Petersen A M, Nielsen S E, Meyer D, Ganer P, Ladefoged K
Statens Serum Institut, afdeling for mave-/tarminfektioner.
Ugeskr Laeger. 1998 Jan 19;160(4):429-33.
Denmark has in recent years experienced a rise in the number of bacterial gastrointestinal infections. We have reviewed patients hospitalized with culture confirmed bacterial gastroenteritis in Roskilde County during 1991-1993. 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 percent of the patients had diarrhoea, 74% had fever (> 38 degrees C), and 66% abdominal pain. Blood in the stools was most frequent in patients infected with Campylobacter. Leucocytosis was rare. Twenty-four patients had bacteraemia. Reactive arthritis occurred in 4.8%. Three patients died, all infected with zoonotic Salmonella types. Three stool cultures were made for 115 patients, and all three cultures were positive in 73% of these patients. Bacterial gastroenteritis requiring hospitalization in Roskilde County, 1991-1993 affected mainly children and young adults. Infections due to zoonotic Salmonella types were more severe than Campylobacter and Yersinia enterocolitica gastroenteritis. It seems necessary to collect at least three stool cultures to secure a bacteriological diagnosis.
近年来，丹麦细菌性胃肠道感染的数量有所上升。我们回顾了1991年至1993年期间在罗斯基勒县因培养确诊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%的患者发热（>38摄氏度），66%的患者有腹痛。粪便带血在感染空肠弯曲菌的患者中最为常见。白细胞增多症很少见。24例患者发生菌血症。反应性关节炎的发生率为4.8%。3例患者死亡，均感染人畜共患型沙门氏菌。115例患者进行了三次粪便培养，其中73%的患者三次培养均为阳性。1991年至1993年期间，罗斯基勒县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。似乎有必要至少采集三次粪便培养物以确保细菌学诊断。
