本文選題：感染性腹瀉 + 病原菌��； 參考：《現(xiàn)代預防醫(yī)學》2016年22期

【摘要】：目的了解西安市2003-2015年感染性腹瀉細菌病原譜及其變遷情況,為其防治提供參考依據(jù)。方法從西安市感染性腹瀉監(jiān)測哨點醫(yī)院就診病例的糞便樣本中培養(yǎng)分離出病原菌,對其分布和變遷情況進行統(tǒng)計學分析。結果共檢出病原菌5種305株,檢出率8.10%(305/3 767)。其中志賀菌檢出最多(60.00%,183/305),其次是沙門菌(24.26%,74/305),致病性大腸桿菌(10.49%,32/305),副溶血性弧菌(4.59%,14/305),O157∶H7腸出血性大腸桿菌(0.33%,1/305),非O1和O139霍亂弧菌(0.33%,1/305)。男性病原菌檢出率為8.12%(167/2 056),女性為8.07%(138/1 711);7-8月份是病原菌檢出高峰期;10~19歲年齡組病原菌檢出率最高,達41.56%(101/243)。志賀菌屬中B群為優(yōu)勢菌型(59.02%,108/183),其次是D群(28.96%,53/183),A群(8.20%,15/183)和C群(3.82%,7/183);福氏志賀菌(B群)構成比逐漸下降(χ2趨勢=15.14,P0.05),宋內(nèi)志賀菌(D群)構成比逐漸上升(χ2趨勢=7.59,P0.05)。結論西安市感染性腹瀉病原菌以志賀菌為主,其次是沙門菌和致病性大腸桿菌。應注意志賀菌優(yōu)勢菌型的變遷并加強副溶血性弧菌和腸出血性大腸桿菌的主動監(jiān)測。
[Abstract]:Objective to investigate the bacterial spectrum and changes of infectious diarrhea in Xi'an from 2003 to 2015, and to provide reference for its prevention and treatment. Methods pathogenic bacteria were isolated from fecal samples of surveillance sentinel hospital of infectious diarrhea in Xi'an, and their distribution and changes were analyzed statistically. Results A total of 305 strains of 5 species were detected, and the detection rate was 8.10%, 305% and 3767%, respectively. Among them, Shigella detected the most 60.003 / 305, followed by Salmonella 24.26 and 74 / 305, pathogenic Escherichia coli 10.4949 / 305, Vibrio parahaemolyticus 4.59 / 305N 14 / 305H 157H 7 enterohemorrhagic Escherichia coli 0.333.05%, non-O 1 and O139 Vibrio cholerae 0.3313 1 / 305N. The detection rate of pathogenic bacteria was 8.12% 167R / 2056g in male, 8.07% in female, 138R / 1711C in July / August. The highest detection rate of pathogenic bacteria was found in the age group of 10 ~ 19 years old (41.56%) in July and August. Group B of Shigella was the dominant group of 108 / 183, followed by group D 28.96 and group A 8.2015 / 183) and group C 3.82 / 7 / 183; the composition ratio of Shigella flexneri B decreased gradually (蠂 2 trend 15.14 P0.05N, group D) gradually increased (蠂 2 trend 7.59% P 0.05N). (P < 0.05), the composition ratio of Shigella flexneri group B was gradually decreased (蠂 ~ 2 trend: 7.59%, P 0.05N) (蠂 2 trend: 7.59%, P 0.05N), and that of Shigella flexneri group B decreased gradually (蠂 2 trend: 15.14%, P 0.05%, P 0.05%) (蠂 2 trend, 7.59%, P 0.05%). Conclusion Shigella is the main pathogen of infectious diarrhea in Xi'an, followed by Salmonella and pathogenic Escherichia coli. We should pay attention to the change of predominant strains of Shigella and strengthen the active monitoring of Vibrio parahaemolyticus and Escherichia coli.
【作者單位】： 西安市疾病預防控制中心;
【分類號】：R446.5

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相關期刊論文 前10條

1 茅儉英;向倫輝;沈雋卿;金凱;楊興堂;袁國平;;2014年上海市寶山區(qū)腹瀉病監(jiān)測結果分析[J];實用預防醫(yī)學;2016年02期

2 李平;陳懿;徐景野;;寧波市鄞州區(qū)感染性腹瀉細菌病原學監(jiān)測與分析[J];中國衛(wèi)生檢驗雜志;2016年03期

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本文編號：1820643