住院儿童急性腹泻病的细菌、轮状病毒及隐孢子虫病因学研究。
Studies of bacterial, rotaviral and Cryptosporidium etiology of acute diarrheal diseases in hospitalized children.
作者信息
Constantiniu S, Avram G, Ambăruş A, Zavate O
机构信息
Institute of Public Health and Medical Researches, Jassy, Romania.
出版信息
Roum Arch Microbiol Immunol. 1991 Jan-Mar;50(1):53-60.
657 hospitalized children with acute diarrheal disease were studied for bacterial and rotaviral etiology. Cryptosporidium presence was followed in 123 children. Intestinal pathogens were detected in 195 (29.6%) cases: 132 (20.3%) enterobacteria, 47 (7.1%) rotaviruses, 4 (3.2%) Cryptosporidium sp. and 12 (1.8%) combined infections. Among enterobacteria, E. coli was the most frequent (10% cases) with enteropathogenic (EPEC), enterotoxigenic (ETEC), enterohemorrhagic (EHEC) and enteroinvasive (EIEC) groups. Other isolated pathogens were Salmonella--21 (3.1%), C. jejuni/coli--13 (1.9%), Shigella--3 (0.9%), Y. enterocolitica O3--1 (0.1%). Among opportunistic pathogenic enterobacteria, the following were isolated: Kl. pneumoniae--24 (3.7%), Enterobacter species--4 (0.6%), Providencia alcalifaciens--1 (0.1%). Aeromonas hydrophila was isolated in 1 child. Combined infections were detected in 12 children: 10--enterobacteria + rotaviruses associations and 2--pathogenic enterobacteria associations.
对657名患有急性腹泻病的住院儿童进行了细菌和轮状病毒病因学研究。对123名儿童追踪检测是否存在隐孢子虫。在195例（29.6%）病例中检测到肠道病原体：132例（20.3%）为肠杆菌，47例（7.1%）为轮状病毒，4例（3.2%）为隐孢子虫，12例（1.8%）为混合感染。在肠杆菌中，大肠杆菌最为常见（占病例的10%），包括致病性大肠杆菌（EPEC）、产毒性大肠杆菌（ETEC）、出血性大肠杆菌（EHEC）和侵袭性大肠杆菌（EIEC）。其他分离出的病原体有：沙门氏菌——21例（3.1%），空肠弯曲菌/结肠弯曲菌——13例（1.9%），志贺氏菌——3例（0.9%），小肠结肠炎耶尔森菌O3——1例（0.1%）。在机会致病性肠杆菌中，分离出以下菌种：肺炎克雷伯菌——24例（3.7%），肠杆菌属——4例（0.6%），产碱普罗威登斯菌——1例（0.1%）。1名儿童分离出嗜水气单胞菌。在12名儿童中检测到混合感染：10例为肠杆菌 + 轮状病毒联合感染，2例为致病性肠杆菌联合感染。
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