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[隐孢子虫病。关于以水为感染源的新感染病例的特征分析]

[Cryptosporidiosis. Characterization of a new infection with special regard to water as the source of infection].

作者信息

Exner M, Gornik V

机构信息

Hygiene-Institut des Ruhrgebiets, Gelsenkirchen, Fachbereich Umwelt- und Krankenhaushygiene.

出版信息

Zentralbl Hyg Umweltmed. 1990 May;190(1-2):13-25.

PMID:2203371
Abstract

Within the past few years, microorganisms of the Genus Cryptosporidium have been recognized as an important pathogen to humans. A possible mode of transmission is represented by the presence of Cryptosporidium-oocysts in water. Meanwhile several outbreaks of diarrheal illness caused by the contamination of drinking water by Cryptosporidium have been documented; an infection can be life-threatening for immunosuppressed patients. This article reviews the organism causing Cryptosporidiosis, his ecology, the clinical feature, the sources of infection and the epidemiology. The remarkable resistance of the oocysts to disinfectants, such like chlorine, their survival for a long time and the low infectious dose shows evidently that the conservative guidelines in treatment and quality control of drinking water should be discussed newly.

摘要

在过去几年里,隐孢子虫属微生物已被确认为对人类重要的病原体。隐孢子虫卵囊存在于水中,这是一种可能的传播方式。同时,已有多起因隐孢子虫污染饮用水导致腹泻病爆发的记录;对于免疫抑制患者,感染可能危及生命。本文综述了引起隐孢子虫病的病原体、其生态学、临床特征、感染源及流行病学。卵囊对消毒剂(如氯)具有显著抗性、能长时间存活且感染剂量低,这显然表明应重新讨论饮用水处理和质量控制方面的保守指导原则。

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