor for pneumococcal disease or observed smoking