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[婴儿期细菌性腹泻:256例流行病学研究]

[Bacterial diarrhea in infancy: epidemiologic study of 256 cases].

作者信息

Baselga Asensio C, Alonso Gregorio M, Bernal Sebastián M P, Bueno Lozano G, Bueno Lozano M, Gracia Casanova M, Castillo García J

机构信息

Departamento de Pediatría, Hospital Clínico Universitario, Lozano Blesa, Facultad de Medicina, Universidad de Zaragoza.

出版信息

An Esp Pediatr. 1991 Mar;34(3):203-6.

PMID:2064148
Abstract

Infectious diarrhoea are common causes of morbility in children. Although viral agents are responsible for the majority of cases of acute diarrhoea during infancy, bacterial infections are also well recognized as causes of them. 256 patients with diarrhoea due to a bacterial pathogen were studied to determine the importance of different epidemiologic factors. The study group comprised 151 boys (59%) and 105 girls (41%) aged between first month and 14 years. Family history of acute diarrhoea was found in 15% of children. 63,7% of them were hospitalized by the severity of clinical features. 32% of cases were detected in summer. Salmonella entérica was isolated in 45% of stool samples and Campylobacter spp in 33,2%. Clinical evolution of diarrhoea differentiated the patients into three groups: acute diarrhoea (95,7%), prolonged diarrhoea (3,1%) and chronic diarrhoea (1,1%).

摘要

感染性腹泻是儿童发病的常见原因。虽然病毒病原体是婴儿期大多数急性腹泻病例的病因,但细菌感染也被公认为是其病因。对256例由细菌病原体引起腹泻的患者进行了研究,以确定不同流行病学因素的重要性。研究组包括151名男孩(59%)和105名女孩(41%),年龄在1个月至14岁之间。15%的儿童有急性腹泻家族史。其中63.7%因临床症状严重而住院。32%的病例在夏季被检测到。45%的粪便样本中分离出肠炎沙门氏菌,33.2%中分离出弯曲杆菌属。腹泻的临床演变将患者分为三组:急性腹泻(95.7%)、迁延性腹泻(3.1%)和慢性腹泻(1.1%)。

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