Johargy Ayman, Ghazi Hani, Mumenah Aiinan
University of Manchester, Manchester, United Kingdom.
J Pak Med Assoc. 2010 Jun;60(6):456-9.
The frequency of viral, bacterial and parasitic enteropathogens among 270 paediatric patients (< 5 years of age) in various hospitals of Makkah and Jeddah cities of Saudi Arabia were investigated.
A total of 270 stool samples were collected from paediatric patients with signs and symptoms of gastroenteritis from different hospitals of Makkah and Jeddah cities of Saudi Arabia. Samples were investigated for bacterial, viral and parasitic enteropathogens using microscopic examination, immunological tests and bacterial culture techniques.
Out of 270 stool samples tested in this study for various causative agents of gastroenteritis, total number of positive samples were 106 (39%). Of these, 90 (33%) had viral etiology, of which Rotavirus type A (serotype G) was found in the majority of cases 60 (22%), Adenovirus in 20 (7%) patients, and Astrovirus in the remaining 10 (4%) patients. Thirteen (5%) were of bacterial origins of which 9 (3%) were Salmonella species, 4 (2%) were Shigella species and only 3 (1%) of the samples were positive for Giardia lamblia.
This study indicated that most of the diarrhoeal diseases in young children in Saudi Arabia are due to viral etiology, where Rotavirus was predominant followed by Adenovirus and Astrovirus. While Salmonella and Shigella represent the bacterial etiology of paediatric acute diarrhoea and only Giardia lamblia was found as a parasitic cause of diarrhoea in young children in our study.
对沙特阿拉伯麦加和吉达各医院270名5岁以下儿科患者的病毒、细菌和寄生虫肠道病原体感染率进行调查。
从沙特阿拉伯麦加和吉达各医院患有肠胃炎症状的儿科患者中总共采集了270份粪便样本。使用显微镜检查、免疫检测和细菌培养技术对样本进行细菌、病毒和寄生虫肠道病原体检测。
在本研究检测的270份用于肠胃炎各种病原体检测的粪便样本中，阳性样本总数为106份（39%）。其中，90份（33%）为病毒病因，其中大多数病例（60例，22%）为A型轮状病毒（血清型G），20例（7%）患者为腺病毒，其余10例（4%）患者为星状病毒。13份（5%）为细菌来源，其中9份（3%）为沙门氏菌属，4份（2%）为志贺氏菌属，只有3份（1%）样本蓝氏贾第鞭毛虫检测呈阳性。
本研究表明，沙特阿拉伯幼儿的大多数腹泻疾病是由病毒病因引起的，其中轮状病毒占主导地位，其次是腺病毒和星状病毒。而沙门氏菌和志贺氏菌代表了儿科急性腹泻的细菌病因，在我们的研究中，只有蓝氏贾第鞭毛虫被发现是幼儿腹泻的寄生虫病因
