Fauci en anderen hebben in 2008 onderzoek gedaan naar hoe mensen uiteindelijk zijn gestorven tijdens vorige pandemieen. Uit hun onderzoek bleek dat bacteriële infecties een grote rol speelden en dat pneumokokken en streptokokken veel voorkwamen.
Predominant Role of Bacterial Pneumonia as a Cause of Death in Pandemic Influenza: Implications for Pandemic Influenza PreparednessWe examined relevant information from the most recent influenza pandemic that occurred during the era prior to the use of antibiotics, the 1918–1919 “Spanish flu”; pandemic. We examined lung tissue sections obtained during 58 autopsies and reviewed pathologic and bacteriologic data from 109 published autopsy series that described 8398 individual autopsy investigations.
Results. The postmortem samples we examined from people who died of influenza during 1918–1919 uniformly exhibited severe changes indicative of bacterial pneumonia. Bacteriologic and histopathologic results from published autopsy series clearly and consistently implicated secondary bacterial pneumonia caused by common upper respiratory-tract bacteria in most influenza fatalities.
Conclusions. The majority of deaths in the 1918–1919 influenza pandemic likely resulted directly from secondary bacterial pneumonia caused by common upper respiratory-tract bacteria. Less substantial data from the subsequent 1957 and 1968 pandemics are consistent with these findings. If severe pandemic influenza is largely a problem of viral-bacterial copathogenesis, pandemic planning needs to go beyond addressing the viral cause alone (e.g., influenza vaccines and antiviral drugs). Prevention, diagnosis, prophylaxis, and treatment of secondary bacterial pneumonia, as well as stockpiling of antibiotics and bacterial vaccines, should also be high priorities for pandemic planning.
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https://academic.oup.com/jid/article/198/7/962/2192118Wat denken jullie? Zal het dragen van een mondkapje de kans op bacteriële infectie verhogen en zo kunnen bijdragen aan nog meer problemen? Of hebben bacteriële infecties uiteindelijk niets te maken met het gebruik van een mondkapje?
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