石优章, 杨元斌, 金春光, 徐景野, 徐奋奋. 宁波市伤寒、副伤寒病原学调查及耐药性监测分析[J]. 疾病监测, 2006, 21(4): 176-178. DOI: 10.3784/j.issn.1003-9961.2006.4.176
引用本文: 石优章, 杨元斌, 金春光, 徐景野, 徐奋奋. 宁波市伤寒、副伤寒病原学调查及耐药性监测分析[J]. 疾病监测, 2006, 21(4): 176-178. DOI: 10.3784/j.issn.1003-9961.2006.4.176
SHI You-zhang, YANG Yuan-bin, JIN Chun-guang, XU Jing-ye, XU Fen-fen. Aetiological study on typhoid fever and paratyphoid fever in Ningbo City and relevant drug resistance monitoring and analysis[J]. Disease Surveillance, 2006, 21(4): 176-178. DOI: 10.3784/j.issn.1003-9961.2006.4.176
Citation: SHI You-zhang, YANG Yuan-bin, JIN Chun-guang, XU Jing-ye, XU Fen-fen. Aetiological study on typhoid fever and paratyphoid fever in Ningbo City and relevant drug resistance monitoring and analysis[J]. Disease Surveillance, 2006, 21(4): 176-178. DOI: 10.3784/j.issn.1003-9961.2006.4.176

宁波市伤寒、副伤寒病原学调查及耐药性监测分析

Aetiological study on typhoid fever and paratyphoid fever in Ningbo City and relevant drug resistance monitoring and analysis

  • 摘要: 目的了解2005年宁波市春季伤寒、副伤寒流行的病原学特征、菌型分布及细菌对抗菌药物的敏感状况,为伤寒的预防和治疗提供依据。方法采集农贸市场水产品泥蚶、牡蛎等按GB/T4789.4-2003方法开展病原菌的分离培养,病人血液、粪便等标本及带菌者粪便按GB/16001-1995方法进行病原菌分离培养,分离的菌株用VITEK自动鉴定仪作菌株的生化鉴定,用血清凝集试验对菌株分型,用K-B法作菌株的药物敏感试验。结果分离和收集到185株菌株,其中伤寒沙门菌3株,甲型副伤寒沙门菌182株。药敏试验结果显示,185株菌株对头孢哌酮、氧哌嗪青霉素、头孢曲松、头孢他啶及妥布霉素均为敏感,敏感率为100.0%;对氨苄西林、氯霉素、头孢噻肟、氟哌酸较为敏感,敏感率均在80.0%以上;对复方磺胺敏感率最低,仅为60.0%,且有30.3%(56/185)菌株呈现耐药。结论2005年春季宁波市局部地区流行的伤寒、副伤寒以甲型副伤寒沙门菌为优势菌型,少数病原为伤寒沙门菌。病原菌对氧哌嗪青霉素、妥布霉素及头孢哌酮等第3代头孢菌素药物显示良好的敏感性,可作为当前预防和治疗伤寒、副伤寒的首选药物。

     

    Abstract: Objective The study was designed to understand the aetiological characteristic,distribution of bacteria types,and the sensitivity of bacteria to antibacterial drugs for typhoid fever and paratyphoid fever in Ningbo City in Spring of 2005.Methods The aquatic products on agricultural products market,such as tegiUarca granosa and oyster and etc.,were sampled for isolation and culture of pathogenic bacteria according to the methods in GB/T4789.4-2003,and the specimens of patients'blood and feces,as well as feces of the carriers,were taken for the same purpose but in compliance with GB/16001-1995.For the isolated strains,a biochemical identification was performed with all automatic VITEK analyzer,a typing conduced through serum agglutination test,and a test of drug sensitity done by the K-B method.Results There were total 185 strains isolated and collected.Including 3 strains of salmonella typhi and 182 strains of salmonella paratyphi A.The results of drug sensititivity test showed that the 185 strains were sensitive to cefoperazone,piperacillin,ceftriaxone,ceflazidime and tobramycin,with a sensitivity rate of 100%,relative sensitive to ampicillin,chloramphenicot,cefotaxime and norfloxacin,with a sensitivity rate above 80.0%,while the least sensitive to compound sulfonamides,with a sensitivity rate only 60.0%,in which 30.3% (56/185)of strains showed a drug resistance.Conclusion The epidemic salmonella typhi,salmoneUa paratyphi and salmonella paratyphi A in local areas of Ningbo City in the spring of 2005 were predominant,with minor pathogen of salmoneUa typhi.The pathogenic bacteria show a good drug sensitivity to the third generation of cephalosporins,such as piperacillin,tobramycin and cefoperazone etc.They are preferred for the prevention and treatment of typhoid and paratyphoid at present.

     

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