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目的通过对芜湖市市区医疗机构腹泻病患者调查,了解引起感染性腹泻病的细菌性病原分布。方法按统一的调查及标本采集方案,收集2010~2012年哨点医院儿科、内科、腹泻病门诊腹泻病患者信息和进行粪便分离培养,根据生化反应和血清学试验进行病原确定。结果芜湖市哨点医院细菌性感染性腹泻主要病原菌,占57.03%,为沙门氏菌、致病性大肠埃希氏菌、副溶血性弧菌、志贺氏菌、嗜水气单胞菌,条件致病菌克雷伯氏菌和奇异变形杆菌均有检出。结论芜湖市哨点医院细菌性感染性腹泻病原菌主要是沙门氏菌、副溶血性弧菌、志贺氏菌,致病性大肠埃希氏菌,其中以致病性大肠埃希氏菌为主。
Objective To investigate the distribution of bacterial pathogens causing infectious diarrhea through investigation of diarrhea patients in urban medical institutions in Wuhu City. Methods According to the unified investigation and specimen collection program, the information of diarrhea patients in outpatient department of pediatrics, internal medicine and diarrhea outpatient department in sentinel hospital from 2010 to 2012 was collected and the stools were isolated and cultured. The pathogen was identified according to biochemical reaction and serological test. Results The main pathogens of bacterial infectious diarrhea in sentinel hospital of Wuhu City accounted for 57.03%, which were Salmonella, pathogenic Escherichia coli, Vibrio parahaemolyticus, Shigella, Aeromonas hydrophila, Klebsiella spp. And Proteus mirabilis were detected. Conclusions The pathogens of bacterial infectious diarrhea in sentinel hospital of Wuhu City are mainly Salmonella, Vibrio parahaemolyticus, Shigella, pathogenic Escherichia coli, and pathogenic Escherichia coli are the main pathogens.