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題 名 | Clinical and Epidemiological Study of 93 Cases of Shigellosis in Hualien=花蓮地區93志賀桿菌病例之臨床及流行病學之研究 |
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作 者 | Weinstock,Martin A.; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷 期 | 28:5 民76.09-10 |
頁 次 | 頁269-277 |
分類號 | 415.133 |
關鍵詞 | 志賀桿菌; 花蓮; 流行病學; 病例; 臨床; |
語 文 | 英文(English) |
中文摘要 | 志賀桿菌病是臺灣地區重要的細菌性腸炎致病菌。我們於1981年3月至1983年2月2年之間,於本院住院與門診病人中,共觀察93個志賀氏桿菌感染病例。其中有68個病人(80%)為19歲以下之小孩與青少年。 80個病例為散發性,其中5例(5%)為Shigella dysenteriae (group A),42例(45%)為S. flexneri (B),1例(1%)為S. boydii (C),32例為S. sonnei (O),13個病例為一國民小學發生流行之學童,其均為S.flexneri。35%之病例有帶血粘便。在25例有做糞便塗片之wright染色檢查中,有83%其多葉性白血球多於70%。77%的病例有發燒。8個病例有痙攣,其中6例為S. sonnei,2例為flexneri。抗生素敏感試驗顯示一半以上對Ampicillin有抗藥性,絕大多數菌株(94%)均對Chlormphenicol有抗藥性,只有7%對Trimethoprim/Sulfomethoxazole有抗藥性。在此觀察期間將S. sonnei之地理分佈改變情況加以分析,我們發現此種菌株於2年中在花蓮縣內有明顯的增加,同時也有從城區向四週鄉間擴延之現象。先進工業國家與工業地區在過去也有類似的觀察發現。 |
英文摘要 | Shigellosis is an important cause of bacterial enterocolitis in Taiwan. During the 2-year period from March 1981 to February 1983, 93 patients were diagnosed with Shigellosis in both the out-and in-patient departments at this hospital. Sixty-eight (80%) were under 19 years of age. Eighty were sporadic cases, of which 5 were Shigella dysenteriae (group A), 42 (45%) S. flexneri (group B), 1 (1%) S. boydii (group C), and 32 (34%) S. sonnei (group D). Thirteen patients attending a single elementary school were endemic cases with S. flexneri. Thirty-five percent of the patients had bloody, mucoid stools. Wright stain of stool smears was done in 36 cases, 25 of which showed polymorphonuclear differential counts greater than 70%. All smears showed more than 30% polymorphonuclear leukocytes. Seventy-seven percent of the patients had fever. Eight patients had seizures; of these, six had S. sonnei and two, S. flexneri. Antibiotic sensitivity testing revealed that more than half of all strains were resistant to Ampicillin. This was especially true of S. flexneri; 77% of the strains were resistant during the last six months of the study. Almost all (94%) were resistant to chloramphenicol, but only 7% were resistant to trimethoprim/sulfomethoxazole. S. sonnei was found to have increased substantially in the Hualien county area during the study. Spread of the strain toward the surrounding urban area was also shown. These findings are similar to experiences in other industrialized countries. |
本系統中英文摘要資訊取自各篇刊載內容。