摘要
[目的]为了查明学龄前儿童突发群体性肠炎的病因。[方法]治疗采用控制感染、对症处理,同时经药物敏感试验、细菌培养等实验室检查和流行病学研究,指导临床治疗用药和查明病因。[结果]大便标本27例作细菌培养结果提示17例阳性:宋内氏痢疾杆菌生长阳性率62.9%;药敏试验抑菌范围,氧哌嗪青霉素31mm,头孢噻肟钠28mm,头孢三嗪27mm,头孢唑啉22mm,氨苄青霉素20mm,庆大霉素24mm,环丙沙星24mm,SMZco5mm,临床用药与实验室检查结果相符;经流行病学研究证实,这是一起因D群宋内氏痢疾杆菌污染井水引发的学龄前儿童突发细菌性痢疾暴发事件。
[Objective] To find out the cause of preschool children＇s sudden occurred enteritis in groups. [Method] Apply infection control and treatment pointing to symptoms, meanwhile make lab cheek of medicine sensitization test and bacteria cultivation, as well as study of epidemiology, to guide clinical medicine and find the causa morbi. [Result] For the bacteria cultivation to 27 cases of stool sample, 17 cases showed positive： the positive rate was 62.9% for the Shigella sonnei production; for the anti-bacteria range in medicine sensitization test, oxygen piperazine penicillin 31mm, cefotaxime sodium 28 ram, cephal-triazine 27 ram, cefazolin sodium 22 mm,Amplcillin 20 mm,Gentamicin 24 mm,Ciprofloxacin 24 mm and SMZ co 5 mm; the clinical administration actor ded with lab test; proved by epidemiological study, the accident of preschool children＇s sudden-occurred bacteria dysentery was caused by D-group Shigella sonnei polluting well water.
出处
《浙江中医药大学学报》
CAS
2006年第6期600-600,603,共2页
Journal of Zhejiang Chinese Medical University
