Group A Streptococcal Diseases and Their Global Burden

被引:249
作者
Ralph, Anna P. [1 ,2 ]
Carapetis, Jonathan R. [3 ]
机构
[1] Menzies Sch Hlth Res, Darwin, NT, Australia
[2] Royal Darwin Hosp, Div Med, Darwin, NT, Australia
[3] Univ Western Australia, Telethon Inst Child Hlth Res, Ctr Child Hlth Res, Perth, WA 6009, Australia
来源
HOST-PATHOGEN INTERACTIONS IN STREPTOCOCCAL DISEASES | 2013年 / 368卷
关键词
ACUTE RHEUMATIC-FEVER; SHOCK-LIKE SYNDROME; HEART-DISEASE; SCARLET FEVER; POSTSTREPTOCOCCAL GLOMERULONEPHRITIS; ABORIGINAL COMMUNITIES; NORTHERN-TERRITORY; RENAL-DISEASE; SORE THROAT; INFECTIONS;
D O I
10.1007/82_2012_280
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Group A streptococcus (GAS) or Streptococcus pyogenes has been recognised as an important human pathogen since early days of modern microbiology, and it remains among the top ten causes of mortality from an infectious disease. Clinical manifestations attributable to this organism are perhaps the most diverse of any single human pathogen. These encompass invasive GAS infections, with high mortality rates despite effective antimicrobials, toxin-mediated diseases including scarlet fever and streptococcal toxic shock syndrome, the autoimmune sequelae of rheumatic fever and glomerulonephritis with potential for long-term disability, and nuisance manifestations of superficial skin and pharyngeal infection, which continue to consume a sizable proportion of healthcare resources. Although an historical perspective indicates major overall reductions in GAS infection rates in the modern era, chiefly as a result of widespread improvements in socioeconomic circumstances, this pathogen remains as a leading infectious cause of global morbidity and mortality. More than 18 million people globally are estimated to suffer from serious GAS disease. This burden disproportionally affects least affluent populations, and is a major cause of illness and death among children and young adults, including pregnant women, in low-resource settings. We review GAS transmission characteristics and prevention strategies, historical and geographical trends and report on the estimated global burden disease attributable to GAS. The lack of systematic reporting makes accurate estimation of rates difficult. This highlights the need to support improved surveillance and epidemiological research in low-resource settings, in order to enable better assessment of national and global disease burdens, target control strategies appropriately and assess the success of control interventions.
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页码:1 / 27
页数:27
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