Abstract
徐肇玙,陆华,刘慧人,傅曙光.一起空肠弯曲菌感染在托幼机构中的传播[J].Chinese journal of Epidemiology,1984,5(5):267-269
一起空肠弯曲菌感染在托幼机构中的传播
A Spread of Campylobacter jejuni Infection in A Nursery
  
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Author NameAffiliation
徐肇玙 北京市儿科研究所 
陆华 北京市儿科研究所 
刘慧人 北京市儿科研究所 
傅曙光 北京市儿科研究所 
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Abstract:
      本文报告一起1982年8月发生于托幼机构中的空肠弯曲菌感染的传播。此次传播造成班内反复出现腹泻患儿达月余。13名入托婴幼儿中,大便培养为空肠弯曲菌者8例,阳性率61.5%。其中3例为腹泻患儿,5例为无症状带菌者。经红霉素、庆大霉素等药物治疗,症状迅速消失。定期复查大便培养三个月,均为阴性。通过追溯,考虑造成此次流行的传染源为一与院内放养的鸡有密切接触史的腹泻患儿。作者指出空肠弯曲菌为婴幼儿重要的肠道致病菌;鸡可能为其重要储存宿主。通过粪——口途径完成的人——人传播是导致托幼机构中空肠弯曲菌感染流行的主要方式。
English Abstract:
      This paper reports a spread of Campylobacter infection in a nursery in August 1982. Diarrhea appeared repeatedly among one class and lasted for more than one month. Stool cultures were positive for Campylobacter jejuni in 8 out of 13 infants, with a positive rate of 61.5%. Three of the eight cases had diarrhea and the other five were non-symptomatic carriers. Symtoms disappeared rapidly after the use of antibiotics, mainly erythromycin and gentamycin. Follow-up studies of stool cultures were done periodically for three months and all got negative results. The source of infection of this spread was thought to be a diarrheal infant with a history of close contact to chicken in the courtyard of his house. The authors suggested that Campylobacter jejuni is an important enteric pathogen of infants in Beijing and chicken is the important reservoir host. Person to person transmision by the fecal-oral route is the main mode of spreading of Campybacter infection in nursery.
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