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[医院病房粪便样本中的腺病毒。与肠胃炎主要病原体(轮状病毒、弯曲杆菌、沙门氏菌)的比较]

[Adenoviruses from stool samples in hospital units. Comparison with main pathogens in gastroenteritis (rotavirus, Campylobacter, Salmonella)].

作者信息

Durepaire N, Pradie M P, Ploy M C, Mounier M, Ranger-Rogez S, Martin C, Denis F

机构信息

Service de Bactériologie-Virologie-Hygiène, CHU Dupuytren, Limoges, France.

出版信息

Pathol Biol (Paris). 1995 Sep;43(7):601-10.

PMID:8570265
Abstract

During a six-years period (1988-1993), a total of 14,644 stool samples from in-patients of Limoges University Hospital were examined for the presence of principal enteric pathogens, such as adenovirus, rotavirus, Campylobacter, Salmonella, Shigella and others. Stools were processed for identification of bacteria by standard methods and viruses were detected in fecal specimens using antigen detection methods: ELISA (Enzyme Linked Immunosorbent Assay) and latex agglutination test. The decreasing rates of presence of enteric agents were respectively 6% for rotavirus, 3.2% for Salmonella, 2% for adenovirus, 1.6% for Campylobacter and 0.2% for Shigella, but according to the lack of sensibility of latex agglutination test, adenovirus prevalence was probably underestimated. Concerning the distribution of enteric pathogens throughout the year, our data demonstrate that rotavirus were rather shed during the months from January to April, adenovirus between April and August, Campylobacter during summer and Salmonella from July to October. The two thirds of Campylobacter and rotavirus infections and the half of adenovirus and Salmonella infections were identified during the ten first years of life. The highest prevalence occurs before 5 years old, during the 2nd year of life for adenovirus (4.4%) and rotavirus (22.3%) and during the 3rd year of life for Campylobacter (6.84%) and Salmonella (8.6%).

摘要

在1988年至1993年的六年期间,对利摩日大学医院住院患者的14644份粪便样本进行了检查,以确定主要肠道病原体的存在,如腺病毒、轮状病毒、弯曲杆菌、沙门氏菌、志贺氏菌等。粪便采用标准方法进行细菌鉴定,病毒则通过抗原检测方法在粪便标本中进行检测:酶联免疫吸附测定(ELISA)和乳胶凝集试验。肠道病原体的检出率下降幅度分别为:轮状病毒6%,沙门氏菌3.2%,腺病毒2%,弯曲杆菌1.6%,志贺氏菌0.2%。但由于乳胶凝集试验灵敏度不足,腺病毒的流行率可能被低估。关于肠道病原体全年的分布情况,我们的数据表明,轮状病毒在1月至4月期间排出较多,腺病毒在4月至8月期间排出较多,弯曲杆菌在夏季排出较多,沙门氏菌在7月至10月期间排出较多。三分之二的弯曲杆菌和轮状病毒感染以及一半的腺病毒和沙门氏菌感染是在生命的头十年中发现的。最高流行率出现在5岁之前,腺病毒(4.4%)和轮状病毒(22.3%)在生命的第二年出现最高流行率,弯曲杆菌(6.84%)和沙门氏菌(8.6%)在生命的第三年出现最高流行率。

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