摘要
目的分析2015至2020年湖州市第一人民医院肠道门诊食源性腹泻患者病原菌检测结果,给当地感染性腹泻的防控提供科学依据。方法回顾性收集4,171例腹泻患者的病例病例资料,并对细菌培养、鉴定进行分析,从患者的性别、年龄、发病时间等方面统计分析。结果4,171份粪便标本共分离出阳性菌株853株,阳性率为20.45%,阳性菌株分别为致泻性大肠埃希菌、副溶血性弧菌、嗜水/豚鼠气单胞菌、沙门菌、霍乱弧菌(非O1、非O139群)、河流弧菌。其中,致泻性大肠埃希菌检出率(8.75%)最高。腹泻患者的年龄、病原菌分布均存在差异,在每年的5月份检出率开始升高,7月至9月到达最高峰,12月至次年2月检出最少。结论结合该地区腹泻疾病的流行病学进行科学防控,有助于降低感染性腹泻的发生率。
Objective To analyze the detection results of pathogenic bacteria in patients with foodborne diarrhea in the intestinal outpatient department of Huzhou first people's hospital from 2015 to 2020,so as to provide scientific basis for the prevention and control of local infectious diarrhea.Methods The fecal samples of 4,171 patients with diarrhea were collected retrospectively,and the bacteria were cultured and identified.The statistical analysis was carried out from the aspects of gender,age and time of onset.Results A total of 853 positive strains were isolated from 4,171 stool samples,with a positive rate of 20.45%.The positive strains were diarrhea-causing Escherichia coli,Vibrio parahaemolyticus,Aeromonas hydrophila/guinea pigs,Salmonella,Vibrio cholerae(non-O1,non-O139 group)and Vibrio fluvius.Among them,the highest detection rate of diarrhea-causing Escherichia coli was 8.75%.There were differences in the age group distribution and pathogen distribution of diarrhea patients.The detection rate began to increase in May every year,reaching the peak from July to September,and the detection rate was the least from December to February.Conclusion Scientific prevention and control combined with the epidemiological characteristics of diarrhea diseases in this area will help to reduce the incidence of infectious diarrhea.
出处
《浙江临床医学》
2022年第6期920-922,共3页
Zhejiang Clinical Medical Journal
基金
浙江省医药卫生青年人才项目(2019RC082)。
关键词
肠道门诊
腹泻
病原菌种类
流行特征
Intestinal clinic
Diarrhea
Pathogenic bacteria
Epidemic characteristics
