志贺氏菌性肠胃炎中血性腹泻的敏感性和特异性

Sensitivity and specificity of bloody diarrhea in shigella gastroenteritis.

作者信息

Ozmert Elif N, Orün Emel, Sengelen Meltem, Yalçin S Songül, Yurdakök Kadriye, Gür Deniz

机构信息

Social Pediatrics Unit, Department of Pediatrics, Ihsan Dogramac, Children's Hospital, Microbiology Laboratory, Hacettepe University, Ankara, Turkey.

出版信息

Turk J Pediatr. 2010 Sep-Oct;52(5):488-90.

PMID:21434533

Abstract

The sensitivity and specificity of bloody diarrhea in the diagnosis of shigella gastroenteritis in a Shigella sonnei prevalent center was investigated. The shigella-proven gastroenteritis cases who were admitted to Hacettepe University Ihsan Doğramaci Children's Hospital Diarrheal Diseases Unit (Jan 2003 - Oct 2006) constituted the study group (n=65). Age- and sex-matched children admitting to the same center with non-shigella diarrhea constituted the control group (n=65). The sensitivity, specificity, and positive and negative predictive values of bloody diarrhea were found to be 30%, 100%, 100% and 58%, respectively. Sensitivity of bloody diarrhea in the diagnosis of shigella gastroenteritis was low in this center. New strategies and recommendations in the management of mild nonbloody cases are needed.

摘要

在一个宋内志贺菌流行中心，对血性腹泻在诊断志贺菌性肠胃炎中的敏感性和特异性进行了调查。2003年1月至2006年10月期间入住哈杰泰佩大学伊桑·多格拉马西儿童医院腹泻病科且确诊为志贺菌性肠胃炎的病例构成研究组（n = 65）。入住同一中心、年龄和性别匹配的非志贺菌性腹泻儿童构成对照组（n = 65）。结果发现，血性腹泻的敏感性、特异性、阳性预测值和阴性预测值分别为30%、100%、100%和58%。在该中心，血性腹泻在诊断志贺菌性肠胃炎中的敏感性较低。对于轻度非血性病例的管理，需要新的策略和建议。