Department of Microbiology, National Centre of Infectious and Parasitic Diseases (NCIPD), Sofia, Bulgaria.
Euro Surveill. 2010 Jan 28;15(4):19474.
Campylobacter is the most commonly reported enteric bacterial pathogen in humans. We still do not have any systematic data concerning campylobacteriosis in Bulgaria. For that reason, we present data of the thermophilic Campylobacter jejuni and Campylobacter coli in the aetiology of diarrhoeal diseases in Sofia, for the period from 1987 to 2008. The study included patients from 0 to over 65 years-old. A total of 51,607 faecal specimens were screened for Campylobacter. C. jejuni and C. coli were detected in 3.58% (1,847) of the strains, with the highest percentage in 1988 (7.5%) and the lowest in 2006 (0.3%). Campylobacteriosis occurred most frequently in the wet months of March, April, May and June, with 105, 102, 124 and 141 cases, respectively, and was rare in January with 25 cases. The most affected groups were children between 0 and 4 years of age (52%) and between five and 14 years of age (30%). Campylobacter infection occurred in 22% of all bacterial gastrointestinal diseases in the city of Sofia during the study period. Salmonella was the most frequently identified pathogen with 32%, followed by Shigella (30%), Campylobacter (22%) and diarrhoeagenic Escherichia coli (16%). The study shows that Campylobacter plays an important role as a bacterial cause of enterocolitis in Sofia, Bulgaria.
空肠弯曲菌是人类最常报告的肠道细菌病原体。我们仍然没有关于保加利亚弯曲菌病的任何系统数据。因此，我们展示了 1987 年至 2008 年索非亚地区致腹泻疾病的嗜热空肠弯曲菌和大肠弯曲菌的病因学数据。该研究包括 0 至 65 岁以上的患者。共筛选了 51607 份粪便标本用于检测空肠弯曲菌和大肠弯曲菌。在 3.58%（1847）的菌株中检测到空肠弯曲菌和大肠弯曲菌，其中 1988 年的检出率最高（7.5%），2006 年的检出率最低（0.3%）。弯曲菌病最常发生在 3 月、4 月、5 月和 6 月的潮湿月份，分别有 105、102、124 和 141 例，1 月则很少见，仅有 25 例。受影响最严重的群体是 0 至 4 岁的儿童（52%）和 5 至 14 岁的儿童（30%）。在研究期间，索非亚市所有细菌性胃肠道疾病中，空肠弯曲菌感染占 22%。沙门氏菌是最常鉴定出的病原体，占 32%，其次是志贺氏菌（30%）、弯曲菌（22%）和致腹泻性大肠杆菌（16%）。研究表明，空肠弯曲菌在保加利亚索非亚作为一种细菌性肠炎病原体发挥着重要作用。
