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纵观历史,已经发现过很多与抗菌素相联系的腹泻病。在本世纪50～60年代,抗多种抗菌素的金黄色葡萄球菌被认为是引起抗菌素相关腹泻病的主要祸根,特别是对于假膜性肠炎。在70年代后期,又发现一种新的与抗菌素相关联的腹泻,其主要特征是引起假膜性肠炎而又很少能检出抗多种抗菌素的金黄色葡萄球菌。许多研究证明其致病菌是艰难杆菌。而最近抗青霉素金黄色葡萄球菌(MRSA)的病例又激起了另一种与抗菌素相关的腹泻。作者将150名此类病人的粪便样品检验,分离出了金黄色葡萄球菌(SA)和艰难杆菌(CD),发现有32例含SA(21.3%);CD有51例(34.0%);两者都有为23例,占15.3%。而SA中MRSA占90.9%之多。比较这些病例的临床病症,发现SA和CD都含有者其病情更为严重。而做过开腹
Throughout history, there have been many diarrheal diseases associated with antibiotics. In the 1950s and 1960s, Staphylococcus aureus resistant to multiple antibiotics was considered to be the main cause of antibiotic-associated diarrhea, especially pseudomembranous colitis. In the late 1970s, a new antibiotic-associated diarrhea was also discovered that is characterized primarily by pseudomembranous enteritis and rare detection of S. aureus resistant to multiple antibiotics. Many studies have shown that its pathogenic bacteria is difficult bacteria. The recent case of penicillin-resistant Staphylococcus aureus (MRSA) has provoked another antibiotic-associated diarrhea. The authors tested stool samples from 150 of these patients and isolated Staphylococcus aureus (SA) and Difficulty bacilli (CD). In 32 cases, SA was found (21.3%); CD was found in 51 (34.0%); There are 23 cases, accounting for 15.3%. MRSA in SA accounts for as much as 90.9%. Comparing the clinical conditions in these cases, it was found that both SA and CD contained a more severe condition. And done an open belly