住院儿童的有症状和无症状轮状病毒感染

Symptomatic and asymptomatic rotavirus infections in hospitalized children.

作者信息

Walther F J, Bruggeman C, Daniëls-Bosman M S, Pourier S, Grauls G, Stals F, Bogaard A V

出版信息

Acta Paediatr Scand. 1983 Sep;72(5):659-63. doi: 10.1111/j.1651-2227.1983.tb09790.x.

DOI:10.1111/j.1651-2227.1983.tb09790.x

Abstract

During one year, 871 infants and children admitted to a Dutch paediatric ward were examined weekly for rotavirus. Rotavirus was detected in the stools of 64/129 (49.6%) children with diarrhoea and in 283/742 (38.1%) controls. The incidence of asymptomatic rotavirus excretors increased from 14.5% in infants 0 to 6 months of age to 65.8% in children of 6 years and over, a feature not yet reported. Possible explanations may be the methodology used, the age groups studied, the local hospital (and community) situation and the geographical location. Routine bacteriology revealed enteropathogens in 25.6% of the children with diarrhoea: Salmonellae in 20.9%, Campylobacter jejuni in 3.9%, Yersinia enterocolitica in 1.5%, Shigella sonnei in 0.8% and enteropathogenic E. coli in 0.8% of the patients.

摘要

在一年时间里，每周对荷兰一家儿科病房收治的871名婴幼儿和儿童进行轮状病毒检测。在64/129名（49.6%）腹泻儿童的粪便中检测到轮状病毒，在283/742名（38.1%）对照儿童中也检测到轮状病毒。无症状轮状病毒排出者的发生率从0至6个月龄婴儿的14.5%增至6岁及以上儿童的65.8%，这一特征此前尚未见报道。可能的解释包括所采用的方法、研究的年龄组、当地医院（及社区）情况以及地理位置。常规细菌学检查显示，25.6%的腹泻儿童存在肠道病原体：20.9%的患者感染沙门氏菌，3.9%感染空肠弯曲菌，1.5%感染小肠结肠炎耶尔森菌，0.8%感染宋内志贺菌，0.8%感染致病性大肠杆菌。