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感染人类免疫缺陷病毒者的细菌性肠道感染

Bacterial enteric infections in persons infected with human immunodeficiency virus.

作者信息

Angulo F J, Swerdlow D L

机构信息

Foodborne and Diarrheal Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.

出版信息

Clin Infect Dis. 1995 Aug;21 Suppl 1:S84-93. doi: 10.1093/clinids/21.supplement_1.s84.

Abstract

We review the epidemiology and prevention of and future research priorities for bacterial enteric infections in persons infected with the human immunodeficiency virus (HIV). HIV-infected persons are more frequently infected with Salmonella, Campylobacter, Listeria, and (possibly) Shigella species than are individuals not infected with HIV. In addition, Salmonella and (possibly) Campylobacter infections are more likely to be severe, recurrent, or persistent and associated with extraintestinal disease when they occur in HIV-infected persons. Infections caused by Shigella and Vibrio species can also result in more serious disease in HIV-infected persons than in those not infected with HIV. Risk of these infections can be reduced with proper precautions, particularly those pertaining to food hygiene, animal contact, and travel. Individuals infected with HIV should be informed of their increased risk of acquiring these diseases and should be counseled on the recommended precautions.

摘要

我们综述了人类免疫缺陷病毒(HIV)感染者细菌性肠道感染的流行病学、预防措施以及未来的研究重点。与未感染HIV的个体相比,HIV感染者感染沙门氏菌、弯曲杆菌、李斯特菌以及(可能)志贺氏菌属的频率更高。此外,沙门氏菌和(可能)弯曲杆菌感染在HIV感染者中发生时,更有可能是严重的、复发性的或持续性的,并与肠外疾病相关。志贺氏菌属和弧菌属引起的感染在HIV感染者中也比在未感染HIV的个体中更易导致严重疾病。通过适当的预防措施,尤其是与食品卫生、动物接触和旅行相关的措施,可以降低这些感染的风险。应告知HIV感染者他们感染这些疾病的风险增加,并就推荐的预防措施提供咨询。

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