1-Estreptococos y Generos Relacionados

 

_\S@]\KOKOOP_, @D\@SKOKOOP_ W E@D@SK_ S@BIOGKDILK_

KBEI _ICIEA NKPS@

 

AG_\KSGI 

@d 91?8 Sgoairl Crrgeat r`okdkogÿ bi r`biogÿd `dtr` `soirbitgdi, ebkj`rubkd`hrgtgs ieuli y hibbi r`dib orÿdgoi y bks _tr`ptkokoous. ]ist`ur, Nkoa y D`gss`r, gdv`stgeirkd y `sticb`og`rkd bi t`krêi jgorkcgidi l` bi `dh`rj`lil y s`ùibirkd i bks _tr`ptkokoous okjk oiusi l` bi s`psgs pu`rp`rib. W isê juoaks gdv`stgeilkr`s r`biogkdirkd `st` j.k okd juoais `dh`rj`lil`s.

 

E@D@SIBGLIL@_ W \IQKDKJGI 

Bks @str`ptkokoks, @dt`rkokoks y ciot`rgis sgjgbir`s i bks _tr`ptkokoous skd ciot`rgis Erij +, oitibisi d`eitgvi. Bi `dzgji ogtkorkjk y bi oitibisi lgstgdeu`d i bks jg`jcrks l` lgstgdtks erupks y `sp`og`s l` jgorkokoks `stihgbkokoks obisghgoiogÿdytixkdÿjgoi l`(oitibisi+). `stks aid Bi oijcgilk rilgoibj`dt` okd bi l`sorgpogÿd l` virgks eçd`rks du`vks oitibisi d`eitgvi.

 

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Bi ipbgoiogÿd l` jçtklks tixkdÿjgoks jkb`oubir`s y bi l`sorgpogÿd l` eçd`rks du`vks l` okoks Erij +, oitibisi d`e. Aid bb`vilk i udi r`-kreidkziogkd l` `stks cisilk `d bi agcrgliogÿd l` LDI-LDI, LDISDI rgckskjib (rSDI) y(98_) s`ou`dogi l` @d sucudglil`s p`qu`ùis l` `st`. 971< s` pucbgok l` `sti hkrji `d jiduib l` C`re`y y s` obisghgok `d _tr`ptkokoous, @dt`rkokoous y B`uokdkstko.

 

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@d bi ubtgji pucbgoiogÿd l`b jiduib l` C`re`y bks okoks Erij+, oitibisi - l` krge`d aujidk s` obisghgoid `d 8 hijgbgis `d `b krl`d Biotkciogbbib`s y udi hijgbgi `d `b krl`d Ciogbbib`s y ijcks `stéd `d bi obis` Ciogbks `d `b hgbk Hgrjgout`s.

\IQKDKJGI L@ _\S@]\KOKOOP_

 

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LKJGDGK CIO\@SGI HGBK HGSJGOP\@_ OBI_@ CIOGBBG KSL@D BIO\KCIOGBBIB@_ HIJGBGI _\S@]\KOKOOIO@I@ E@D@SK _\S@]\KOKOOP_ @_]@OG@_6 ESP]K_ l` `sp`og`s skcr` bi cis` l`b idébgsgs l` s`ou`dogi l` r SDI l` sucudglil`s p`qu`ùis

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ESP]K G pgÿe`dis _. _. ieibiotgi` pyke`d`s (( Erupk   Erupk IC ))   _. `qugs suc-sp `qugs ( Erupk O)   _. lyseibiotgi` suc sp lystibiotgi`   (Erupk O y B ) 

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_. lyseibiotgi` suc sp `qugsgjgbgs (Erupk O-E)

 

\IQKDKJGI L@ _\S@]\KOKOOP_  

_. urgdibgs ( sgd erupk ) _. pkrogdus* ( Erupk @,],P y X )

ESP]K GG _ideugs _. (? cgktgp) _. sideugs pirisideugs _. ekrlkdgg _. sgd`dsgs ESP]K GGG Jgtgs

 

_. jgtgs _. kribgs _. orgsti ( _. orgstitus)

 

\IQKDKJGI L@ _\S@]\KOKOOP_ ESP]K GGG Jgtgs

_. p`rkrgs _. gdhidtgs _. iustribgs _. kbgekh`rj`dtids ESP]K GX Jutids _. jutids _. skcrgdus _. orgo`tu*

 

 

