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目的探讨儿童腹泻病病原体分布情况。方法采集2010年沈阳市儿童医院就诊的腹泻患儿的粪便标本,轮状病毒(RV)腹泻采用胶体金法检测;真菌性腹泻和细菌性腹泻(菌痢)以镜检为实验诊断标准;其他不明原因的腹泻均归为不确定性腹泻。结果 2010年我院腹泻患儿以RV腹泻为主,且主要发生在秋冬季,占55.83%。其次为不确定性腹泻,以冬季较多,占22.31%。细菌性腹泻明显在夏季高发,而真菌性腹泻无明显季节性差异。结论儿童腹泻病病原体复杂多样,出现明显感染交叉性和季节交叉性,要加强免疫与及时预防,对症治疗和合理用药。
Objective To investigate the distribution of pathogens in children with diarrhea. Methods Stool specimens of children with diarrhea treated by Shenyang Children’s Hospital in 2010 were collected, and rotavirus (RV) diarrhea was detected by colloidal gold method. Fungal diarrhea and bacillary diarrhea were screened as experimental diagnostic criteria. Other Unidentified diarrhea is classified as uncertain diarrhea. Results In our hospital in 2010 diarrhea in children with RV diarrhea, and mainly occurs in autumn and winter, accounting for 55.83%. Followed by uncertainty of diarrhea, more in winter, accounting for 22.31%. Bacterial diarrhea is significantly higher in the summer, while no significant seasonal differences in fungal diarrhea. Conclusion The pathogens of childhood diarrhea are complex and diverse, with obvious cross-infection and seasonal cross-infection. It is necessary to strengthen the immunization and timely prevention, symptomatic treatment and rational drug use.