查詢結果分析
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頁籤選單縮合
題 名 | 2004~2012年臺灣再發性類鼻疽個案之感染情形分析=Recurrent Melioidosis in Taiwan, 2004~2012 |
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作 者 | 陳嘉綾; 劉妤媺; 慕蓉蓉; | 書刊名 | 疫情報導 |
卷 期 | 30:18 2014.09.23[民103.09.23] |
頁 次 | 頁360-368 |
分類號 | 412.41 |
關鍵詞 | 類鼻疽; 再發性感染; 脈衝式電泳分子分型; Melioidosis; Recurrence; Pulsed-field gel electrophoresis; |
語 文 | 中文(Chinese) |
中文摘要 | 類鼻疽是由類鼻疽伯克氏菌所引起之人畜共通疾病,主要流行地區包括東南亞及澳洲北部。臺灣疾病管制署傳染病監測系統資料顯示,2004至 2013年止,確定病例共計 363例。再發性感染(recurrence) 一直是類鼻疽最重要之併發症,統計顯示有大於6%的人雖經過完整抗生素治療,仍會出現再發性感染,另依據再發性感染與初次感染菌株相同與否,又可區分為復發(relapse)與再感染(reinfection)。本研究中利用脈衝式電泳分子分型進行菌株分子分型探討臺灣 2004至 2012年間 20例再發性感染個案,發現皆屬復發而非再感染。此外分析比較個案之背景資料,顯示酒癮可能為造成復發之危險因子,而糖尿病、高血壓、腎臟病、心臟病、肝臟病及癌症等因子則無顯著影響。另依文獻顯示,抗生素治療方式亦為影響復發的重要因素之一,建議臨床醫師於治療病患時,能加強依據醫囑接受完整抗生素療程的觀念,並可強化酒癮患者之相關衛教,藉以減低類鼻疽復發的情形。 |
英文摘要 | Melioidosis is a zoonosis caused by Burkholderia pseudomallei and endemic in Southeast Asia and Northern Australia. Taiwan Centers for Disease Control started the surveillance for melioidosis since 2000, and 363 cases were identified from 2004 to 2013. Despite the standard antimicrobial treatment, recurrent infection occurs. It is the most important complication in survivors, with more than 6% of patients affected who survived the primary episode. Recurrence can be classified into relapse and reinfection by comparing the bacterial genotype of strain pairs isolated during primary and recurrent episodes. In this study, we determined all 20 recurrent cases from 2004 to 2012 in Taiwan as relapse, but not reinfection, by pulsed-field gel electrophoresis. Through analyzing the patient’s background and clinical parameters in relapse cases, alcoholism came out as a risk factor for relapse. Furthermore, according to published studies, the protocol of antimicrobial treatment is an important determinant for relapse. In summary, in order to reduce the relapse rate of melioidosis, standard courses of antibiotic treatment are critical, and the instructions should be reinforced to alcoholic melioidosis patients. |
本系統中英文摘要資訊取自各篇刊載內容。