Torbicka E, Meisel-Mikołajczyk F, Rafałowska K, Czerniak E, Brzozowska-Binda A
Przegl Epidemiol. 1989;43(4):366-72.
The results are presented of the second part of the studies conducted for monitoring of the variability of bacterial factors causing diarrhoea in the youngest children. The presently reported study comprised 42 babies aged from 7 days to 18 months treated in hospital in January 1987. The number of children with diarrhoea hospitalized in this period was relatively smaller than in January 1985, while the incidence of enteropathogenic bacteria in stools was very similar. They included mainly Klebsiella and enteropathogenic Escherichia coli strains, especially in the youngest children. In only one case Salmonella arizonae was found while in 1985 a very high number of Salmonella agona strains were cultured, especially from newborns. In both parts of the study Campylobacter jejuni and Yersinia enterocolitica were never found in stools. In both parts of the study the course of bacterial diarrhoea was mostly moderately severe, loose stools continued usually for 3-4 days, but in the second part more cases of severe diarrhoea were noted, which, however, could not have been related to the bacterial species cultured from stools or to the presence of mixed bacterial flora. The importance is stressed of the carrier state of enteropathogenic bacteria which was observed in three-fourths of patients in January 1987, while in January 1985 this was present in nearly all cases without diarrhoea.
本文呈现了针对监测幼儿腹泻细菌因素变异性所开展研究第二部分的结果。目前报道的这项研究涵盖了1987年1月在医院接受治疗的42名年龄从7天至18个月的婴儿。这一时期因腹泻住院的儿童数量相较于1985年1月相对较少,而粪便中肠道致病菌的发生率非常相似。这些致病菌主要包括克雷伯菌和肠道致病性大肠杆菌菌株,尤其是在最小的儿童中。仅发现1例亚利桑那沙门菌,而在1985年培养出了大量阿哥纳沙门菌菌株,尤其是从新生儿中。在研究的两个部分中,粪便中均未发现空肠弯曲菌和小肠结肠炎耶尔森菌。在研究的两个部分中,细菌性腹泻的病程大多为中度严重,稀便通常持续3 - 4天,但在第二部分中注意到更多严重腹泻病例,然而,这与从粪便中培养出的细菌种类或混合细菌菌群的存在无关。强调了肠道致病菌携带状态的重要性,1987年1月在四分之三的患者中观察到这种状态,而在1985年1月几乎所有无腹泻的病例中都存在这种状态。