| 山东省德州地区人民医院,山东省德州地区卫生防疫站.鼠伤寒沙门氏菌院内交叉感染的流行病学调查[J].Chinese journal of Epidemiology,1984,5(3):154-156 |
| 鼠伤寒沙门氏菌院内交叉感染的流行病学调查 |
| A Nosocomial Infection Caused by S.Typhi-murium |
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| Abstract: |
本文报告德州地区自1981年10月23日发现首例鼠伤寒菌病患者，至1982年2月底，共发生40例经细菌学证实的患者。均为住院病人。统计其中38例，17例为原发感染，21例为院内儿科病房内交叉感染。主要症状为发热，腹泻。全部菌株对庆大霉素均敏感，符合临床治疗效果。对氯霉素等常用药物的耐药率高达82.5%~100.0%。
从儿科病房的窗、木凳、床头桌、病床、病历牌、陪人手和医护人员的手标本中培养出鼠伤寒菌。并从2例病人的咽及口腔粘膜检出该菌。空气中未检出。
最后，初步分析了鼠伤寒菌病广泛流行的原因，提出了一般预防措施，并对常用消毒剂进行了实验观察。 |
| English Abstract: |
| Forty inpatients developed S. typhi-murium in a Dezhou Regional Hospital from 23 Oct.1981 to the end of Feb. 1982. All patients were confirmed by bacteriological evidence. Of the 38 cases analysed, 17 were infected before admission and the rest were infected in a pediatrics ward. The main symptoms of this disease were fever and diarrhea. All strains were gentamycin sensitive so were consistent with the result of clinical treatment. How ever, the resistant rate's to chlomycetin and other antibiotics were 82.5-100%.S.typh-murium was isolated from specimens taken from windows, benches, tables, beds,medical record clips,hands of persons looking after patients and bands of physicians and nurses.The same bacteria were also isolated from nasopharyngeal and oral mucous membrane washings of two patients.No positive S. typhi-mu-rium sample was found in the air of the ward. |
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