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["侵袭性“轻度”沙门氏菌病;阿哥纳沙门氏菌感染的临床流行病学特征]

["Minor" salmonelloses on the offensive; clinico-epidemiological aspects of Salmonella agona infections].

作者信息

Hurmuzache T, Luca V, Râpeanu E, Ardeleanu M

出版信息

Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Bacteriol Virusol Parazitol Epidemiol. 1980 Jul-Sep;25(3):149-58.

PMID:7433813
Abstract

The incidence of "minor" salmonelloses, (one of the main infantile enteritis), has increased of late, the principal agent in 1977 and 1978 being Salmonella agona. The present paper is a clinico-epidemiological study of the characteristics of a recent episode comprising 46 cases due to Salmonella agona. Most of the cases treated in hospital had a prevalently enterocolitic aspect, without extraenteral complications, but with a reserved prognosis (10% mortality rate in the authors' experience) when associated with other diseases (bronchopneumonia, otitis, otoantritis) or when the child has a deficient constitution (congenital or acquired). It is difficult to get rid of the germ, of particular importance especially when the children return to children's institutions, by means of an etiotropic therapy, which in many cases may even delay elimination of the salmonellas. In Salmonella infections the carrier excretory state is intermittent rather than permanent. Salmonellosis caused by the agona serotype may be listed, as most of the so-called "minor" cases, in the "central" group according to the classification propossed by Newell and adopted by the World Health Organization in 1959.

摘要

“轻度”沙门氏菌病(主要的婴儿肠炎之一)的发病率近来有所上升,1977年和1978年的主要病原体是阿哥纳沙门氏菌。本文是一项临床流行病学研究,涉及近期46例由阿哥纳沙门氏菌引起的病例的特征。大多数住院治疗的病例主要表现为小肠结肠炎,无肠外并发症,但与其他疾病(支气管肺炎、中耳炎、耳窦炎)相关或儿童体质虚弱(先天性或后天性)时,预后不佳(据作者经验死亡率为10%)。通过病因疗法清除病菌很困难,尤其是当儿童返回儿童机构时,在许多情况下,病因疗法甚至可能延迟沙门氏菌的清除。在沙门氏菌感染中,带菌排泄状态是间歇性的而非永久性的。根据纽厄尔提出并于1959年被世界卫生组织采用的分类方法,由阿哥纳血清型引起的沙门氏菌病可列为大多数所谓的“轻度”病例中的“中间”组。

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