肠道门诊165例腹泻患者的病原菌及流行病学分析  

Microbiology and epidemiology of 165 diarrhea patients in intestinal tract clinic

作　　者：陈铭[1] 于艳华[1] 张立丽[1] 何菡[1] 王晨[1] 赵秀英[1] 孙桂珍[1] 李俊红[1] 

机构地区：[1]首都医科大学附属北京佑安医院临检中心,北京100069

出　　处：《中华医院感染学杂志》2011年第11期2247-2248,共2页Chinese Journal of Nosocomiology

摘　　要：目的了解北京市2010年肠道门诊就诊患者的病原菌检出率、流行特征和危险因素,以便针对重点人群制定肠道传染病的防治策略。方法回顾性总结并运用描述性研究,对2010年4-9月在医院肠道门诊按腹泻病就诊的165例患者,分别进行细菌学、流行病学调查,并采集粪便标本进行细菌检测。结果在165例腹泻患者粪便标本中,检出病原菌13株,占7.9%,主要为志贺菌属与霍乱弧菌,患者中男性多于女性,以20~50岁的病例居多;可疑致病的食物以熟肉冷荤、水产品等为主。结论 2010年腹泻患者的病原菌检出率不高,但有霍乱病例,提示对该病仍应重点预防控制;由于感染性腹泻与非感染性腹泻从临床症状上难以鉴别,应针对重点人群开展有效预防控制工作。OBJECTIVE To investigate pathogenic bacteria＇ isolating rates,epidemic characters and risk factors of patients from an intestinal tract clinic in 2010,in order to formulate prevention and cure strategy for enteric infection diseases.METHODS A total of 165 patients diagnosed as diarrhea disease in an intestinal tract clinic from April to September in 2010 were analyzed by retrospective summary and descriptive research.Stool samples were collected to detect pathogenic bacteria.RESULTS Totally 13 pathogenic strains were detected in 165 samples and the detection rate was 7.9%.The main bacteria were Shigella and Vibrio cholerae.The morbidity of male was more than female aged between 20 and 50 years old.The food suspected morbigenous mainly contained deli and cold dish,fishery product and so on.CONCLUSIONS The intestinal pathogenic bacteria′ detection rates are not high.However,choleara were detected,and it needs the emphasis on prevention and control.Through this investigation of diarrhea disease,it is difficult to distinguish infectious diarrhea and non-infectious diarrhea through the clinical symptom.Thus,it is essential to launch valid prevention and control works to aim the focus groups.

关 键 词：腹泻病 细菌学 检测 流行病学 调查 

分 类 号：R181.32[医药卫生—流行病学]