Gonera Ewa
Zakład Epidemiologii Państwowego Zakładu Higieny ul. Chocimska 24, 00-791 Warszawa.
Przegl Epidemiol. 2002;56(2):275-84.
In 2000, 22,799 cases of salmonellosis were reported to the sanitary epidemiological stations, incidence rate = 59.0 per 100,000 population. Above 65% of patients were hospitalized. The seasonal peak was noted in May and June. Most of cases (70%) were laboratory confirmed by isolation Salmonella strains types. Salmonella Enteriditis was the most frequent type: 91% of cases and 70% of infected healthy persons. Other serotypes--Typhimurium, Infantis, Hadar and Virchow, caused 5% Salmonella cases only. Seven types not registered in the country up to 2000 were identified (S. Bargny, Kimuenza, Kisii, Limete, Nitra, Rissen, Winterthur). The most affected age group were children under five (337.3/100,000). The most serious clinical syndromes and extraintestinal manifestations like septicaemia, arthritis, meningitis, osteomyelitis pneumonia and other, were observed in 87 patients with at least one non-fecal specimen culture-positive for non-typhoidal Salmonella. In older patients, other diseases like carcinoma, leukaemia, lupus erythematosus, contributed to Salmonella infection. Twelve of those patients had died.
2000年,卫生流行病监测站共报告22799例沙门氏菌病病例,发病率为每10万人口59.0例。65%以上的患者住院治疗。发病季节高峰出现在5月和6月。大多数病例(70%)通过分离沙门氏菌菌株类型得到实验室确诊。肠炎沙门氏菌是最常见的类型:占病例的91%,占感染健康人的70%。其他血清型——鼠伤寒沙门氏菌、婴儿沙门氏菌、哈达尔沙门氏菌和维尔肖沙门氏菌,仅导致5%的沙门氏菌病例。还发现了7种截至2000年在该国未登记的类型(巴尔尼沙门氏菌、金穆埃纳沙门氏菌、基西沙门氏菌、利梅特沙门氏菌、尼特拉沙门氏菌、里森沙门氏菌、温特图尔沙门氏菌)。受影响最严重的年龄组是5岁以下儿童(每10万人口中有337.3例)。在87例至少有一份非粪便标本培养出非伤寒沙门氏菌阳性的患者中,观察到了最严重的临床综合征和肠外表现,如败血症、关节炎、脑膜炎、骨髓炎、肺炎等。在老年患者中,其他疾病如癌症、白血病、红斑狼疮也会导致沙门氏菌感染。其中12名患者死亡。