Stanek J, Heinz F
Institute of Hygiene and Epidemiology, Prague, Czechoslovakia.
J Hyg Epidemiol Microbiol Immunol. 1988;32(1):31-8.
In a group of 74 hospitalized patients with the diagnosis of acute infectious pneumonia, the etiological contribution of viral and bacterial agents is analyzed in cases of clarified etiology and an assessment is made of the relationship between the explained etiology and the overall epidemiological situation. Etiology was clarified in 36 patients (48.6%). Viral and bacterial etiology was confirmed in 13.3% and 39.8% of the entire group respectively. In three cases, mixed viral and bacterial infection was reported. Most prominent among the viral agents were herpes simplex, parainfluenza, respiratory syncytial and influenza type B viruses. As far as the bacterial agents were concerned, the species most frequently isolated were Staphylococcus aureus, Streptococcus pneumoniae and a variety of Enterobacteriaceae. The relationship between the overall epidemiological situation and pneumonia etiology is discussed as well as the relevance of the diagnostic methods employed.
在一组74例诊断为急性感染性肺炎的住院患者中,对病因明确的病例分析了病毒和细菌病原体的病因学贡献,并评估了解释的病因与总体流行病学情况之间的关系。36例患者(48.6%)的病因得以明确。病毒和细菌病因在整个组中分别确诊为13.3%和39.8%。有3例报告为病毒和细菌混合感染。病毒病原体中最突出的是单纯疱疹病毒、副流感病毒、呼吸道合胞病毒和B型流感病毒。就细菌病原体而言,最常分离出的菌种是金黄色葡萄球菌、肺炎链球菌和各种肠杆菌科细菌。讨论了总体流行病学情况与肺炎病因之间的关系以及所采用诊断方法的相关性。