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Enteriti acute e protratte nell’uomo: prevalenze eziologiche ed aspetti di metodologia diagnostica

机译:人类急性和持久性肠炎:病因和诊断方法学方面

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The Authors describe methodological diagnostic course related to microbiological examination of faeces specimens. During 2004, 511 samples of 247 children and 264 adults were analysed for acute (389 subjects) or prolonged diarrhoeas (122). Campylobacter was observed in 57 cases (11.0%), in 36 children (14.2%) and 21 adults (8.0%); Salmonella was observed in 28 cases (5.4%), in 15 children (6.1%) and 13 adults (4.9%); toxin A of C. difficile was detected in 11 cases (2.2%); other bacterial pathogens were very rare. Rotavirus was detected in 31 children (12.5%) while Adenovirus in 3 children (1.2%). Protozoa were identified in 13 cases (2.5%): 3 in children (1.2 %) and 10 in adults (3.7%); among these, D. fragilis prevailed in respect of G. duodenalis: 10 cases (2.0%) vs 3 cases (0.6%); other protozoa never were observed. So, the positivities were only 151 for 29.5% (91 in children, 36.8% and 60 in adults, 22.7%). Finally some considerations relating sex, clinical features and epidemiological findings are reported.The Authors reaffirm the need for a rational and functional research, because is necessary to minimize and direct these ones towards local epidemiology, but underline the opportunity to increase the investigations when diversified risk factor are reported.
机译:作者介绍了与粪便标本的微生物学检查有关的方法学诊断过程。 2004年期间,分析了247名儿童和264名成人的511个样本的急性(389名受试者)或长时间腹泻(122名)。在57例(11.0%),36例儿童(14.2%)和21例成人(8.0%)中观察到弯曲杆菌。沙门氏菌28例(5.4%),15例儿童(6.1%)和13例成人(4.9%);检出艰难梭菌毒素A 11例(2.2%);其他细菌性病原体非常罕见。在31名儿童(12.5%)中检测到轮状病毒,而在3名儿童(1.2%)中检测到腺病毒。检出的原生动物有13例(2.5%):儿童3例(1.2%),成人10例(3.7%);其中,以脆弱细支气管炎占十二指肠的占优势:10例(2.0%)vs 3例(0.6%);从未观察到其他原生动物。因此,阳性率为29.5%,仅为151(儿童为91,儿童为36.8%,成人为60,22.7%)。最后,报告了有关性别,临床特征和流行病学发现的一些注意事项。作者重申需要进行理性和功能研究,因为有必要将这些研究减少到最低限度,并将其引向当地流行病学,但强调了在风险分散时增加调查的机会报告因素。

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