孟加拉国嗜水气单胞菌和志贺氏单胞菌感染与非o1型霍乱弧菌和副溶血性弧菌感染腹泻的临床和流行病学特征

ISRN Microbiology Pub Date : 2012-09-24 Print Date: 2012-01-01 DOI:10.5402/2012/654819
Erik H Klontz, Abu S G Faruque, Sumon K Das, Mohammed A Malek, Zhahirul Islam, Stephen P Luby, Karl C Klontz
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引用次数: 17

摘要

利用1996年至2001年孟加拉国国际腹泻病研究中心(icddr,b)的数据,我们比较了粪便标本中只产生嗜水杆菌的患者的腹泻临床特征(189例患者;1.4%(13,970例筛查患者)或志贺氏弧菌(253例患者)与单纯的非o型霍乱弧菌感染(99例患者)或副溶血性弧菌感染(126例患者)相比。患者表现出相似的发热频率(温度>37.8°C),大便呈水样,大便含有可见粘液。在副溶血性弧菌或非0型霍乱弧菌感染的患者中,脱水更为常见。与感染副溶血性弧菌的患者相比,那些感染了嗜水单胞杆菌、志贺氏杆菌或非o型霍乱弧菌的患者不太可能报告粪便中可见血液,并且在显微镜检查中,不太可能表现出粪便中红细胞和白细胞计数超过每高倍视场20个细胞。报告出院时主观治愈的患者比例在感染副溶血性弧菌的患者中明显较小。这些发现表明,与非o型霍乱弧菌或副溶血性弧菌感染相比,嗜水单胞杆菌和志贺氏杆菌引起的腹泻病较轻。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Clinical and Epidemiologic Features of Diarrheal Disease due to Aeromonas hydrophila and Plesiomonas shigelloides Infections Compared with Those due to Vibrio cholerae Non-O1 and Vibrio parahaemolyticus in Bangladesh.

Clinical and Epidemiologic Features of Diarrheal Disease due to Aeromonas hydrophila and Plesiomonas shigelloides Infections Compared with Those due to Vibrio cholerae Non-O1 and Vibrio parahaemolyticus in Bangladesh.

Using data from the International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) from 1996 to 2001, we compared the clinical features of diarrhea in patients with stool specimens yielding only A. hydrophila (189 patients; 1.4% of 13,970 patients screened) or P. shigelloides (253 patients) compared to patients with sole V. cholerae non-O1 infection (99 patients) or V. parahaemolyticus infection (126 patients). Patients exhibited similar frequencies of fever (temperature >37.8°C), stools characterized as watery, and stools containing visible mucus. Dehydration was observed more often among patients with V. parahaemolyticus or V. cholerae non-O1 infection. Compared to patients infected with V. parahaemolyticus, those with A. hydrophila, P. shigelloides, or V. cholerae non-O1 infection were less likely to report visible blood in the stool and, on microscopic examination, less likely to exhibit stool red blood cell and white blood cell counts exceeding 20 cells per high power field. The proportion of patients reporting subjective cure at the time of discharge was significantly smaller for those infected with V. parahaemolyticus. These findings suggest that A. hydrophila and P. shigelloides produce diarrheal disease that is less severe than that resulting from infection with V. cholerae non-O1 or V. parahaemolyticus.

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