Nath G, Shukla B N, Reddy D C, Sanyal S C
Department of Microbiology, Banaras Hindu University, Varanasi, India.
J Diarrhoeal Dis Res. 1993 Sep;11(3):165-8.
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.
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。