Varavithya W, Vathanophas K, Bodhidatta L, Punyaratabandhu P, Sangchai R, Athipanyakom S, Wasi C, Echeverria P
Faculty of Medicine, Ramathibodi Hospital, Bangkok, Thailand.
J Clin Microbiol. 1990 Nov;28(11):2507-10. doi: 10.1128/jcm.28.11.2507-2510.1990.
The etiology of diarrhea in children less than 5 years of age in a low-income housing project in Bangkok, Thailand, was determined over 1 year. Nontyphoidal salmonellae (13%), Campylobacter jejuni (12%), rotavirus (12%), enterotoxigenic Escherichia coli (7%), shigellae (6%), E. coli that hybridized with the enteropathogenic E. coli adherence factor probe (3%), and enteroinvasive E. coli (1%) were identified in 345 episodes of diarrhea in children less than 5 years of age. Salmonellae were identified in 17% and C. jejuni was identified in 15% of 54 children less than 6 months of age with diarrhea. Shigellae, enteroinvasive E. coli, enteropathogenic E. coli adherence factor, and enterotoxigenic E. coli were not isolated from children less than 6 months of age. Since salmonellae and C. jejuni were the most common bacterial pathogens identified in children less than 6 months of age, efforts to prevent transmission of salmonellae and campylobacter to young children should be a public health priority in Bangkok.
在泰国曼谷一个低收入住房项目中，对5岁以下儿童腹泻的病因进行了为期1年的研究。在345例5岁以下儿童腹泻病例中，鉴定出非伤寒沙门氏菌（13%）、空肠弯曲菌（12%）、轮状病毒（12%）、产肠毒素大肠杆菌（7%）、志贺氏菌（6%）、与肠致病性大肠杆菌粘附因子探针杂交的大肠杆菌（3%）和侵袭性大肠杆菌（1%）。在54例6个月以下腹泻儿童中，17%鉴定出沙门氏菌，15%鉴定出空肠弯曲菌。6个月以下儿童未分离出志贺氏菌、侵袭性大肠杆菌、肠致病性大肠杆菌粘附因子和产肠毒素大肠杆菌。由于沙门氏菌和空肠弯曲菌是6个月以下儿童中最常见的细菌病原体，因此在曼谷，预防沙门氏菌和弯曲杆菌传播给幼儿应成为公共卫生的优先事项。
