VIBRIO INFECTIONS ON THE GULF-COAST - RESULTS OF 1ST YEAR OF REGIONAL SURVEILLANCE
VIBRIO INFECTIONS ON THE GULF-COAST - RESULTS OF 1ST YEAR OF REGIONAL SURVEILLANCE
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DOI：
10.1093/infdis/167.2.479
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发表时间：
1993-02-01
影响因子：
6.4
通讯作者：
TAYLOR, JP
中科院分区：
文献类型：
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作者：
LEVINE, WC;GRIFFIN, PM;TAYLOR, JP
1989年，在墨西哥湾沿岸的四个州（亚拉巴马、佛罗里达、路易斯安那和得克萨斯）进行弧菌监测的第一年，报告了121例感染。其中包括34例副溶血性弧菌、30例非O 1型霍乱弧菌、18例创伤弧菌、9例霍氏弧菌、7例溶藻弧菌和7例河流弧菌。14名患者患有原发性败血症，71名患有胃肠炎，29名患有伤口感染; 7名患有其他或未知疾病。66名患者住院治疗，9人死亡。所有的原发性败血症患者，但只有17%的胃肠炎患者，已知有基础疾病（P <0.001）。在可获得数据的患者中，67%的原发性败血症患者和74%的胃肠炎患者在疾病开始前一周吃生牡蛎。在50名有牡蛎来源数据的患者中，42名（84%）在牡蛎酒吧或餐馆吃过牡蛎。这些数据提供的证据表明，在墨西哥湾沿岸地区，生牡蛎消费是没有基础疾病的成年人中弧菌相关胃肠炎的重要原因。
In 1989, the first year of coordinated Vibrio surveillance in four Gulf Coast states (Alabama, Florida, Louisiana, and Texas), 121 infections were reported. These included 34 V. parahaemolyticus, 30 V. cholerae non-O1, 18 V. vulnificus, 9 V. hollisae, 7 V. alginolyticus, and 7 V. fluvialis. Fourteen patients had primary septicemia, 71 had gastroenteritis, and 29 had wound infections; 7 had other or unknown illnesses. Sixty-six patients were hospitalized, and 9 died. All patients with primary septicemia, but only 17% of those with gastroenteritis, were known to have an underlying illness (P < .001). Among patients for whom data were available, 67% with primary septicemia and 74% with gastroenteritis ate raw oysters in the week before illness began. Of 50 patients with data on where oysters were obtained, 42 (84%) ate them at oyster bars or restaurants. These data provide evidence that in the Gulf Coast region raw oyster consumption is an important cause of Vibrio-associated gastroenteritis among adults without underlying illnesses.