Surveillance of bacterial pathogens of diarrhea disease in Indonesia

Surveillance of bacterial pathogens of diarrhea disease in Indonesia
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DOI:
10.1016/s0732-8893(02)00454-6
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发表时间:
2002-11-01
影响因子:
2.9
通讯作者:
Corwin, AL
Corwin, AL
中科院分区:
医学4区
文献类型:
--
作者:
Oyofo, BA;Lesmana, M;Corwin, AL

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由于细菌性疾病引起的新发或复发感染可能是局部、区域或全球性问题。细菌性急性胃肠炎是旅行者和部署的美国军事人员大量发病的潜在原因。在印度尼西亚进行了一项为期两年的监测研究,其中有6760名衰弱性牙周病患者。在6,760例患者中,587例(9%)患者粪便细菌阳性,从587例患者中分离出的细菌比例为:福氏志贺菌(39%),沙门氏菌属(39%)。(26%).弧菌属(17%)、S.松奈氏(7%)。空肠弯曲菌(4.4%)、伤寒沙门菌(3%)和沙门氏菌(3.0%)。紫茎泽兰属(2.3%)。福氏志贺菌是最常见的病原体,超过弧菌。在印度尼西亚的坤甸、巴塘或巴淡岛未分离到霍乱弧菌。志贺氏菌在消失15年后在巴厘、加里曼丹、巴淡岛和雅加达重新出现。分离出高比例的S.弗氏弧菌(Vibrio spp.)在阴雨季节,除C.空肠和沙门氏菌属。对环丙沙星、诺氟沙星和萘啶酸耐药。我们的研究结果强调了V型胆固醇的下降,S型胆固醇的上升。flexneri和S.印度尼西亚的一种植物。该研究还记录了喹诺酮耐药弯曲杆菌的出现。在印度尼西亚群岛。(C)2002年爱思唯尔科技有限公司All rights reserved.
Emerging or reemerging infections due to bacterial disease may be a local, regional or global problem. Bacterial acute gastroenteritis is a potential cause of substantial morbidity in travelers and deployed U.S. military personnel. A surveillance study was conducted over a two-year period in Indonesia among 6760 patients with debilitating diarrheal diseases. Of the 6,760 patients, 587 (9%) of the patient stools were positive for bacteria, The proportions of bacteria isolated from the 587 patients were: Shigella flexneri (39%), Salmonella spp. (26%). Vibrio spp. (17%), S. sonnei (7%). Campylobacter jejuni (4.4%,), Salmonella typhi (3%) and S. dysenteriae (2.3%). Shigella flexneri was the most prevalent pathogen isolated, over Vibrio spp. No V. cholerae was isolated in the cities of Pontianak, Padang or Batam in Indonesia. Shigella dysenteriac reemergence was noted in Bali, Kalimantan, Batam and Jakarta after an absence of 15 years. Isolation of a high proportion of S. flexneri, and Vibrio spp. Occurred during the rainy months, All bacterial isolates were susceptible to quinolones, with the exception of C. jejuni and Salmonella spp.. which were resistant to ciprofloxacin, norfloxacin and nalidixic acid. Our findings highlight the decline of V cholerae, the rise of S. flexneri and the reemergence of S. dysenteriae in Indonesia. The study also documents the emergence of quinolone-resistant Campylobacter spp. in the Indonesia archipelago. (C) 2002 Elsevier Science Inc. All rights reserved.