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在印度瓦拉纳西一个半城市贫民窟开展的一项关于儿童腹泻病因的社区研究,特别提及空肠弯曲菌。

A community study on the aetiology of childhood diarrhoea with special reference to Campylobacter jejuni in a semiurban slum of Varanasi, India.

作者信息

Nath G, Shukla B N, Reddy D C, Sanyal S C

机构信息

Department of Microbiology, Banaras Hindu University, Varanasi, India.

出版信息

J Diarrhoeal Dis Res. 1993 Sep;11(3):165-8.

PMID:8263306
Abstract

In a community study of 607 diarrhoeal and 529 non-diarrhoeal (control) patients less than 5 years old carried out between August 1988 and July 1989, the Campylobacter jejuni isolation rate was 4% in the diarrhoeal and 0.9% in the control group. It was the second most common bacterial enteropathogen isolated after Escherichia coli. Its incidence was more common among 1-2 year old children (4.8%) and during rainy season (July-October). Features of dysentery were absent in C. jejuni diarrhoea. Findings strongly suggest its aetiological role in childhood diarrhoea. Among other enteropathogens in diarrhoeal specimens, rotavirus was the commonest (16.4%) followed by enterotoxigenic E. coli (13.8%), G. lamblia (10.3%), enteropathogenic E. coli (7.0%), E. histolytica (5.0%), Cryptosporidium (3.8%), H. nana spp. (1.5%), NAG vibrios (0.5%), P. shigelloides (0.5%), V. mimicus and Salmonella spp. (0.3%). Approximately one quarter of the stool specimens (22.6%, 256/1136) tested were positive for the ova of A. lumbricoides.

摘要

在1988年8月至1989年7月间对607名5岁以下腹泻患儿和529名非腹泻(对照)患儿进行的一项社区研究中,空肠弯曲菌的分离率在腹泻组为4%,在对照组为0.9%。它是仅次于大肠杆菌的第二常见的细菌性肠道病原体。其发病率在1 - 2岁儿童中更为常见(4.8%),且在雨季(7 - 10月)较高。空肠弯曲菌腹泻无痢疾特征。研究结果强烈表明其在儿童腹泻中具有病因学作用。在腹泻标本中的其他肠道病原体中,轮状病毒最为常见(16.4%),其次是产肠毒素大肠杆菌(13.8%)、蓝氏贾第鞭毛虫(10.3%)、致病性大肠杆菌(7.0%)、溶组织内阿米巴(5.0%)、隐孢子虫(3.8%)、微小膜壳绦虫(1.5%)、嗜水气单胞菌(0.5%)、类志贺邻单胞菌(0.5%)、模仿弧菌和沙门氏菌(0.3%)。大约四分之一的粪便标本(22.6%,256/1136)检测到蛔虫卵呈阳性。

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