2014年上海市宝山区腹泻病监测结果分析

发布时间：2018-03-14 12:31

本文选题：腹泻　切入点：病原谱　出处：《实用预防医学》2016年02期 　论文类型：期刊论文

【摘要】：目的了解上海市宝山区腹泻病流行特征和病原谱分布,为制定防控措施提供科学依据。方法 2014年上海市宝山区2家在监测点肠道门诊对腹泻病病例进行监测,按一定的抽样间隔进行调查,并采集粪便标本,进行细菌培养和病毒检测。对检测阳性的细菌菌株进行抗生素耐药实验。结果 2014年两家监测点医院共监测到腹泻病2 486例,腹泻病发病呈明显季节性。380例病例的粪便标本开展病原学检测,179例病例标本病原检出阳性,检出率为47.11%;检出细菌5种、病毒4种;细菌检出率为14.74%(56/380),主要为致泻性大肠杆菌(32例,占57.14%)、沙门菌(10例,占17.86%)和副溶血型弧菌(10例,占17.86%);病毒检出率为37.11%(141/380),主要为诺如病毒(98例,占69.50%)、轮状病毒(20例,占14.18%)。夏季以细菌感染为主,冬春季以病毒感染为主。4种细菌对抗生素都有不同程度耐药。结论2014年上海市宝山区腹泻病病原谱较为广泛,季节高峰较为明显,应该在不同季节根据不同病原流行情况开展针对性防控措施。
[Abstract]:Objective to understand the epidemic characteristics and distribution of diarrhoeal diseases in Baoshan District, Shanghai, and to provide scientific basis for making prevention and control measures. Methods in 2014, two intestinal outpatients in Baoshan District of Shanghai monitored the cases of diarrhoeal diseases. According to a certain sampling interval, the stool samples were collected for bacterial culture and virus detection. Antibiotic resistance tests were carried out on the positive bacteria strains. Results in 2014, 2 486 cases of diarrhea were detected in two hospitals. Stool specimens of 0.380 cases of diarrhoeal diseases were detected by etiology. The positive rate of pathogens in 179 cases was 47.11. 5 kinds of bacteria and 4 kinds of viruses were detected. The detection rate of bacteria was 14.74% 56 / 380, which was mainly 32 cases of cathartic Escherichia coli. (57.14%), 10 cases of Salmonella (17.86%) and 10 cases of Vibrio parahaemolyticus (17.86%); the detection rate of virus was 37.11%, 141% 380%, 98 cases (69.50%) of Norovirus, 20 cases of rotavirus (14.18%) in summer. In winter and spring, 4 kinds of bacteria mainly infected by virus were resistant to antibiotics to different degrees. Conclusion in 2014, the pathogen spectrum of diarrhea in Baoshan District of Shanghai is more extensive, and the seasonal peak is obvious. We should carry out targeted prevention and control measures according to the epidemic conditions of different pathogens in different seasons.
【作者单位】：上海市宝山区疾病预防控制中心;
【基金】：上海市宝山区传染病流行病学特色专科(BSZK-2014-A07)
【分类号】：R512.5

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