张建群, 罗学辉, 黄绍军. 浙江省余姚市腹泻儿童沙门菌感染流行病学特征和耐药分析[J]. 疾病监测, 2015, 30(9): 776-779. DOI: 10.3784/j.issn.1003-9961.2015.09.018
引用本文: 张建群, 罗学辉, 黄绍军. 浙江省余姚市腹泻儿童沙门菌感染流行病学特征和耐药分析[J]. 疾病监测, 2015, 30(9): 776-779. DOI: 10.3784/j.issn.1003-9961.2015.09.018
ZHANG Jian-qun, LUO Xue-hui, HUANG Shao-jun. Epidemiological characteristics and drug resistance of Salmonella infection in children with diarrhea in Yuyao, Zhejiang[J]. Disease Surveillance, 2015, 30(9): 776-779. DOI: 10.3784/j.issn.1003-9961.2015.09.018
Citation: ZHANG Jian-qun, LUO Xue-hui, HUANG Shao-jun. Epidemiological characteristics and drug resistance of Salmonella infection in children with diarrhea in Yuyao, Zhejiang[J]. Disease Surveillance, 2015, 30(9): 776-779. DOI: 10.3784/j.issn.1003-9961.2015.09.018

浙江省余姚市腹泻儿童沙门菌感染流行病学特征和耐药分析

Epidemiological characteristics and drug resistance of Salmonella infection in children with diarrhea in Yuyao, Zhejiang

  • 摘要: 目的 了解浙江省余姚市引起儿童感染性腹泻的沙门菌流行病学特征和耐药情况,为沙门菌引起的儿童感染性腹泻的临床用药以及肠道传染病防控提供依据。方法 采集余姚市食源性疾病监测哨点医院感染性腹泻患儿粪便标本,进行沙门菌分离、生化鉴定及血清学分型,同时采用K-B法进行药敏试验。结果 223份腹泻患儿粪便中检出沙门菌26株,检出率为11.65%。分为13种血清型,优势菌为鼠伤寒沙门菌(42.31%),其次是德尔卑沙门菌和斯坦利沙门菌(7.69%)。26株沙门菌株中男、女检出比为1:1.17,0~1岁占50%,1~2岁占38.40%,发病高峰5-10月。对头孢类、喹诺酮类、-内酰胺类、氨基糖苷类敏感率较高。对青霉素、氨苄西林、复方新诺明、哌拉西林耐药率 分别为26.92%、26.92%、19.23%、15.39%。检测发现有9株耐药菌,多重耐药菌7 株,其中1株鼠伤寒沙门菌耐13 种抗生素。结论 余姚市腹泻患儿沙门菌感染以0~2岁为主,女童较多见,发病高峰5-10月。儿童沙门菌感染的优势血清型为鼠伤寒沙门菌。多重耐药的检出可以指导临床合理选择及使用抗生素。

     

    Abstract: Objective To understand the epidemiological characteristics and drug resistance of Salmonella caused infectious diarrhea in children in Yuyao, Zhejiang province, and provide evidence for the clinical medication of Salmonella caused infectious diarrhea in children and the prevention and control of intestinal infectious diseases. Methods Stool samples were collected from children with diarrhea in foodborne disease sentinel hospital in Yuyao. The biochemical identification and serological typing of the isolates were conducted, and the drug susceptibility test was performed with K-B methods. Results A total of 26 Salmonella strains of were detected from 223 stool samples (11.65%), which belonged to 13 serotypes, Salmonella typhimurium was predominant (42.31%), followed by Salmonella derby and Salmonella stanley (7.69%). More Salmonella typhimurium strains were detected in females, the male to female ratio was 1:1.17. The infections in age groups 0-1 year and 1-2 years accounted for 50% and 38.40%, respectively. The incidence peak was during May-October. The sensitive rates to cephalosporins, quinolones, beta lactams, aminoglycosides were high. The resistant rates to penicillin, ampicillin, cotrimoxazole, piperacillin were 26.92%, 26.92%, 19.23%, 15.39% respectively. It was found that 9 strains were drug resistant, 7 strains were multi drug resistant, in which 1 Salmonella typhimurium strain was resistant to 13 antibiotics. Conclusion Salmonella infection mainly affect age group 0-2 years and more females were infected in Yuyao. The incidence peak usually occurs during May-October. Salmonella typhimurium is the predominant pathogen. Multi drug resistance detection can guide the rational use of antibiotics.

     

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