發(fā)布時間：2018-03-14 12:31

  本文選題：腹瀉　切入點：病原譜　出處：《實用預防醫(yī)學》2016年02期 　論文類型：期刊論文

【摘要】：目的了解上海市寶山區(qū)腹瀉病流行特征和病原譜分布,為制定防控措施提供科學依據(jù)。方法 2014年上海市寶山區(qū)2家在監(jiān)測點腸道門診對腹瀉病病例進行監(jiān)測,按一定的抽樣間隔進行調(diào)查,并采集糞便標本,進行細菌培養(yǎng)和病毒檢測。對檢測陽性的細菌菌株進行抗生素耐藥實驗。結(jié)果 2014年兩家監(jiān)測點醫(yī)院共監(jiān)測到腹瀉病2 486例,腹瀉病發(fā)病呈明顯季節(jié)性。380例病例的糞便標本開展病原學檢測,179例病例標本病原檢出陽性,檢出率為47.11%;檢出細菌5種、病毒4種;細菌檢出率為14.74%(56/380),主要為致瀉性大腸桿菌(32例,占57.14%)、沙門菌(10例,占17.86%)和副溶血型弧菌(10例,占17.86%);病毒檢出率為37.11%(141/380),主要為諾如病毒(98例,占69.50%)、輪狀病毒(20例,占14.18%)。夏季以細菌感染為主,冬春季以病毒感染為主。4種細菌對抗生素都有不同程度耐藥。結(jié)論2014年上海市寶山區(qū)腹瀉病病原譜較為廣泛,季節(jié)高峰較為明顯,應該在不同季節(jié)根據(jù)不同病原流行情況開展針對性防控措施。
[Abstract]:Objective to understand the epidemic characteristics and distribution of diarrhoeal diseases in Baoshan District, Shanghai, and to provide scientific basis for making prevention and control measures. Methods in 2014, two intestinal outpatients in Baoshan District of Shanghai monitored the cases of diarrhoeal diseases. According to a certain sampling interval, the stool samples were collected for bacterial culture and virus detection. Antibiotic resistance tests were carried out on the positive bacteria strains. Results in 2014, 2 486 cases of diarrhea were detected in two hospitals. Stool specimens of 0.380 cases of diarrhoeal diseases were detected by etiology. The positive rate of pathogens in 179 cases was 47.11. 5 kinds of bacteria and 4 kinds of viruses were detected. The detection rate of bacteria was 14.74% 56 / 380, which was mainly 32 cases of cathartic Escherichia coli. (57.14%), 10 cases of Salmonella (17.86%) and 10 cases of Vibrio parahaemolyticus (17.86%); the detection rate of virus was 37.11%, 141% 380%, 98 cases (69.50%) of Norovirus, 20 cases of rotavirus (14.18%) in summer. In winter and spring, 4 kinds of bacteria mainly infected by virus were resistant to antibiotics to different degrees. Conclusion in 2014, the pathogen spectrum of diarrhea in Baoshan District of Shanghai is more extensive, and the seasonal peak is obvious. We should carry out targeted prevention and control measures according to the epidemic conditions of different pathogens in different seasons.
【作者單位】： 上海市寶山區(qū)疾病預防控制中心;
【基金】：上海市寶山區(qū)傳染病流行病學特色�？�(BSZK-2014-A07)
【分類號】：R512.5

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