MULTISTRAIN OUTBREAK OF CHANCROID IN SAN-FRANCISCO, 1989-1991

被引:13
作者
FLOOD, JM
SARAFIAN, SK
BOLAN, GA
LAMMEL, C
ENGELMAN, J
GREENBLATT, RM
BROOKS, GF
BACK, A
MORSE, SA
机构
[1] UNIV CALIF LOS ANGELES, DEPT MED, DIV INFECT DIS, LOS ANGELES, CA 90024 USA
[2] UNIV CALIF LOS ANGELES, DIV LAB MED, LOS ANGELES, CA 90024 USA
[3] DEPT PUBL HLTH, SAN FRANCISCO, CA USA
[4] CTR DIS CONTROL & PREVENT, NATL CTR INFECT DIS, DIV SEXUALLY TRANSMITTED DIS LAB RES, ATLANTA, GA USA
关键词
D O I
10.1093/infdis/167.5.1106
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Restriction fragment length polymorphism (RFLP) and plasmid analyses were used to evaluate an outbreak of Haemophilus ducreyi in San Francisco. Fifty-four cases of culture-confirmed chancroid occurred between May 1989 and May 1991. Of these, 46 (96%) were in men and 35 (65%) were in blacks; the median age of patients was 34 years. Among the 32 isolates submitted for RFLP and plasmid analyses, six different HindIII RFLP patterns were identified. Two RFLP types were found in patients who had recently traveled to Los Angeles, Korea, or El Salvador. Four RFLP types appeared to be acquired locally and were more common among blacks (P = .002), in patients with a history of a sexually transmitted disease (P = .01), and in those who used drugs or exchanged drugs or money for sex (P = .08). The use of RFLP analysis confirmed that this outbreak was associated with multiple strains of H. ducreyi and allowed for the identification of risk factors for locally acquired chancroid.
引用
收藏
页码:1106 / 1111
页数:6
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