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大规模疫情爆发后次年鼠伤寒沙门氏菌的感染率

Frequency of Salmonella typhimurium the year after a massive outbreak.

作者信息

Harris A A, Cherubin C, Biek R, Edwards L C

机构信息

Department of Medicine, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois 60612.

出版信息

Diagn Microbiol Infect Dis. 1990 Jan-Feb;13(1):25-30. doi: 10.1016/0732-8893(90)90049-2.

Abstract

In 1985, Illinois experienced a large milkborne outbreak of Salmonella typhimurium with over 16,000 cases. During this year, 49.4% of United States and 86.4% of Illinois salmonellae were S. typhimurium. In 1986, 1133 microbiologically confirmed and serotyped cases of salmonellosis were reported in the City of Chicago, comprising 37% of the 3034 cases reported for the State of Illinois. The most frequent serotypes were S. typhimurium (21.3%), Salmonella heidelberg (18.2%), Salmonella enteritidis (10.7%), and Salmonella braenderup (7.7%), similar to the state as a whole. Nationally, excluding Illinois, the most frequent serotypes in 1986 were S. typhimurium (26.1%), S. enteritidis (14.7%), and S. heidelberg (13.0%). S. braenderup comprised 0.9% of the non-Illinois total. Regional variations in the epidemiology of salmonellae are probable and may reflect detected or undetected outbreaks. Within a year of the nation's largest Salmonella outbreak, there was no trace of any effect on the frequency of isolation of Salmonella spp.

摘要

1985年,伊利诺伊州发生了一起由牛奶传播的鼠伤寒沙门氏菌大规模疫情,病例超过16000例。这一年,美国49.4%的沙门氏菌以及伊利诺伊州86.4%的沙门氏菌为鼠伤寒沙门氏菌。1986年,芝加哥市报告了1133例经微生物学确诊并进行血清分型的沙门氏菌病病例,占伊利诺伊州报告的3034例病例的37%。最常见的血清型为鼠伤寒沙门氏菌(21.3%)、海德堡沙门氏菌(18.2%)、肠炎沙门氏菌(10.7%)和布伦德鲁普沙门氏菌(7.7%),与整个伊利诺伊州的情况相似。在全国范围内,除伊利诺伊州外,1986年最常见的血清型为鼠伤寒沙门氏菌(26.1%)、肠炎沙门氏菌(14.7%)和海德堡沙门氏菌(13.0%)。布伦德鲁普沙门氏菌占非伊利诺伊州总数的0.9%。沙门氏菌流行病学存在地区差异,这可能反映了已检测到或未检测到的疫情。在美国最大规模的沙门氏菌疫情发生后的一年内,未发现对沙门氏菌分离频率有任何影响的迹象。

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