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儿童弯曲杆菌肠炎:137例临床及实验室检查结果

Campylobacter enteritis in children: clinical and laboratory findings in 137 cases.

作者信息

Puthucheary S D, Parasakthi N, Liew S T, Chee Y W

机构信息

Department of Medical Microbiology, University Hospital, Faculty of Medicine, University of Malaya, Kuala Lumpur.

出版信息

Singapore Med J. 1994 Oct;35(5):453-6.

PMID:7701360
Abstract

One hundred and thirty-seven children with Campylobacter diarrhoea were reviewed. The predominant species was C. jejuni. Ninety-five percent of the children were below 5 years of age with 61% of these being 2-12 months old. A slight male preponderance was noted. About half the cases presented with fever and bloody diarrhoea; vomiting was seen in 28% and abdominal colic in only 8%. Moderate to severe diarrhoea was present in 48% of the children. Thirty-seven percent had a history of recent or concurrent illness. Other bacterial enteropathogens together with Campylobacter were isolated in 15% of the children. Erythromycin, the most useful drug, when indicated for Campylobacter infections, had an MIC90 of 2 mg/l with 96.2% of the strains being sensitive.

摘要

对137名患弯曲杆菌腹泻的儿童进行了回顾性研究。主要菌种为空肠弯曲杆菌。95%的儿童年龄在5岁以下,其中61%为2至12个月大。发现男性略占多数。约一半的病例表现为发热和血性腹泻;28%的病例出现呕吐,只有8%的病例出现腹部绞痛。48%的儿童有中度至重度腹泻。37%的儿童有近期或并发疾病史。15%的儿童分离出了除弯曲杆菌外的其他细菌性肠道病原体。红霉素是治疗弯曲杆菌感染最有效的药物,其MIC90为2mg/l,96.2%的菌株对其敏感。

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