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目的了解儿童腹泻病例的发病特征和病原谱构成,为制定急性腹泻治疗提供依据。方法 2014-03/2015-09上海东方医院(南院)儿科门诊开展急性腹泻病原学检测。结果在374例急性腹泻病例标本中,感染任一细菌94例,检出率25.1%,其中,大肠埃希菌48例,检出率12.82%,沙门菌24例,检出率6.41%,气单胞菌8例,检出率2.13%。感染任一病毒106例,检出率28.34%,其中,诺如病毒49例,检出率13.10%,轮状病毒18例,检出率4.81%,星状病毒17例,检出率4.55%。结论 374例病例中细菌感染以大肠埃希菌、沙门菌和气单胞菌为主,病毒感染以诺如病毒和轮状病毒,星状病毒感染为主。
Objective To understand the incidence and pathogenic spectrum of childhood diarrhea cases and provide evidence for the development of acute diarrhea treatment. Methods 2014-03 / 2015-09 Shanghai Oriental Hospital (South Hospital) pediatric outpatient to carry out an acute diarrhea etiology test. Results In 374 cases of acute diarrhea, 94 cases were infected with any bacteria, the detection rate was 25.1%. Among them, 48 cases were Escherichia coli, the detection rate was 12.82%, Salmonella was detected in 24 cases, the detection rate was 6.41% 8 cases of monocytogenes, the detection rate of 2.13%. Infection with any of the 106 cases of the virus, the detection rate was 28.34%, of which 49 cases of Norovirus, the detection rate of 13.10%, 18 cases of rotavirus, the detection rate of 4.81%, 17 cases of astrovirus, the detection rate of 4.55% . Conclusions Among 374 cases, Escherichia coli, Salmonella and Aeromonas were the main bacterial infections. The viruses were mainly infected with norovirus and rotavirus and astrovirus.