410例细菌性腹泻住院患儿粪便病原体培养

Laboratory Fecal Bacteriological Culture Examination for 410 Pediatrics Inpatients with Bacterial Diarrhea

报道1989年银川市第一人民医院410例细菌性腹泻住院患儿粪便培养结果。共检出各种细菌性病原112株,检出率27.32%,其中以志贺氏菌属最高,然后依次为沙门氏菌属及大肠杆菌。3岁以上38例以志贺氏菌为主,常伴发热、Ⅰ°～Ⅱ°脱水,粪便性状主要是粘液便及脓血便;3岁以下372例,以沙门氏菌属为主,常有高热、Ⅱ°～Ⅲ°脱水,粪便性状多变为其特点。检出的几种主要致病菌对氟哌酸、先锋霉素、丁胺卡那及新霉素耐药率相对地较低;但是,对庆大霉素、卡那霉素及复方新诺明则几乎完全耐药,可能与该医院所在地区病患儿近年来常用这些药物有关。

During yr 1989,there were altogether 410 bacterial diarrhea pediatrics inpaients in the Ⅰst Peop- le's Hospitallof Yinchuan Municipality. Their fecal bacteriological culture examinations were reported to be positive,in 27.32%(112 strains /410),Of these 112 strains,Shigella ranked the highest in no.,Salmonella ranked the 2nd,and Escherichia coli the 3rd.of the 410 hospitalized children,those older than 3 yrs of age(38 cases)were mainly attacked by Shigella,often causing fever, Showing Ⅰ°～Ⅱ°dehydration,and the diarrhea stools were of mucus/pus- blood mature;while those younger than 3 yrs(372 cases)were mainly at- tacked by Salmonella,often causing high fever,showing Ⅱ°～Ⅲ°dehydr- ation,and were variable in their feces nature.Microbial sensativity tests revealed that,of the above three pri- ncipal pathogens,the drug tolerance to FPAcid,cephalosporins,amikacin, and neomycin were relatively less;but, On the contrary,the drug tolerance to gentamicins,Kanamycin,and Sul- famethoxazole were almost‘complete’, which mgiht be possibly related to children of Yinchuan District being already accucstomed to these,three drugs whenever they were sick during recent yrs.