摘要
目的判断临床诊断细菌性痢疾患者和实际志贺菌感染的符合率,探索影响符合率的因素。方法采用整群抽样的方法,对部分临床诊断为细菌性痢疾的病例进行问卷调查并留取便标本进行志贺菌培养。结果临床诊断为细菌性痢疾的患者,仅有18.3%培养出志贺菌。便培养阳性的患者,便常规红细胞数较多,有更加明显的流行病学史和临床特征。结论临床诊断的细菌性痢疾患者中,病原学诊断符合率较低,故对患者的治疗应结合具体临床表现实施。
Objective The purpose of this article is to evaluate the agreement between clinically diagnosed bacillary dysentery and actual ShigeUa infection, and its related factors. Methods Cluster sampling was used in this investigation. Informants with clinically diagnosed bacillary dysentery were investigated and their stool specimens were collected for pathogen culture. Results Stool of 18.3 percent of patients with clinically diagnosed bacillary dysentery were Shigella positive by culture, with more red blood cells by routine fecal examinations, clearer epidemiological history and clinical manifestations. Conclusion Agreement between clinically diagnostic bacillary dysentery and actual Shigella infection is so low that therapy should be applied according to their clinical manifestations.
出处
《首都公共卫生》
2009年第1期14-16,共3页
Capital Journal of Public Health
关键词
细菌性痢疾
诊断
符合率
Bacillary dysentery
Diagnose
Agreement
