■致病谱分析,烟台市感染性腹泻重要病原体的流行病学特征和分子流行病学特征,山东省,2018-2019年,进行分析,为感染性腹泻的防控提供参考依据。
■2018-2019年烟台市二级及以上医院腹泻发病3天内共采集粪便标本1514份,采用逆转录聚合酶链反应(RT-PCR)对所有标本进行7种主要病毒和3种主要细菌的检测。还对感染性腹泻的阳性样本进行了人群和季节性分析。排名前两位的轮状病毒和诺如病毒主要集中在基因分型和地理分布分析。
■研究表明,烟台市感染性腹泻患病率较高,山东省,2018年和2019年连续两年是1-5岁的幼儿,占病例总数的48.6%。病毒性腹泻全年分布,无明显的季节性分布。夏季以细菌性腹泻为主。在1514个粪便标本中,标本总阳性率为43.92%(665/1514)。在507个标本中检测到一种病原体,107个标本中的两种病原体,和44个样本中的三种病原体,混合感染占阳性标本的22.71%(151/665)。病毒性腹泻病原菌占阳性标本的93.23%(620/665)。轮状病毒(RV)阳性样本的百分比,诺如病毒GI,诺如病毒GII,肠道病毒(EV),肠腺病毒(EAdV),Sapovirus(SaV),星状病毒(Astv),沙门氏菌(SE),单核细胞增生李斯特菌(LiMo),副溶血性弧菌(VP)占48.57%,3.61%,15.34%,和总阳性样本的10.68%。
■本研究详细分析了感染性腹泻病原体谱的组成,病原体交替模式,烟台市病原菌的季节分布和种群分布,山东省,2018-2019年,为完善相关地方预防措施,降低疾病负担提供依据。
Analysis of the pathogenic spectrum, epidemiological characteristics and molecular epidemiological features of important pathogens of infectious diarrhea in Yantai City, Shandong Province, 2018-2019, were analyzed to provide a reference basis for the prevention and control of infectious diarrhea.
A total of 1514 stool specimens were collected within 3 days of the onset of diarrhea in secondary or higher hospitals in Yantai from 2018-2019, and all specimens were tested for the presence of seven major viruses and three major bacteria by employing reverse transcription ploymeraer chain reaction (RT-PCR). Population and seasonal analyses were also performed on positive samples for infectious diarrhea. The top two ranked rotavirus and norovirus were focused on genotyping and analysis of geographical distribution.
The study showed that the high prevalence of infectious diarrhea in Yantai, Shandong Province, for two consecutive years in 2018 and 2019 was in young children aged 1-5 years, accounting for 48.6% of the total number of cases. Viral diarrhea was distributed throughout the year with no obvious seasonal distribution, while bacterial diarrhea was predominant in summer. Of 1514 stool specimens, the total positive rate of specimens was 43.92% (665/1514). One pathogen was detected in 507 specimens, two pathogens in 107 specimens, and three pathogens in 44 specimens, with mixed infections accounting for 22.71% of positive specimens (151/665). Viral diarrheal pathogens accounted for 93.23% (620/665) of positive samples. The percentages of positive samples for Rotavirus (RV), Norovirus GI, Norovirus GII, Enterovirus universal (EV), Enteroadenovirus (EAdV), Sapovirus (SaV), Astrovirus (Astv), Salmonella (SE), Listeria monocytogenes (LiMo), and Vibrio parahaemolyticus (VP) were 48.57%, 3.61%, 15.34%, and 10.68% of the total positive samples.
This study analyzed in detail the composition of infectious diarrhea pathogen spectrum, pathogen alternation pattern, seasonal distribution and population distribution of pathogens in Yantai City, Shandong Province, 2018-2019, to provide a basis for improving relevant local preventive measures and reducing the disease burden.