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目的分析2013─2014年新疆克拉玛依市细菌性腹泻病的流行特征及病原谱,为肠道传染病的防制工作提供参考依据。方法统计2013─2014年5—10月克拉玛依市监测医院门诊、急诊因腹泻病就诊人次及就诊总人次,计算腹泻病患者就诊比例;采集腹泻病患者粪便标本,进行霍乱、伤寒/副伤寒、细菌性菌痢、大肠杆菌O157∶H7和小肠结肠炎耶尔森氏菌病原的分离培养和鉴定。结果 2013—2014年克拉玛依市腹泻病就诊比例平均为3.23%;0~4岁组腹泻患者门诊就诊人次最多,占就诊总人次的40.32%;采集590份腹泻病患者粪便标本,培养检出阳性菌29株,检出率为4.91%;志贺氏菌、沙门氏菌和致病性大肠杆菌3种主要肠道病原菌的检出率为3.56%,占检出菌株总数的72.40%。结论克拉玛依市细菌性腹泻病的监测结果,真实反映了全市肠道传染病的疫情变化趋势,对及时掌握疫情动态具有积极意义,腹泻病肠道病原菌种类多,应继续加强监测工作,降低肠道传染病的发病。
Objective To analyze the epidemiological and pathogenic profiles of bacterial diarrhea in Karamay, Xinjiang from 2013 to 2014, and provide references for the prevention and control of intestinal infectious diseases. Methods Statistics From May to October 2013, Karamay City Surveillance Hospital outpatient and emergency department visits for diarrheal diseases and the total number of visits to calculate the proportion of patients with diarrhea; stool samples of patients with diarrhea were collected for cholera, typhoid / paratyphoid, bacteria Bacterial dysentery, Escherichia coli O157: H7 and Yersinia enterocolitica isolates of culture and identification. Results The average visiting rate of diarrheal disease in Karamay between 2013 and 2014 was 3.23%. Outpatients with diarrhea in 0 ~ 4 years old accounted for 40.32% of the total number of visits, and 590 specimens of diarrhea patients were collected to detect positive bacteria 29 strains were detected with a detection rate of 4.91%. The detection rates of three major enteric pathogens such as Shigella, Salmonella and pathogenic Escherichia coli were 3.56%, accounting for 72.40% of the total strains detected. Conclusions The monitoring results of bacterial diarrhea in Karamay truly reflect the trend of epidemic situation of intestinal infectious diseases in the city and have positive significance in grasping the epidemic situation in time. There are many kinds of intestinal pathogens in diarrhea and should continue to strengthen the monitoring work and reduce the intestinal tract The incidence of infectious diseases.