巴西里约热内卢市住院儿童急性腹泻的病因

Aetiology of acute diarrhoea in hospitalized children in Rio de Janeiro City, Brazil.

作者信息

Mangia A H, Duarte A N, Duarte R, Silva L A, Bravo V L, Leal M C

机构信息

Departamento de Ciências Biológicas, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.

出版信息

J Trop Pediatr. 1993 Dec;39(6):365-7. doi: 10.1093/tropej/39.6.365.

DOI:10.1093/tropej/39.6.365

PMID:8133560

Abstract

Enteropathogens were investigated in 406 children aged 0-3 years with diarrhoea attending the Salles Neto Municipal Hospital. Enteric bacterial pathogens were isolated from 49 per cent of the children. Enterotoxigenic Escherichia coli (ETEC) (20.9 per cent), enteropathogenic E. coli (EPEC) (16.5 per cent), rotavirus (11.6 per cent), and Campylobacter (9.9 per cent) were the most common agents. Among clinical features, vomiting and fever were significantly associated with Rotavirus isolation (50.0 per cent), respiratory infection with Adenovirus (14.3 per cent), bloody diarrhoea with Campylobacter (12.5 per cent), and dehydration with EPEC (71.6 per cent).

摘要

对在萨莱斯·内托市立医院就诊的406名0至3岁腹泻儿童进行了肠道病原体调查。49%的儿童分离出肠道细菌病原体。产肠毒素大肠杆菌（ETEC）（20.9%）、致病性大肠杆菌（EPEC）（16.5%）、轮状病毒（11.6%）和弯曲杆菌（9.9%）是最常见的病原体。在临床特征方面，呕吐和发热与轮状病毒分离显著相关（50.0%），呼吸道感染与腺病毒相关（14.3%），血性腹泻与弯曲杆菌相关（12.5%），脱水与EPEC相关（71.6%）。