Sack R B, Santosham M, Reid R, Black R, Croll J, Yolken R, Aurelian L, Wolff M, Chan E, Garrett S
Department of Medicine, Johns Hopkins University, Baltimore, MD 21203, USA.
J Diarrhoeal Dis Res. 1995 Mar;13(1):12-7.
Acute diarrhoeal diseases continue to be a major health problem in certain underprivileged populations in the United States, including native Americans living in reservations. To describe the features of patients with diarrhoeal diseases requiring medical care, those attending the medical facilities of the Fort Apache Indian Reservation, Whiteriver, Arizona, were studied during 1981-1985. Clinical and aetiological information was obtained on 535 patients which constitute a 20% sample of those attending the outpatient clinic and all 386 patients who required 550 hospitalizations. Rotavirus, enterotoxigenic Escherichia coli, and Shigella were the most common aetiologic agents, a pattern similar to that seen in the developing countries. The clinical features of diarrhoeal illness and the frequent associated occurrence of acute respiratory symptoms, however, were remarkably similar, regardless of aetiology.
急性腹泻病在美国某些贫困人群中仍然是一个主要的健康问题，包括居住在保留地的美国原住民。为了描述需要医疗护理的腹泻病患者的特征，1981年至1985年期间对亚利桑那州怀特河阿帕奇印第安保留地医疗设施的就诊患者进行了研究。获得了535名患者的临床和病因学信息，这些患者占门诊就诊患者的20%样本，以及所有386名需要550次住院治疗的患者。轮状病毒、产肠毒素大肠杆菌和志贺氏菌是最常见的病原体，这一模式与发展中国家所见相似。然而，无论病因如何，腹泻疾病的临床特征以及急性呼吸道症状的频繁并发都非常相似。
