摘要
目的 :了解部队野外驻训期间发生急性腹泻病的临床情况及病原特点 ,为部队制订防治措施提供参考依据。方法 :研究对象为 2 637名参加野外驻训的指战员 ,调查他们发生腹泻病的诊疗情况 ,并按WHO推荐的方法进行粪标本中的细菌分离和鉴定以及致泻病原菌的药敏试验。结果 :腹泻病的就诊率、及时就诊率、接受治疗率和隔离率分别为 54.0 %、30 .3%、4 3.5%和 0 %。经治疗的患者多采用抗生素疗法 ( 91.2 % ) ,无一例应用口服补液盐 (ORS)治疗。共检出6属 72株致泻病原菌 ,检出率为 63.1% ( 65/ 10 3) ,检出率最高的是产毒性大肠杆菌 ( 35.0 % ) ,其次为类志贺邻单胞菌 ( 16.5% )。各种致泻病原对氟哌酸和头孢他啶的平均敏感率分别为 95.8%和 10 0 % ,对新诺明、复方新诺明、土霉素、强力霉素、痢特灵、氨苄青霉素和氯霉素均有不同程度的耐药性。结论 :应提高部队野外驻训期间腹泻病患者的就诊率和及时就诊率 。
Objective:To study the clinical condition and pathogenic characteristics of acute diarrhea disease among military personnel during military field exercise,thus to provide reference basis for making some measures to prevent and control the disease.Methods:Clinical investigation of acute diarrhea patients from 2 637 soldiers and officers who joined military field exercise was performed. The separation and identification of pathogens in the stool and drug sensitivity test were carried out according to the methods recommended by WHO.Results:The rate of seeking medical advice,the rate of seeking medical advice in time (within 24 h after onset), the rate being treated and the isolation rate of diarrhea patients were 54.0%,30.2%,43.5% and 0,respectively.Most of the patients (91.2%)were treated with antibiotic therapy,but no one was treated with ORS.There were 72 strains of diarrheogenic pathogens belonging to 6 genera found in the stool specimen.The positive detection rate of the pathogens was 63.1%(65/103).The highest detection frequency was seen in ETEC (35.0%), followed by the Plesiomonas shigelloides (16.5%). Drug sensitivity test showed that the pathogens were sensitive to Norfloxacin and Ceftazidine, and were drug-resistant to Sinomin, Sinomin compound, Oxytetracycline, Doxycycline, Furazolidone, Ampicillin and Chloromycetin with various degrees.Conclusion: Improving the rate to seek medical advice and the rate of seeking medical advice as early as possible in diarrhea patients as well as combined use of Carbostyril (such as Norfloxacin) with ORS for treatment during military field exercise are suggested.
出处
《解放军预防医学杂志》
CAS
北大核心
2001年第2期107-110,共4页
Journal of Preventive Medicine of Chinese People's Liberation Army
基金
军队"九五"指令性科研课题!(No .96L0 32 )
关键词
部队
野外驻训
急性腹泻病
病原特点
army, field exercise, acute diarrhea, pathogenic characteristics
