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Neuere Erkenntnisse zur Epidemiologie Exfoliatin-bildender Staphylokokken

  • P. Elsner

Zusammenfassung

Exfoliative Toxine (ET) von Staphylococcus aureus verursachen die verschiedenen unter dem Begriff „Staphylococcal Scalded-Skin Syndrome“ (SSSS) zusammengefaßten Krankheitsbilder.

Im vorliegenden Übersichtsartikel werden die gegenwärtig verfügbaren Methoden des Nachweises der Exfoliatin A- und B-Bildung klinischer S. aureus-Isolate dargestellt. Die neueren Erkenntnisse zur Epidemiologie des lokalisierten und des generalisierten SSSS werden referiert.

Nach Ergebnissen einer eigenen Studie ist ein geringer Prozentsatz von Hautkranken mit ET-bildenden Staphylokokken kolonisiert bzw. superinfiziert; diese kommen als Ubertrager in Frage. Aus den epidemiologischen Befunden werden praventivmedizinische Empfehlungen abgeleitet.

Summary

The etiology of the staphylococcal scalded-skin syndrome (SSSS) is linked to the elaboration of exfoliative toxins (ET) by certain Staphylococcus aureus strains.

The methods currently available for the detection of exfoliative toxin A- and B-producing staphylococcal isolates from clinical material are reviewed. Epidemiological aspects of both the localized and the generalized SSSS in infants and adults are discussed.

As demonstrated by an own study, a low percentage of dermatological patients is colonized or infected by ET-producing S. aureus. These patients may transmit toxinogenic staphylococci to susceptible individuals. Certain measures of prevention are recommended.

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© Springer-Verlag Berlin Heidelberg 1990

Authors and Affiliations

  • P. Elsner
    • 1
  1. 1.Dermatologische Klinik und Poliklinik der Universität WürzburgWürzburgDeutschland

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