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感染性腹泻病原学研究

Etiology of Infectious Diarrhea

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【作者】 罗光荣;

【Author】 Luo Guangrong. Anti-epidemic Station of Enshi City,Hubei Province

【机构】 湖北省恩施市卫生防疫站;

【摘要】 <正> 感染性腹泻是以腹泻为主要症状的感染性疾病,按其病因分类,可分为细菌性、病毒性和寄生虫性腹泻。因此,查明不同地区、季节、人群的患者病原组成,对有针对性的做好防治研究工作具有重要意义。我站于1983年8月至1984年7月,对思施市州、市医院就诊的1038例腹泻患者进行了流行病学调查与常见7种腹泻病原的检测,现报告如下: 调查方法一、病例选择:在肠道门诊选择临床表现为急性

【Abstract】 The result of etiologic examination of 1038 cases of diarrhea occurred in Enshi City from Oct. 1983 to July 1984 is reported. 1038 specimens were examined, and pathogens were detected in 350 of them(34.4%).The positivity rate was higest in September and October (50.5% and 51.5% respectively)and varied from 21.5% to 41.5% in the rest of year. It was significantly higher in patients of age group of 2-6 years and 20-30 years than in the other age groups. The positivity rate of Rotavirus in patients under I0 years of age eas significantly higher than that in the elder ones. A considerable part of EPEC was detected in the adults. Of the 356 strains of pathogens isolated, B. dysenteriae and Rotavirus accounted for 33.1% and 31.8% respectively. and then, EPEC(22.5%), Salmonella(9.3%), Yersinia(2.2%)and Campylobacter (1.1%).In the first quarter of the year, Rotavirus was predominant, giving a positivity rate of 55.3%, in the second quarter, Rotavirus(34.8%) and EPEC(35.9%) came to the fore; in the third quarter, Shigella(41.3%) and in the fourth quarter, Shigella (40.0%) and Rotavirus (31.0%). In the genus of shigella, S. flexnex predominated and in Salmonellae, group B especially S. agona and S. derby predominated.This is the first report for Yersinia 0:44 and 0:12.25 serotypes in our country.

  • 【文献出处】 中国公共卫生 ,Chinese Journal of Public Health , 编辑部邮箱 ,1986年02期
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