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[弯曲杆菌属作为波兰特定地区人类细菌性肠胃炎的主要病因]

[Campylobacter spp. as a leading cause of human bacterial gastroenteritis in selected region of Poland].

作者信息

Wardak Sebastian, Duda Urszula, Krasowska Dorota, Szych Jolanta

机构信息

Zakład Bakteriologii Narodowego Instytutu Zdrowia Publicznego-Pańistwowego Zakładu Higieny w Warszawie.

出版信息

Przegl Epidemiol. 2009;63(4):531-7.

PMID:20120952
Abstract

The results of the epidemiological analysis of campylobacteriosis reported by Regional Laboratory of Sanitary Epidemiological Station in Bielsko-Biala (PSSE Bielsko-Biala), Silesia voivodeship in Poland are presented. From August 2006 to July 2009, stool samples from diarrhea cases were examined for the presence of Campylobacter spp. as well as Salmonella, Shigella, Yersinia, enteropathogenic (EPEC) and verotoxigenic (VTEC) E. coli. The most frequently isolated species of Campylobacter spp. was C. jejuni. Most of the Campylobacter spp. were isolated from children under the age of 2. The seasonal peak of campylobacteriosis was observed between July and December. All isolates of Campylobacter sp. were sensitive to erythromycin and gentamicin. It was observed that 71.4% C. jejuni isolates were resistant to ciprofloxacin. The comparison of the results obtained during the period of 2006-2009 shows that percentage of campylobacteriosis has increased. In the first year of studies (from August 2006 to July 2007), Campylobacter spp. were reported in 45.4% of 183 bacterial etiologic agents of gastroenteritis, isolated from 819 persons; in the second year (August 2007-July 2008) there were 46.6% of 176 bacterial etiologic agents isolated from 844 persons; and in the last year of study (August 2008-July 2009), Campylobacter spp. were reported in 51.5% of 196 bacterial etiologic agents isolated from 859 persons. The percentage of salmonellosis cases decreased by about 20% from 45.4 to 23% during that frametime.

摘要

本文展示了波兰西里西亚省别尔斯科-比亚瓦卫生防疫站区域实验室(PSSE Bielsko-Biala)报告的弯曲杆菌病流行病学分析结果。2006年8月至2009年7月,对腹泻病例的粪便样本进行检测,以确定是否存在弯曲杆菌属、沙门氏菌、志贺氏菌、耶尔森氏菌、肠致病性大肠杆菌(EPEC)和产志贺毒素大肠杆菌(VTEC)。最常分离出的弯曲杆菌属菌种为空肠弯曲菌。大多数弯曲杆菌属菌株分离自2岁以下儿童。弯曲杆菌病的季节性高峰出现在7月至12月之间。所有弯曲杆菌属菌株对红霉素和庆大霉素敏感。据观察,71.4%的空肠弯曲菌菌株对环丙沙星耐药。2006 - 2009年期间所得结果的比较表明,弯曲杆菌病的百分比有所增加。在研究的第一年(2006年8月至2007年7月),从819人分离出的183种细菌性肠胃炎病原体中,45.4%报告为弯曲杆菌属;在第二年(2007年8月至2008年7月),从844人分离出的176种细菌性病原体中,有46.6%;在研究的最后一年(2008年8月至2009年7月),从859人分离出的196种细菌性病原体中,51.5%报告为弯曲杆菌属。在此期间,沙门氏菌病病例的百分比从45.4%下降了约20%至23%。

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