医院内腹泻
Nosocomial diarrhea.
作者信息
Uppal B, Wadhwa Vishal, Mittal S K
机构信息
Department of Microbiology, Maulana Azad Medical College, LN Hospital, New Delhi, India.
出版信息
Indian J Pediatr. 2004 Oct;71(10):883-5. doi: 10.1007/BF02830825.
OBJECTIVE
To study the occurrence of nosocomial diarrhea in pediatric wards and the role of infections in its causation.
METHODS
75 cases conforming to the CDC definition of nosocomial diarrhea were selected for the study. Stool samples were subjected to direct microscopic examination, bacteriological culture and direct antigen detection for Clostridium difficile (C. difficile) and Rota virus.
RESULTS
All the cases were sporadic in origin. Rota virus was detected in 16.67% cases and Enteropathogenic Escherichia coli (E.P.E.C.) was detected in 12% cases. Cases in which no pathogen was detected (82.7%) outnumbered those in which a pathogen was identified (17.3%).
CONCLUSION
Rota virus and E.P.E.C were the most common etiological agents. C. difficile was detected in one case only. Most of the sporadic cases of nosocomial diarrhea in pediatric patients can be managed on fluids and electrolytes.
目的
研究儿科病房医院内腹泻的发生情况以及感染在其病因中的作用。
方法
选取75例符合美国疾病控制与预防中心（CDC）医院内腹泻定义的病例进行研究。对粪便样本进行直接显微镜检查、细菌培养以及艰难梭菌和轮状病毒的直接抗原检测。
结果
所有病例均为散发。16.67%的病例检测出轮状病毒，12%的病例检测出致病性大肠杆菌（EPEC）。未检测到病原体的病例（82.7%）多于检测到病原体的病例（17.3%）。
结论
轮状病毒和EPEC是最常见的病原体。仅1例检测出艰难梭菌。大多数儿科患者医院内腹泻的散发病例可通过补充液体和电解质进行处理。
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