2005~2007年郑州市腹泻患者志贺菌监测结果分析 |
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引用本文: | 姜松强,张建华,史军,赵瑞臻,张月泉. 2005~2007年郑州市腹泻患者志贺菌监测结果分析[J]. 预防医学文献信息, 2009, 0(12): 1264-1265 |
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作者姓名: | 姜松强 张建华 史军 赵瑞臻 张月泉 |
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作者单位: | 郑州市疾病预防控制中心,河南郑州450053 |
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摘 要: | [目的]了解郑州市志贺菌的菌型分布,为防控菌痢流行提供可靠数据。[方法]按照《全国细菌性痢疾监测工作方案》对郑州市市辖医院20052007年腹泻患者粪便标本进行志贺菌分离培养、生化鉴定和血清学分型以及药敏试验。[结果]20052007年郑州市共检测1 321份标本,检出志贺菌116株,检出率为8.78%。志贺菌分布在福氏和宋內氏2个群,未检出A群和C群。不同年份间菌株均以B群志贺菌为主,分别为39、37和21株,分别占当年阳性菌株的92.86%、77.08%、80.77%;福氏志贺菌以F4c(47株)为主,占48.45%,其次是F1a(21株)、F2a(17株),分别占21.65%和17.53%;志贺菌对萘啶酸和四环素100.00%耐药。[结论]各年优势菌群均为福氏志贺菌,F4c为优势菌型,多种菌型并存,临床治疗要根据耐药情况合理使用抗生素。
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关 键 词: | 细菌性痢疾 志贺菌 菌型分布 耐药性 |
Analysis of Monitoring Results for Shigella for Diarrhea Cases in Zhengzhou City from 2005 to 2007 |
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Affiliation: | JIANG Song- qiang,ZHANG Jian-hua, SHI Jun, et al. (Zhengzhou Municipal Center for Disease Control and Prevention. Zhengzhou, 450053, Henan, China) |
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Abstract: | [Objective]To provide reliable data for preventing prevalence of bacillary dysentery,understanding the distribution of Shigella type in Zhengzhou city.[Methods]According to the"Project for Surveillance of Shigellosis in China",the detection,isolation,identification and sensitivity test for Shigella to diarrhea specimens of patients were performed from 2005 to 2007.[Results]116 strains of Shigella were isolated from 1 321 diarrhea cases from 2005 to 2007(8.78%).Neither group A nor group C was detected.Between different years,group B was mainly of Shigella,39,37 and 21 stains from 2005 to 2007,and in positive strains were 92.86%,77.08%,80.77%,respectively.Serotype was F4c mainly(48.45%),followed by F1a(21.65%) and F2a(17.53%).Nalidixic acid and tetracycline were 100.00% drug resistant.[Conclusion]F4c was the predominant bacteria type annual.Clinical treatment should be based on the rational use of antibiotic resistance. |
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Keywords: | Bacillary dysentery Shigella Strain distribution Antibiotics resistance |
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