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科索沃反应性关节炎的感染源及最常见病因

THE SOURCE OF INFECTION AND THE MOST FREQUENT CAUSES OF REACTIVE ARTHRITIS IN KOSOVO.

作者信息

Lahu Ali, Bajraktari Ismet H, Lahu Shqipdonë, Saiti Valton, Kryeziu Avni, Sherifi Fadil, Durmishi Bastri

机构信息

Rheumatology Clinic, Clinical and University Center of Kosova, Prishtina, Kosova.

Specialized ambulance for Internal Medicine and Rheumatology "Vendenisi-AL", Besiana, Kosova.

出版信息

Mater Sociomed. 2016 Jun;28(3):201-4. doi: 10.5455/msm.2016.28.201-204. Epub 2016 Jun 1.

Abstract

INTRODUCTION

Reactive arthritis is an autoimmune condition which emerges as a counteraction towards an infection which has a focus elsewhere in the body. The purpose of this study is isolation of causative agents of reactive arthritis and ascertains the source of infection. The study has been carried out in the Rheumatology Clinic in Prishtina and specialized ambulance O.S. "Vendenisi-AL" in Besiana, whereas isolation of causative agents has been carried out in the National Institute for Public Health (NIPH). The study has prospective, comparative and analytical feature.

RESULTS

Out of 100 patients, 66% were males and 34% females. Among males we have noticed domination of post-urethritis and post-streptococcic reactive arthritis, whereas among females dominates reactive arthritis of enteral etiology. The study concludes that: urogenital tract was the source of infection with 66% of cases, nasopharyngeal tract with 19% of cases, and enteral tract with 15% of cases respectively. Predominantly presents bacteria are E. Coli with 21%, Staphylococcus aureus with 20%, Streptococcus B. hem. gr. A with 16% of cases respectively and other species.

CONCLUSION

frequency of arthritis with urogenital etiology was 2:1 in favor of males, with nasopharyngeal etiology 3:1 in favor of males, whereas in arthritis with enteral etiology we have noticed a slight dominance in favor of females.

摘要

引言

反应性关节炎是一种自身免疫性疾病,是机体对身体其他部位感染的一种反应。本研究的目的是分离反应性关节炎的病原体并确定感染源。该研究在普里什蒂纳的风湿病诊所和贝西亚纳的“Vendenisi - AL”专科急救中心进行,而病原体的分离在国家公共卫生研究所进行。该研究具有前瞻性、对比性和分析性。

结果

100名患者中,66%为男性,34%为女性。在男性中,我们注意到尿道炎后和链球菌感染后反应性关节炎占主导,而在女性中,肠道病因引起的反应性关节炎占主导。研究得出结论:泌尿生殖道是66%病例的感染源,鼻咽部是19%病例的感染源,肠道是15%病例的感染源。主要出现的细菌分别是大肠杆菌占21%、金黄色葡萄球菌占20%、B组链球菌A群占16%以及其他菌种。

结论

泌尿生殖道病因引起的关节炎男性与女性的发病率之比为2:1,鼻咽部病因引起的关节炎男性与女性的发病率之比为3:1,而肠道病因引起的关节炎中,我们注意到女性略有优势。

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