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沙门氏菌病,包括肠热病。

Salmonellosis Including Enteric Fever.

机构信息

Department of Paediatrics & Child Health, The Aga Khan University Hospital, Stadium Road, P.O Box 3500, Karachi 74800, Pakistan.

Department of Paediatrics & Child Health, The Aga Khan University Hospital, Stadium Road, P.O Box 3500, Karachi 74800, Pakistan.

出版信息

Pediatr Clin North Am. 2022 Feb;69(1):65-77. doi: 10.1016/j.pcl.2021.09.007.

Abstract

Salmonella is a gram-negative, motile, nonsporulating, facultative anaerobic bacillus, belongs to the family Enterobacteriaceae. The bacteria were first identified in 1884. It is transmitted through direct contact with an infected person or indirect contact by the consumption of contaminated food and water. More than 2500 serotypes of Salmonella enterica have been identified but less than 100 serotypes are known to cause infections in humans. S. enterica serovar typhi (S. typhi) and S. enterica serovar paratyphi (S. paratyphi A B C) cause enteric fever, whereas nontyphoidal Salmonella serotypes (NTS) cause diarrhea. NTS commonly presents with gastroenteritis and is a self-limiting disease. Enteric fever is a potentially life-threatening acute febrile systemic infection and is diagnosed by isolating a pathogen on culture. With the emergence of the extensive drug-resistant (XDR) S. typhi clone, limited treatment options are available. Vaccination of persons at risk, improvement of sanitation, promotion of food hygiene, and detection and control of chronic carriers are essential preventive control measures of enteric fever.

摘要

沙门氏菌是一种革兰氏阴性、能动、非孢子形成、兼性厌氧杆菌,属于肠杆菌科。该细菌于 1884 年首次被鉴定。它通过直接接触感染者或间接接触受污染的食物和水传播。已经鉴定出超过 2500 种血清型的沙门氏菌,但已知不到 100 种血清型会导致人类感染。肠道沙门氏菌血清型 typhi(S. typhi)和肠道沙门氏菌血清型 paratyphi(S. paratyphi A B C)引起肠热病,而非伤寒沙门氏菌血清型(NTS)引起腹泻。NTS 通常表现为肠胃炎,是一种自限性疾病。肠热病是一种潜在的危及生命的急性发热全身性感染,通过培养分离病原体来诊断。随着广泛耐药(XDR)伤寒沙门氏菌克隆的出现,可用的治疗选择有限。对高危人群进行疫苗接种、改善卫生条件、促进食品卫生以及检测和控制慢性携带者,是肠热病的重要预防控制措施。

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