The incidence and epidemiological significance of Campylobacter jejuni/coli serotypes in Romania.

V Rusu, H Lior, S Lucinescu, M Kovacs
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Abstract

The distribution per serotypes of 401 Campylobacter strains was studied by Lior's procedure, 241 strains being identified as C. jejuni (60.1%) and 160 as C. coli (39.9%): out of these 329 were of human origin (82%), including 225 C. jejuni and 104 C. coli, and 72 were isolated from fowls and swine (16 C. jejuni, 56 C. coli). Out of the total of 401 strains, 363 (90.5%) were typable. Among human strains, 32 serotypes were identified, more frequently encountered being (in a decreasing order) 29, 4, 21, 2, 1, 9, 59, 44, 36, 48, 28, 8, 47, 5, 11, 57, 10, 32, 55 which sum up 89.5% of the 296 typable strains. Within C. jejuni species, serogroup 4 was the predominant one and for the C. coli one--29. Animal strains were distributed into 16 serogroups out of which 29, 26, 48, 55, 44 were more frequently encountered. The serogroups identified among animal strains were encountered, with a single exception, among human strains, too, but with a different frequency. The importance of serogrouping as an epidemiological marker, was confirmed by serogroup identity of the strains within some family foci, by the oneness, as serogroups, in the case of repeated isolations from the same patient as well as by establishing an epidemiological diagnosis, in the case of an epidemic, occurring among the members of a given community.

罗马尼亚空肠弯曲杆菌/大肠杆菌血清型发病率及流行病学意义
采用Lior方法对401株弯曲杆菌的分布进行了研究,其中241株为空肠弯曲杆菌(60.1%),160株为大肠弯曲杆菌(39.9%),其中329株为人类来源(82%),其中225株为空肠弯曲杆菌,104株为大肠弯曲杆菌,72株从家禽和猪中分离出来(16株为空肠弯曲杆菌,56株为大肠弯曲杆菌)。401株中可分型363株(90.5%)。在人类菌株中鉴定出32种血清型,较常见的依次为29、4、21、2、1、9、59、44、36、48、28、8、47、5、11、57、10、32、55,占296株可分型菌株的89.5%。在空肠梭菌中,血清群4为优势菌群,大肠梭菌为优势菌群。动物菌株分布在16个血清群中,最常见的有29、26、48、55、44个血清群。除了一个例外,在动物菌株中发现的血清群在人类菌株中也遇到过,但频率不同。血清分组作为流行病学标志的重要性得到了以下方面的证实:一些家庭疫源地内菌株的血清组同一性;在同一病人反复分离的情况下,作为血清组的一致性;在发生流行病的情况下,在某一社区的成员中进行流行病学诊断。
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