\IQKDKJGI L@ _\S@]\KOKOOP_ ESP]K X _ibgvirgus

_. sibgvirgus _. v`stgcubirgs _. gdhidtirgus _. ta`rjkpagbus (béot`ks) ESP]K XG Idegdksus _. okdst`bbitus _. idegdksus _. gdt`rj`lgus

 

\IQKDKJGI L@ _\S@]\KOKOOP_ ESP]K XGG Ckvgs _. Ckvgs/ `qugdus      

_. eibbkbytgous* _. gdhidtirgus* _. sugs (erupk S,_,\)

K\SK_ @sp`og`s l` idgjib`s

 

]SP@CI_ L@ E@D@SK        

Oitibisi6 Kxglisi6 Dgtritks6 Eis6 Gdjÿvgb`s  Idi`rkcgks hioubtitgvks Akjkh`rj`dtilkr`s Dk @spkrubilks

 

]SP@CI L@ OI\IBI_I

E@D@SIBGLIL@ E@D@SIBGLIL@_ _ L@ _\S@]\KOKOOP_

 

ESIJ ]K_G\GXK_ ]K_G\GXK_ IESP]ILK_ IESP]ILK_ @D OIL@DI_ OIL@DI_ .   OKOK_ ESIJ   LG_\SGCPGLK_ IJ]BGIJ@D\@ @D BI DI\PSIB@VI DI\PSIB@VI..   IBEPDK_ AIO@D ]IS\@ L@ BI HBKSI DKSJIB L@B AKJCS@. (]G@B W JPOK_I_ ).   K\SK_ _@ XGDOPBID OKD PD DPJ@SK GJ]KS\ID\@ L@ @DH@SJ@LIL@_ @DH@SJ@LIL@ _ KOI_GKDILI_ ]KS @BBK_ K ]KS BI _@DOGCGBGVIOGKD _@DOGCGBGVIO GKD L@ BK_ ]IOG@D\@_ ]IOG@D\@_ I @BBK_.   _KD _@DOGCB@_ I BI IOOGKD L@ IE@D\@_ HG_GOK_ W YPGJGOK_. _KD IDI@SKCGK_ HIOPB\I\GXK_ .   AIO@D H@SJ@D\IOGKD BIO\GOI L@ BK_ AGLSI\K_ L@ OISCKDK OKD ]SKLPOOGKD L@ IOGLK _GD EI_. _P_ S@YP@SGJG@D\K_ DP\SG\GXK_ XISGID @D\S@ BI_ @_]@OG@_.  

BK_ ]I\KE@DK_ APJIDK_ _KD JI_ @QGE@D\@_

 

JKSHKBKEGI JGOSK_OK]GOI  

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BK_ OKOK_ GDLGXGLPIB@_ _KD @_H@SGOK_ P KXKGL@_ . _@ LGXGL@D ]@S]@DLGOPBISJ@D\@ IB @F@ L@ BI OIL@DI. BK_ JG@JCSK_ L@ @_\I OIL@DI ]S@_@D\ID DK\ICB@J@D\@ PD I_]@O\K L@ LG]BKOKOK_ W @D KOI_GKD@_ _@ OKDHPDL@D OKD CIOGBK_. @B \IJIÙK L@ BI OIL@DI XISGI _@EÖD OKDLGOGKD@_  IJCG@D\IB@_ . @D J@LGK BGYPGLK BI_ OIL@DI_ _KD BISEI_, JG@D\SI_ YP@ I ]IS\GS L@ BI_ OKBKDGI_ ]S@_@D\ID OIL@DI_ OKS\I_, ]IS@FI_ W IOPJPBK_ _KD ESIJ ]K_G\GXK_ @D OPB\GXK_ FKX@D@_ ]@SK _@ OKJ]KS\ID OKJK ESIJ D@EI\GXK_ @D OPB\GXK_ @DX@F@OGLK_

 

JKSHKBKEGI JGOSK_OK]GOI ESIJ I ]IS\GS L@ OPB\GXK_

ESIJ LGS@O\K 

Okoks `d oil`di Erij pksgtgvks

 

OIL@DI_ L@ _\S@]KOKOK_

 OKDLGOGKD@_ W OISIO\@SG_\GOI_ L@

 

OS@OGJG@D\K

YP@ BK_ _\S@]\KOK_ BK_ K\SK_ . L@ GJ]KS\IDOGI J@LGOI _KD JI_ @QGE@D\@   S@YPG@S@D PDI _@SG@ L@ HIO\KS@_ L@ OS@OGJG@D\K .  @B OS@OGJG@D\K OS@OGJG@D\K W BI A@JKBG_G_ _@ HIXKS@O@D HIXKS@O@D ]KS GDOPCIOGKD OKD OK3 .  

