| 时同春,沈宗林,郭则宇,宋桂芝,孙立柱,于长水.384例急性腹泻细菌性病原学及某些流行病学特征[J].Chinese journal of Epidemiology,1984,5(1):47-49 |
| 384例急性腹泻细菌性病原学及某些流行病学特征 |
| An Analysis of Bacterial Etiology and Some Epidemiological features in 384 Cases of Acute Diarrhea |
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| Abstract: |
| 为长期监测引起急性腹泻的主要细菌病原及其构成的变化，1981年6~9月对天津市384例急性腹泻患者进行了细菌病原及某些流行病学特征的调査。384例患者检出病原菌的195例（50.8%）。共检出223株致病菌，其中痢疾杆菌（110株），检出率28.6%，约占病原菌总数的一半，其次是沙门氏菌（38株）和不凝集弧菌（37株），检出率为9.90%和9.64%，还有致病大肠杆菌、副溶血弧菌、绿脓杆菌和溶藻性弧菌等。检出两种以上病原菌的27例。384例患者中以20岁以上青壮年为多，此年龄组感染的病原谱较广泛，其它年龄组的病原谱均较单纯。沙门氏菌6、7月份检出率较高。不凝集弧菌8月份检出率较高。不凝集弧菌在水样便和稀便中检出率较高，分别为16.7%和15.5%，在痢疾杆菌中鲍氏菌比例突然增高，是值得注意的。 |
| English Abstract: |
| In order to find the major bacterial agents of acute diarrhea ard their component vaciation in a long term, the bacterial etiology and some epidemiological features of 384 cases of the disease were surveyed from June to September, 1981 in Tianjin. 223 strains of pathogenic bacteria were isolated from 195 patients (50.8%). Among them 110 strains (28.6%) were Shigella dysenteriae,38-Salmonella, 37-ron-agglutinable vibrio, and some strains belonging to enteropatho enic E. coli,V. parahaemo-lyticus, P. aeruginosa and V. alginolyticus etc. Two or more pathogens were cultured from each of 27 cases. The majority of the cases were distributed in the age group older than 20 years. The spectrum of pathogens isolated from this group was more extensive than others. The highest isolation rates of Salmonella and non-agglutinable vibrio happened in June,July and August respectively. A higher isolation rate of nonagglutiuable vibrio occurred in watery and soft stool. It is worth paying attention to the increasing proportion of S. boydii in B.dysenter ae. |
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