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小肠结肠炎耶尔森菌感染与猪肉:缺失的环节。

Yersinia enterocolitica infections and pork: the missing link.

作者信息

Tauxe R V, Vandepitte J, Wauters G, Martin S M, Goossens V, De Mol P, Van Noyen R, Thiers G

出版信息

Lancet. 1987 May 16;1(8542):1129-32. doi: 10.1016/s0140-6736(87)91683-7.

DOI:10.1016/s0140-6736(87)91683-7
PMID:2883453
Abstract

To determine the risk factors for Yersinia enterocolitica (YE) infection in Belgium, which is the country with the highest incidence of this infection, 40 persons with YE infections due to serotype O:3 (n = 36) or O:9 (n = 4) were compared with matched controls. Most patients had acute gastroenteritis; 1 had a liver abscess. 20% were admitted to hospital; the mean duration of hospital stay was 9 days. YE infection was strongly associated with eating raw pork in the 2 weeks before onset (odds ratio = 12, p = 0.00002), a factor that accounted for 58% of the YE infections studied. 14 (18%) of 79 families surveyed at a well-baby clinic fed their children raw pork from a median age of 18 months. Specific control measures to reduce contamination and consumption of raw pork may reduce the incidence of YE infections.

摘要

为确定在耶尔森氏菌小肠结肠炎(YE)感染发病率最高的比利时,YE感染的风险因素,将40例由O:3血清型(n = 36)或O:9血清型(n = 4)导致的YE感染患者与匹配的对照组进行了比较。大多数患者患有急性肠胃炎;1例有肝脓肿。20%的患者入院治疗;平均住院时间为9天。YE感染与发病前2周内食用生猪肉密切相关(优势比= 12,p = 0.00002),该因素占所研究的YE感染病例的58%。在一家母婴诊所对79个家庭进行调查,其中14个家庭(18%)从孩子18个月大的中位数年龄起就喂他们吃生猪肉。采取具体的控制措施以减少生猪肉的污染和消费,可能会降低YE感染的发病率。

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