标题：海口地区感染性腹泻细菌病原学监测结果分析

      作者：王琼妹，周登仁，黄 海，陈小佳，朱斐莉
    （海口市疾病预防控制中心微生物检验科，海南 海口 571100）

      卷次： 2014年25卷18期

      【摘要】 目的 了解海口地区感染性腹泻患者中肠道致病菌的感染状况，为肠道传染病的防治工作提供参
考依据。方法 于2012年3月至2013年11月将送检的腹泻患者肛拭子标本进行志贺氏菌、沙门氏菌、5种致泻
性大肠埃希菌和副溶血弧菌等致泻性弧菌的检测。结果 共检测 281份标本，检出病原菌 58株，阳性率为
20.64%，其中副溶血弧菌检出40株，所占比例最大，达68.97%，其次为气单胞菌6株(10.35%)，肺炎克雷伯杆菌5
株(8.62%)，沙门氏菌4株(6.90%)，志贺氏菌、类志贺邻单胞菌、河弧菌各1株(1.72%)。结论 海口地区感染性腹
泻患者肠道病原菌种类较多，以副溶血弧菌的检出率最高，应进行针对性的重点监测。

      【关键词】 感染性腹泻；肠道致病菌；副溶血弧菌

      【中图分类号】 R378 【文献标识码】 A 【文章编号】 1003—6350（2014）18—2776—02


Etiology monitoring for infectious diarrhea in Haikou.
WANG Qiong-mei, ZHOU Deng-ren, HUANG Hai, CHEN
Xiao-jia, ZHU Fei-li. Department of Microbial Clinical Laboratory, Haikou Center for Disease Control and Prevention,
Haikou 571100, Hainan, CHINA

【Abstract】 Objective To understand the infection status of intestinal pathogenic bacteria in the patients of
infectious diarrhea in Haikou, and to provide basic data and reference for the prevention and control of intestinal in-
fectious diseases. Methods Shigella, Salmonella, and five kinds of E. coli and Vibrio parahaemolyticus causing di-
arrhea were detected in the anal swab specimens of patients with diarrhea from March 2012 to November 2013.
Results In the 281 samples tested, a total of 58 pathogens were detected, with the positive rate of 20.64%, including
40 strains of Vibrio parahaemolyticus (68.97%), 6 strains of Aeromonas (10.35%), 5 strains of Klebsiella pneumoniae
(8.62%), 4 strains of Salmonella (6.90%), 1 strain of Shigella (1.72%), 1 strain of Plesimonas shigelloides (1.72%) and
1 strain of Vibrio flurialis (1.72%). Conclusion There are various kinds of intestinal pathogenic bacteria in patients
with infectious diarrhea in Haikou, and Vibrio parahaemolyticus has the highest detection rate, which should be moni-
tored specially.

      【Key words】 Infectious diarrhea; Intestinal pathogenic bacteria; Vibrio parahaemolyticus
·疾病监控·