Petersen A M, Nielsen S V, Meyer D, Ganer P, Ladefoged K
Dept. of Medicine, Roskilde County Hospital, Køge, Denmark.
Scand J Gastroenterol. 1996 Sep;31(9):906-11. doi: 10.3109/00365529609052000.
Denmark has in recent years experienced an increase in the number of bacterial gastrointestinal infections.
We have reviewed patients hospitalized with culture-confirmed bacterial gastroenteritis in Roskilde County during 1991-93.
Two hundred and seven patients were included; 68 were children (< 15 years). The microorganism isolated was Salmonella in 61% of the cases, Campylobacter in 20% and Yersinia enterocolitica in 13%. Ninety-three per cent of the patients had diarrhea, 74% had fever (> 38 degrees C), and 66% abdominal pain. Blood in stools was most frequent in patients infected with Campylobacter. Leukocytosis was rare. Twenty-four patients had bacteremia. Reactive arthritis occurred in 4.8%. Three patients died, all infected with zoonotic Salmonella types. Three stool cultures were made for 115 patients, and in 73% all 3 cultures were positive.
Bacterial gastroenteritis requiring hospitalization affects mainly children and young adults. Infections due to zoonotic Salmonella types were more severe than Campylobacter and Y. enterocolitica gastroenteritis. It seems necessary to make at least three stool cultures to secure a bacteriologic diagnosis.
近年来丹麦细菌性胃肠道感染的数量有所增加。
我们回顾了1991 - 1993年间罗斯基勒郡因培养确诊的细菌性肠胃炎而住院的患者。
共纳入207例患者；其中68例为儿童（<15岁）。分离出的微生物中，61%为沙门氏菌，20%为空肠弯曲菌，13%为小肠结肠炎耶尔森菌。93%的患者有腹泻，74%有发热（>38℃），66%有腹痛。便血在空肠弯曲菌感染患者中最为常见。白细胞增多症少见。24例患者发生菌血症。反应性关节炎发生率为4.8%。3例患者死亡，均感染人畜共患型沙门氏菌。115例患者进行了3次粪便培养，73%的患者3次培养均为阳性。
需要住院治疗的细菌性肠胃炎主要影响儿童和年轻人。人畜共患型沙门氏菌引起的感染比空肠弯曲菌和小肠结肠炎耶尔森菌性肠胃炎更严重。为确保细菌学诊断，似乎有必要进行至少3次粪便培养。
