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[目的]为猩红热的临床诊断提供依据。[方法]对仪征市猩红热临床诊断病例及密切接触者进行调查,采集咽拭子标本进行病原学检测。[结果]临床诊断病例标本阳性率为63.6%(7/11),实验室确诊患者的密切接触者标本阳性率23.5%(4/17)。[结论]致病菌的检出表明猩红热疫情的存在,证实临床诊断基本准确,同时还提示猩红热可存在隐性感染,正常儿童可携带A群β型溶血性链球菌。
[Objective] To provide the basis for the clinical diagnosis of scarlet fever. [Method] The clinical diagnosis of scarlet fever in Yizheng City and close contacts were investigated. Throat swab samples were collected for etiologic detection. [Results] The positive rate of clinical diagnosis was 63.6% (7/11). The positive rate of close contacts in laboratory confirmed cases was 23.5% (4/17). [Conclusion] The detection of pathogenic bacteria showed that the presence of scarlet fever confirmed the clinical diagnosis is basically accurate, but also suggests that there may be a latent infection of scarlet fever, normal children can carry group A beta hemolytic streptococcus.