一起食源性停乳链球菌类马亚型暴发感染调查

Infection with food-contaminated streptococcus dysgalactiae subspecies equisimilis during its outbreak

  • 摘要: 目的 调查一起食源性停乳链球菌类马亚型(streptococcus dysgalactiae subspecies equisimilis,SDSE)暴发感染,为快速诊治SDSE感染暴发积累经验。 方法 采集和分析驻京某部队2012年9月30日-10月1日暴发呼吸道感染70例患者的流行病学资料、症状、体征,对比治疗前后实验室检查结果,进行流行病学和统计学分析。 结果 70例患者中,表现为发热66例(94.29%),咽痛62例(88.57%)、扁桃体化脓36例(51.43%)。其中38例(54.29%)咽拭子病原学培养结果为SDSE。患者治疗前后,白细胞计数(white blood cell count,WBC)、中性粒细胞比例(neutropenia leukocyte percent,N%)、C-反应蛋白(C-reactive protein,CRP)、白细胞介素-6(interleukin-6,IL-6)水平差异有统计学意义(P<0.01),降钙素原(procalcitonin,PCT)阳性率差异无统计学意义(P>0.05)。 结论 食源性SDSE致人群呼吸道暴发感染比较罕见,病原学分离鉴定是关键,血常规和IL-6检测是较好的辅助检查和病情监测方法。

     

    Abstract: Objective To accumulate experience with the rapid diagnosis of infection with food-contaminated streptococcus dysgalactiae subspecies equisimilis(SDSE) during its outbreak. Methods Epidemiology data, symptoms, and signs of 70 patients with respiratory tract infection in a certain Chinese PLA unit stationed in Beijing during its outbreak from September 30, 2012 to October 1, 2012 were analyzed. Results Of the 70 patients, 66(94.29%) were manifested as fever, 62(88.57%) as sore throat, 36(51.43%) as tonsillitis, and 38(54.29%) were diagnosed with SDSE infection according to the cultured pharynx secretion. The number of white blood cells and neutrophils, the serum CRP and IL-6 levels were significantly lower after treatment than before treatment(P<0.01). However, no significant difference was found in serum procalcitonin level before and after treatment(P>0.05). Conclusion Respiratory tract infection with food-contaminated SDSE seldom occurs during its outbreak. Isolation and identification of SDSE are the key to its rapid diagnosis. Routine blood examination and serum IL-6 testing are the effective accessory examination and disease-monitoring methods.

     

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