  BI JIWKS ]IS\@ L@ BK_ _\S@]\KOKOK_ L@ GJ]KS\IDOGI J@LGOI _@ L@_ISSKBBID J@FKS I ?5 ESILK_ O@D\GESILK_. 

@D J@LGK BGYPGLK @DSGYP@OGLK HKSJID HBKOPBK_

  I. _IDES@-HKSJID OKBKDGI_ ]@YP@ÙI_ (9-3 jj L@ LGIJ@\SK) OKD IO\GXGLIL A@JKBG\GOI XISGICB@. 

BK_ _\S@]\KOKOK_ L@B ESP]K I LID BPEIS I OKBKDGI_ JI\@_ K CSGBBID\@_ L@CGLK I BI ]S@_@DOGI K IP_@DOGI L@ ]SK\@GDI J.

 

OPB\GXK_ L@ _\S@]\KOKOOP_

OBI_GHGOIOGKD L@ BK_ _\S@]\KOKOOP_

 

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_KD PD ESP]K A@\@SKE@D@K . DK AIW PD _G_\@JI PDGOK I]SK]GILK ]ISI OBI_GHGOISBK_.

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BI OBI_GHGOIOGKD _@ CI_I KC_@SXIOGKD@_ KC_ @SXIOGKD@_ OKJK 6

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 I- IO\GXGLIL A@JKBG\GOI. A@JKBG\GOI. C- OBI_GHGOIOGKD L@ BIDO@HG@BL O- S@IOOGKD@_ CGKYPGJGOI_ W HG_GKBKEGOI L-\IJCG@D ]KS E@D@\GOI JKB@OPBIS.

 

 IO\GXGLIL A@JKBG\GOI 

]P@L@D _@S6

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9-IBHIA@JKBG\GOK_ 

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 XGSGLID_ D@PJKDGI@

3 C@\I A@JKBG\GOK_

]GKE@D@_( I) IEIBIO\GI@ (C) O- L- @- H ……..

DK A@JKBG\GOK_

ESP]K L @D\@SKOKOK_

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_\S@]\KOKOOP_6

 

 IO\GXGLIL A@JKBG\GOI L@ BK_ @_\S@]\KOKOK_

 

OBI_GHGOIOGKD L@ BIDO@HG@BL 

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CI_ILI @D @B OISCKAGLSI\K O (GDJPDKIVPOIS) @D BI ]IS@L O@BPBIS L@ IBEPDK _\S@]\KOKOOP_.

@F@J]BK_6 _\. ESP]K I -----SIJDK_I D IO@\GB EBPOK_IJGDI _\. ESP]K C----- SIJDK_I EBPOK_IJGDI _\. ESP]K O---O---- SIJDK_I D IO@\GB EIBIO\K_IJGDI _\. ESP]K L-----IO EBGO@SKB \@GOKGOK( L IBIDGDI W    EBPOK_I.     

]SP@CI_ L@ GL@D\GHGOIOGKD

 

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OI\IBI_I

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DG\SG\K_ JKXGBGLIL -A@JKBG_G_ IBHI6 XGSGLID_ K]\KYPGDI S _KB. @D CGBG_ YP@BBPDE GDPBGDI DK A@JKBG\GOK_ 6

-@D\@SKOKOK_

D@PJKDGI@ _ + + + ESP]K L

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CGBG_ @_OPBGDI

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+

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DIOB 8.0%

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 IBEPDI_ O@]I_ L@B ESP]K XGSGLID_ _KD DK

A@JKBG\. ]@SK _KD C.@ ‟ W DiOb 8.0%  

@_\SPO\PSI ID\GE@DGOI L@ @_\S@]\KOKOK_ 9-  OISCKAGLSI\K O:.okdstgtuy` s`rkbÿegoks l` Bido`hg`bl (I-P). bi cis` l` bks erupks

3- ]SK\@GDI J: @s `b prgdogpib hiotkr l` vgrub`dogi i bks @str`ptkokoks l` erupk I. @xgst`d jis l` 1= tgpks l` l` prkt`êdi J idtgeçdgoij`dt` `sp`oghgoi. ?- ID\GE@DK_ L@ ]IS@L6 @sp`oghgok l` erupk