大便培养确诊细菌性痢疾者的临床特点分析

发布时间：2018-10-16 13:57

【摘要】：目的探讨门诊急性腹泻患者的病原结果及大便培养确诊细菌性痢疾病例的临床特点。方法回顾性分析2012年4月至2015年10月从首都医科大学宣武医院肠道门诊急性腹泻患者中,随机抽样的1280例患者大便培养结果及临床资料。结果 1280例大便标本共检出5种主要肠道致病菌180株,志贺菌属培养阳性率为3.8%(49/1280),其中宋内菌36例(占73.5%),福氏菌13例(占26.5%)。49例细菌性痢疾大便培养阳性患者中,大便常规达到细菌性痢疾诊断标准者不到20%(占18.4%);而临床表现有高热者(T≥38.5℃)约占1/3(28.6%),明显高于培养出非志贺菌属组或未培养出细菌组(P0.05)。大便常规提示细菌性痢疾的132例患者中,大便培养志贺菌属阳性者不到10%(6.8%)。结论细菌性痢疾中宋内菌占绝对优势,大便培养确诊的细菌性痢疾患者的临床特点(除发热外)与其他急性腹泻患者相比并无特异性。
[Abstract]:Objective to investigate the pathogenic results of outpatients with acute diarrhea and the clinical characteristics of bacterial dysentery diagnosed by stool culture. Methods from April 2012 to October 2015, 1280 patients with acute diarrhea were randomly selected from Xuanwu Hospital of Capital Medical University. The results of stool culture and clinical data were analyzed retrospectively. Results A total of 180 strains of 5 major intestinal pathogenic bacteria were detected in 1280 stool specimens. The positive rate of Shigella culture was 3.8% (49 / 1280), including 36 cases (73.5%) of Soonella and 13 cases (26.5%) of flexneria. Less than 20% (18.4%) of the stool routine met the diagnostic criteria of bacillary dysentery, while 1 / 3 (28.6%) of the patients with high fever (T 鈮，

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