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來源資料
相關文獻
- Incidence and Clinical Manifestations of Campylobacter Enteritis in Central Taiwan
- Campylobacter Enterocolitis in Children: Clinical and Microbiological Analysis of 167 Cases
- Eosinophilic Gastroenteritis with Unusual Presentation--Clinical Experience and Review of the Literature
- 彎曲桿菌性腸炎的流行病學
- 與公共衛生相關之常見重要食品致病細菌
- 腸炎沙門氏桿菌污染之三明治引起的集體食品中毒事件
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- 透析病人合併偽膜性腸炎
- 豬迴腸炎
- 新生兒壞死性小腸結腸炎
頁籤選單縮合
題 名 | Incidence and Clinical Manifestations of Campylobacter Enteritis in Central Taiwan=臺灣中部地區彎曲桿菌腸炎之發生及臨床特徵 |
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作 者 | 林振文; 尹寶倫; 鄭庚申; | 書刊名 | 中華醫學雜誌 |
卷 期 | 61:6 1998.06[民87.06] |
頁 次 | 頁339-345 |
分類號 | 415.556 |
關鍵詞 | 彎曲桿菌; 腸炎; 分離率; 季節差異; Campylobacter; Enteritis; Isolation rate; Seasonal variation; |
語 文 | 英文(English) |
中文摘要 | 背景:彎曲桿菌普遍被認為是引發人類急性胃腸炎的病原菌之一,而且與Guillain-Barr'e 症候群病因的相關性持續增加。彎曲桿菌感染之病人年齡分佈及流行季節因不同地區、不同國家而異。 此論文中,我們調查臺灣中部地區彎曲桿菌感染之臨床病徵及流行病學特質。 方法:從1994年1月至1996年12月三年間,臺灣中部地區醫學院附設醫院之腹瀉或胃腸炎病患大便檢查 中分離彎曲桿菌者,進入本調查。分析彎曲桿菌感染病患之資料,如季節、年齡、性別及臨床病徵等。 結果:我們從6,540位腹瀉或胃腸炎病患糞便中分離出162株彎曲桿菌,其分離率為2.5%。154位彎曲桿菌 腸炎患者(95%)的年齡小於五歲(p< 0.001)。彎曲桿菌腸炎發生率為男性(62.3%)高於女性 (37.7%)(p=0.0017),而流行季節冬季高於夏季(335.5 vs 24.1%, p=0.021)。空腸彎曲桿菌為主要 感染菌,佔分離彎曲桿菌之81%(p<0.001)。彎曲桿菌分離率逐年上升,由1994年比值為1.9%(34/1,754) 至1996年比值為2.8%(57/2,187),且相對於沙門桿菌分離比例逐年上升,由1994年比值為1:6.5至1996 年比值為1:3.6(34/221 vs 57/205),但是無統計上差異(p>0.05)。水樣腹瀉是最主要的臨床症狀,其 次發熱發現於過半的感染病患中。 結論:臺灣中部腹瀉或胃腸炎病患感染彎曲桿菌發生率低於其它國家。我們發現彎曲桿菌感染盛行於 小於五歲的嬰幼兒,他們為主要感染病患。彎曲桿菌腸炎發病率男性高於女性,盛行季節冬季高於夏 季。空腸彎曲桿菌為主要感染菌,佔分離彎曲桿菌之81%。我們建議小於五歲的嬰幼兒腹瀉或胃腸炎, 糞便須作彎曲桿菌鑑定培養。 |
英文摘要 | Background: Campylobacter species are recognized as a major cause of acute gastroenteritis in humans throughout the world and are increasingly associated with the development of Guillain-Barr'e syndrome. The age distribution of persons and the seasonal patterns of Campylobacter infection are different in many developed and developing countries. The present study reports the investigation of the clinical and epidemiologic features of Campylobacter infections in central Taiwan. Methods: From January 1994 to December 1996, stool specimens from patients with diarrhea or gastroenteritis were cultured for the Campylobacter species at the China Medical College Hospital. Data collected and evaluated included the type of Campylobacter species isolated, date of report, age and sex of the person from whom the isolate came, and clinical symptoms. Results: Of 6,540 patients with diarrhea or gastroenteritis, 162 Campylobacter isolates were identified, yielding an isolation rate of 2.5% from the population studied. One hundred and fifty-four patients (95%) with Campylobacter infection were younger than five years old, which was significantly different from the population studied (p < 0.001). The Campylobacter infection was significantly higher in males (62.3%) than females (37.7%)(p=0.0017). In central Taiwan, the incidence of Campylobacter enteritis is higher during the winter (35.2%) than during the spring (19.l%), summer (24.1%) or fall (21.6%) (35.2 vs 24.1%, p =0.021). Campy1obacter jejuni was found to comprise 81% (132 strains) of 162 Campylobacter isolates, and its isolation rate was significantly higher than Campylobacter lari (10%) and Campylobacter coli (9%) (p <0.001). From 1994 to 1996, isolation rates of Campylobacter species increased from 1.9 to 2.8% of the population studied (34/1,754 vs 57/2,187) and the positive isolation rate ratio of Campylobacter species to Salmonella species also increased from 15.4 to 27.8% (34/221 vs 57/205). However, no significant difference was found between these results (p > 0.05). Watery diarrhea is the most characteristic manifestation of illness, and fever occurs in more than half of the patients. Conclusions: In central Taiwan, the incidence of Campylobacter enteritis in patients with diarrhea or gastroenteritis is lower than those in China and Tanzania, but the highest prevalence occurs before five years of age in central Taiwan as well as these countries. The Campylobacter infection rate was significantly higher in males than females, and occurred primarily in winter. We conclude that Campylobacter cultures should be performed for fecal specimens of all diarrheal children aged up to five years. |
本系統中英文摘要資訊取自各篇刊載內容。