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目的:对196例婴幼儿腹泻病原微生物检验结果进行分析和探讨。方法:回顾分析2013年1月~2015年12月在我院接受检查的196例婴幼儿腹泻患儿资料,所有患儿均行病原微生物检验,计算不同年龄组病原微生物检验结果阳性率,并对不同类型病原微生物感染情况进行分析。结果:196例腹泻婴幼儿,检验结果呈阳性患儿共计153例,且所有患儿确诊为病原微生物感染,阳性率达78.06%。153例阳性患儿中,男性98例,女性55例。25d~6月阳性患儿44(75.86%)例,7月~12月阳性患儿32(91.43%)例,1~3岁阳性患儿52(83.87%)例,4~7.3岁阳性患儿25(60.98%)例。经比较,不同年龄组患儿阳性率差异具有显著性(P<0.05)。对不同类型病原微生物感染情况加以分析,其中轮状病毒69(35.20%)例、柯萨奇病毒7(3.57%)例、腺病毒9(4.59%)例、埃可病毒4(2.04%)例、志贺菌25(12.76%)例、大肠埃希菌9(4.59%)例、沙门菌21(10.72%)例,气单胞菌属4(2.04%)例和白色假丝酵母菌5(2.55%)例。结论:患儿年龄与病原微生物感染具有密切关联,且以7月~12月和1~3岁年龄组患儿阳性率最高。轮状病毒是最为常见的致病微生物,应引起临床医生关注。充分重视病原微生物检验的重要性,对致病微生物加以有效监测,并于早期予以明确诊断和治疗,具有重要的临床应用价值。
Objective: To analyze and discuss the result of pathogenic microorganism test in 196 cases of infantile diarrhea. Methods: A retrospective analysis of 196 cases of infantile diarrhea in our hospital from January 2013 to December 2015 were retrospectively analyzed. All children underwent pathogenic microorganism test to calculate the positive rate of pathogenic microorganisms test results in different age groups. Analysis of different types of pathogenic microorganisms infection. Results: 196 cases of diarrhea infants and young children, the test results were positive in children with a total of 153 cases, and all children diagnosed as pathogenic microorganisms, the positive rate of 78.06%. Among 153 positive children, 98 were male and 55 were female. 44 (75.86%) were positive in 25d-June, 32 (91.43%) were positive in July-December, 52 (83.87%) were positive in 1-3years, positive in 4-3.3years 25 (60.98%) cases. By comparison, the positive rate of children in different age groups was significantly different (P <0.05). Among them, 69 (35.20%) cases of rotavirus, 7 (3.57%) cases of Coxsackie virus, 4.59% cases of adenovirus and 4 cases (2.04%) of cases of Echovirus , 25 (12.76%) Shigella strains, 9 (4.59%) cases of Escherichia coli, 21 (10.72%) cases of Salmonella, 4 (2.04%) cases of Aeromonas and Candida albicans 5 2.55%) cases. Conclusions: The age of children is closely related to the infection of pathogenic microorganisms, and the positive rate is highest in children aged from July to December and from 1 to 3 years old. Rotavirus is the most common pathogenic microorganism, which should arouse the attention of clinicians. Pay full attention to the importance of pathogenic microorganisms test, effective monitoring of pathogenic microorganisms, and in the early to be a clear diagnosis and treatment, has important clinical value.