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1、100例婴幼儿腹泻病原微生物检验结果及分析陈开军(山东省蒙阴县人民医院检验科山东临沂276200)【摘要】目的:探析婴幼儿腹泻病原微生物检验结果及分析。方法:抽取我院2014年1月〜2015年12月收治的100例婴幼儿腹泻患儿,分别实施常规细菌培养与免疫胶体金方法检测病原微生物。结果:100例患儿中共检出54例病原微生物,病毒阳性率为39%,致病菌为15%,存在明显差异性(P<0.05)。100例腹泻患儿的粪便检测中,5例非伤寒沙门菌,占13.2%,3例乙型副伤寒沙门菌,占7.9%,12例甲型副伤寒沙门菌,占31.6%,5例非伤寒沙门菌,占13.2%,共20例,均属于沙门菌属;4
2、例福氏志贺菌,占11.1%,7例宋内志贺菌,占19.4%,井11例,均属于志贺菌属,1例白色假丝酵母菌,占2.8%,属于气单胞菌属,4例致病性大肠坎希菌。在免疫胶体金技术病毒检测过程中,34例轮状病毒检测结果为阳性,占34%,4例腺道病毒为阳性,2例埃可病毒与柯萨奇病毒检测结果为阳性,占2%,共40例。结论:婴幼儿腹泻病原微生物以轮状病毒为主,因此在临床诊断中,需实施针对性检测,以确定患儿的感染病菌,给予有效治疗,以提高患儿的临床治疗效果,及时止泻,保障患儿的身体健康。【关键词】婴幼儿腹泻;病原微生物;检验结果;分析【中图分类号】R37【文献标识码】A【文章编号】2095-175
3、2(2016)21-0164-03100casesofinfantilediarrheapathogentestresultsandanalysis【Abstract】ObjectivePathogenicmicroorganismstestresultsandanalysisofinfantdiarrhea.MethodsExtractionourhospitalinJanuary2014〜2015admittedinDecemberof100casesofinfantilediarrheainchildren,respectively,withtheimplementatio
4、noftheconventionalbacterialculturemethodstodetectimmunecolloidalgoldpathogenicmicroorganisms.Results100patientsweredetectedin54casesofpathogenicmicroorganisms,virus-positiverateof39%to15%ofbacteria,therearesignificantdifferences(P<0.05).100casesofdiarrheaweredetectedinthefeces,fivecasesofn
5、on-typhoidSalmonella,accountingfor13.2%,threecasesofSalmonellaparatyphiB,7.9%,12casesofparatyphoidSalmonella,accountingfor31.6%,fivecasesofnon-Salmonellatyphi,accountingfor13.2%,atotalof20cases,allbelongingtothegenusSalmonella;4casesofShigellabacteria,accountingfor11.1%,sevencasesofShigellaso
6、nneiaccountedfor19.4%,atotalof11cases,areYuZhiHegenus,onecaseofCandidaalbicans,accountingfor2.8%,areAeromonas,fourcasesofpathogenicE.Coli.Intheimmunecolloidalgoldtechnologyvirusdetectionprocess,34casesofrotavirustestresultswerepositive,34%,4casesofadenovirusRoadviruswerepositive,twocasesofech
7、ovirusandCoxsackievirustestresultispositive,accountingfor2%atotalof40cases.ConclusionInfantrotavirusdiarrheapathogens,hencetheclinicaldiagnosis,theneedtoimplementtargetedtestingtodeterminechildren'sexposuretothepathogen,administeringaneffecti