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[水作为感染媒介:水传播细菌(作者译)]

[Water as a vector of infection: waterborne bacteria (author's transl)].

作者信息

Metz H

出版信息

Zentralbl Bakteriol Mikrobiol Hyg B. 1980;172(1-3):255-74.

PMID:7456871
Abstract

The cholera and typhoid epidemics caused by drinking water were still characterized, at the beginning of the century by a high rate of morbidity and lethality. In addition to these micro-organisms, there are yet other pathogens which find their way into the drinking water. Therefore the pathogens causing infection and for which water can serve as a vector, are shown in a survey and for some of them their survival times in the various types of water are mentioned. The remedial measures which were adopted against the big drinking-water epidemics are represented and the course of the typhoid and the cholera epidemics during the period from 1850 to 1930 is also illustrated. The characteristics of drinking-water epidemics, especially in the case of contamination by S. typhi, are described and supplemented by an illustration. Also the problem of the water field and epidemic field as well as the quantitative spread of pathogens causing infection across all strata of the population are dealt with in detail. Extensive epidemiological data concerning the greatest dysentery drinking-water epidemics caused by Sh. sonnei at Ismaning near Munich give an insight into the genesis of this imported plague. It provides further evidence of the inadequacy into the genesis of this imported plague. It provides further evidence of the inadequacy of our laws which permit hygienic evaluation based on the analysis of samples submitted. No local inspections were carried out and this was ultimately the cause of these epidemics -the health officer in charge put his trust in the good bacteriological findings. Finally the paper deals with the bacteria for which water can also play the role of a vector. Mention is made of the cholera vibrio, vibrio parahaemolyticus, NAG vibrios, enteritis Salmonella in drinking and bathing water, as well as in the waste water-fish pond procedure, erysipelas bacteria, anthrax and field fever, as well as Mycobacterium tuberculosis and atypical mycobacteria.

摘要

在本世纪初,由饮用水引发的霍乱和伤寒疫情仍具有高发病率和高致死率的特点。除了这些微生物外,还有其他病原体也会进入饮用水中。因此,本文对导致感染且水可作为传播媒介的病原体进行了调查,并提及了其中一些病原体在不同类型水中的存活时间。文中介绍了针对重大饮用水疫情所采取的补救措施,还阐述了1850年至1930年期间伤寒和霍乱疫情的发展过程。描述了饮用水疫情的特征,特别是在被伤寒杆菌污染的情况下,并配有插图进行补充。此外,还详细探讨了水域和疫区问题,以及感染性病原体在全体人群中的定量传播情况。关于慕尼黑附近伊斯曼宁由宋内志贺菌引起的最严重痢疾饮用水疫情的大量流行病学数据,让人深入了解了这种输入性瘟疫的起源。这进一步证明了我们现有法律的不足,这些法律允许基于所提交样本的分析进行卫生评估。当时没有进行现场检查,这最终导致了这些疫情的发生——负责的卫生官员轻信了良好的细菌学检测结果。最后,本文论述了水也可作为传播媒介的细菌。文中提到了霍乱弧菌、副溶血性弧菌、NAG弧菌、饮用水和浴水中以及废水-鱼塘流程中的肠炎沙门氏菌、丹毒杆菌、炭疽杆菌和斑疹伤寒杆菌,以及结核分枝杆菌和非典型分枝杆菌。

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