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儿童肠胃炎的微生物学:气单胞菌属及其他感染因子。

The microbiology of childhood gastroenteritis: Aeromonas species and other infective agents.

作者信息

Burke V, Gracey M, Robinson J, Peck D, Beaman J, Bundell C

出版信息

J Infect Dis. 1983 Jul;148(1):68-74. doi: 10.1093/infdis/148.1.68.

DOI:10.1093/infdis/148.1.68
PMID:6886488
Abstract

A prospective, 12-month study of 975 non-Aboriginal children with diarrhea and age- and sex-matched children without diarrhea, in Perth, Western Australia, was designed to investigate the significance of enterotoxigenic Aeromonas species as a cause of diarrhea. Enterotoxigenic Aeromonas species were found in the fecal specimens of 10.8% of the patients with diarrhea but in only 0.7% of those without diarrhea. Most Aeromonas species were isolated during the summer. Other important bacterial pathogens included Campylobacter, Salmonella, Shigella, and enterotoxigenic Escherichia coli; rotavirus infections appeared to be much less important in the Western Australian environment. Most of the patients were younger than two years of age and about one-quarter had mixed bacterial and/or viral intestinal infections. Enterotoxigenic Aeromonas species can be identified with 97% accuracy using a simple hemolysin assay which should be considered for use by routine diagnostic laboratories, particularly in children's hospitals.

摘要

在西澳大利亚州的珀斯,针对975名患腹泻的非原住民儿童以及年龄和性别匹配的未患腹泻儿童开展了一项为期12个月的前瞻性研究,旨在调查产肠毒素气单胞菌属作为腹泻病因的重要性。腹泻患者粪便标本中10.8%检测出产肠毒素气单胞菌属,而未患腹泻者中仅0.7%检测出该菌属。大多数气单胞菌属是在夏季分离出来的。其他重要的细菌病原体包括弯曲杆菌、沙门氏菌、志贺氏菌和产肠毒素大肠杆菌;在西澳大利亚州的环境中,轮状病毒感染似乎不太重要。大多数患者年龄小于两岁,约四分之一的患者患有混合性细菌和/或病毒肠道感染。使用简单的溶血素检测法可97%准确鉴定出产肠毒素气单胞菌属,常规诊断实验室,尤其是儿童医院应考虑使用该检测法。

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