【摘要】 目的了解通州区腹泻病人的病原谱情况,为肠道传染病的防制工作和临床用药等提供参考依据。方法在通州区的部分二级医院采集未用抗生素的腹泻病人粪便标本,进行流行病学调查,并进行霍乱弧菌、痢疾杆菌、副溶血弧菌、沙门氏菌和5种致泻性大肠埃希菌等细菌分离培养和鉴定。结果共采集303份腹泻病人粪便标本,其中男性169例,女性134例,以幼儿和青年病例为主,20~39岁占48.5%,城市病例244例,占80.5%。共培养76株细菌,其中志贺氏菌13株(4.3%)、沙门氏菌17株(5.6%)、副溶血弧菌31株(10.2%)、产毒性大肠杆菌1株(0.3%)、其他肠道病原菌14株(4.6%),志贺氏菌、沙门氏菌、副溶血弧菌、产毒性大肠杆菌这4种主要肠道病原菌阳性率为20.5%,总肠道病原菌阳性率为25.1%。结论通州区腹泻病例肠道病原菌种类繁多,应继续加强监测工作。更多还原

【Abstract】 Objective To understand enteric pathogenic bacteria spectrum of diarrhea patients in Tongzhou,then put forward preventive and treatment work of enteric infectious disease.Methods Stool samples of unused antibiotics diarrhea patients in grade two hospitals were collected,and epidemiologic survey was conducted among these patients,enteric pathogenic bacteria of shegella salmonella vibrio parahaemolyticus e.coli etc were isolated and cultured.Results 303 stool samples of diarrhea patients were collected,169 patients were male,134 patients were female;most of the patients were children and youth from 20 to 39 years old,acounted 48.5%;patients living in city were 244 cases(80.5%);shegella 13 strains(4.3%), salmonella 17 strains(5.6%),vibrio parahaemolyticus 31 strains(10.2%),ETEC 1 strain(0.3%) and other enteric pathogenic bacteria 14 strains(4.6%) were cultured.There were 76 enteric pathogenic strains in total.The positive rate of main enteric pathogenic bacteria was 20.5 percent,the total positive rate of enteric pathogenic bacteria was 25.1 percent.Conclusions The sort of enteric pathogenic bacteria of diarrhea patients is diverse in Tongzhou,and have its district characteristics,we should enhance supervision work.更多还原