Stypułkowska-Misiurewicz H, Gonera E
Zakład Bakteriologii-Krajowy Ośrodek Shigella, Państwowy Zakład Higieny, Warszawa.
Przegl Epidemiol. 2000;54(1-2):93-102.
Since the year 1992 a dramatic decrease of dysentery cases notified every year has been observed in Poland. In 1994 the microbiological examination of diarrhoea stool specimens stopped to be free of charge. Dysentery started to be recognised only in the cases suspected as foodborne disease outbreak investigated for epidemiological reason. This practise influenced the change in the epidemiological feature of dysentery in 1998: increase of cases due to S. flexneri infection (all together 36% of cases) mostly serological type 4a, and decrease of cases due to S. sonnei infection (from 90% to 60%). There were no more summer-autumn seasonal increase in number of monthly registered dysentery cases in July-September but spring increase March-May was observed that is rather unusual in Poland. We suggest that free of charge microbiological examination of diarrhoea stool specimens should be reintroduced due to epidemiological interest--surveillance of infectious diseases.
自1992年以来，波兰每年报告的痢疾病例数显著下降。1994年，腹泻粪便标本的微生物学检查不再免费。痢疾仅在因流行病学原因对疑似食源性疾病暴发进行调查的病例中被识别。这种做法影响了1998年痢疾流行病学特征的变化：福氏志贺菌感染导致的病例增加（占病例总数的36%），主要是血清型4a，而宋内志贺菌感染导致的病例减少（从90%降至60%）。7月至9月每月登记的痢疾病例数不再有夏秋季节增加的情况，但观察到3月至5月春季病例数增加，这在波兰相当不寻常。我们建议，出于传染病监测的流行病学考虑，应重新恢复腹泻粪便标本的免费微生物学检查。
