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目的了解淮北市细菌性痢疾的发病情况和流行特征,为菌痢防治和临床治疗提供依据。方法收集2005-2009年全市12家哨点医院细菌性痢疾监测资料进行整理分析。结果 1674份病例样本,实验室培养出阳性样本197份,其中福氏志贺菌188株,宋内氏志贺菌9株;阳性率为11.77%。109株优势菌株药敏试验:庆大霉素、诺氟沙星、头孢噻肟敏感率较高。儿童和老年人病例数较多;病例以幼儿、农民、工人、学生为主。结论 2005-2009年淮北市菌痢流行株为福氏,宋内氏次之,儿童和老年人是预防菌痢的重点人群,庆大霉素、诺氟沙星为治疗菌痢的首选药物。
Objective To understand the incidence and epidemic characteristics of bacillary dysentery in Huaibei and to provide basis for prevention and treatment of bacillary dysentery and clinical treatment. Methods The data of bacterial dysentery in 12 sentinel hospitals in the city from 2005 to 2009 were collected and analyzed. Results A total of 197 samples were obtained from 1674 samples, including 188 Shigella flexneri and 9 Shigella spp., The positive rate was 11.77%. Drug susceptibility test of 109 dominant strains: gentamicin, norfloxacin, cefotaxime sensitive rate. There are more cases of children and the elderly; cases are mainly children, peasants, workers and students. Conclusions 2005-2009 epidemic strains of bacillary dysentery in Huaibei City are Freund’s, Song Nei’s second, children and the elderly are the key population to prevent bacillary dysentery. Gentamycin and norfloxacin are the first choice for the treatment of bacillary dysentery.