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[军团病——波兰的一种新感染病]

[Legionellosis--a new infection in Poland].

作者信息

Stypułkowska-Misiurewicz Hanna, Pancer Katarzyna

出版信息

Przegl Epidemiol. 2002;56(4):567-76.

Abstract

Legionellosis became a notifiable disease in Poland in January 1st 2002; however, research on Legionella infection started earlier. Our study of laboratory methods for investigation Legionella infecting humans and waters brought some knowledge on Legionella infections in Poland. The aim of the publication is to present up-to-date findings concerning epidemiology and laboratory methods for surveillance of Legionella infections in European countries and of our own laboratory experience on surveillance of Legionella infections in Poland as well as some retrospective data on the research on Legionella. For the first time Legionella was described in Poland as amoebic pathogen in 1954. In the present investigation the level of water contamination by Legionella in buildings of different institutions was examined. The strains of Legionella pneumophila sg 2-14 were found in 30-100% of water samples collected from hotels, banks, factories and inhabited houses. The level of antibodies to antigens of L. pneumophila sg 1 measured in over 500 serum samples of healthy persons by microagglutination test indicated that titre 256 found in the serum of patient confirm legionellosis. The serological tests were also used for epidemiological studies in an outbreak of legionellosis in Poland. Altogether 403 specimens from hospitalised patients send by hospitals all over the country were diagnosed and 19 were found positive for Legionella infection. The further research on legionellosis is needed.

摘要

军团病于2002年1月1日在波兰成为须申报的疾病;然而,对军团菌感染的研究更早便已开始。我们对用于调查感染人类和水体的军团菌的实验室方法开展的研究,带来了一些关于波兰军团菌感染的知识。本出版物的目的是介绍有关欧洲国家军团菌感染流行病学和监测实验室方法的最新研究结果,以及我们自己在波兰军团菌感染监测方面的实验室经验,还有一些关于军团菌研究的回顾性数据。1954年,军团菌在波兰首次被描述为一种阿米巴病原体。在本次调查中,检测了不同机构建筑物中军团菌对水的污染水平。在从酒店、银行、工厂和居民住宅采集的水样中,30%-100%检测到嗜肺军团菌血清型2-14菌株。通过微量凝集试验在500多份健康人血清样本中检测到的针对嗜肺军团菌血清型1抗原的抗体水平表明,患者血清中滴度为256可确诊军团病。血清学检测也用于波兰一次军团病暴发的流行病学研究。全国各地医院送来的403份住院患者标本经诊断后,有19份被发现军团菌感染呈阳性。对军团病还需要进一步研究。

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