Gonera Ewa, Czerwiński Michał
Zakład Epidemiologii Państwowego Zakładu Higieny ul. Chocimska 24, 00-791 Warszawa.
Przegl Epidemiol. 2004;58(1):67-76.
Total number of salmonellosis cases slightly increased. In 2002, 20,688 cases were reported (19,881 in previous year), incidence rate = 54.1 per 100,000 population. 68% of patients were hospitalized, but percentage of hospitalized cases with extraintestinal manifestations was much higher--above 91%. The seasonal peak was observed as in previous year in July and August. Since 1995 (when Salmonella strains were isolated in 91% patients) decreasing trend in confirmation of clinical diagnosis is observed. The most frequent isolated type remained Salmonella Enteritidis--above 86% of cases. Only four other serotypes (Typhimurium, Hadar, Virchow and Infantis) were detected in all of 16 voivodeships of Poland. The age, sex, urban/rural distribution of salmonellosis cases remains stable; the highest incidence was registered among children aged 2 (474.0/100,000). Extraintestinal manifestations of salmonellosis (septicaemia, meningitis, pneumonia peritonitis and other) were observed in 113 patients (the highest number since 1994).
沙门氏菌病病例总数略有增加。2002年报告了20688例病例（上一年为19881例），发病率为每10万人54.1例。68%的患者住院治疗，但伴有肠外表现的住院病例百分比要高得多——超过91%。与上一年一样，季节性高峰出现在7月和8月。自1995年以来（当时91%的患者分离出沙门氏菌菌株），临床诊断的确诊率呈下降趋势。最常见的分离类型仍然是肠炎沙门氏菌——超过86%的病例。在波兰所有16个省中仅检测到其他四种血清型（鼠伤寒沙门氏菌、哈达尔沙门氏菌、维尔乔沙门氏菌和婴儿沙门氏菌）。沙门氏菌病病例的年龄、性别、城乡分布保持稳定；2岁儿童的发病率最高（474.0/10万）。113例患者出现了沙门氏菌病的肠外表现（败血症、脑膜炎、肺炎、腹膜炎等）（这是自1994年以来的最高数字）。
