Pediatric Salmonella Enterocolitis in a Teaching Hospital in Taitung: A Four-Year Analysis

台東一教學醫院小兒沙門氏菌腸炎的四年回顧

紀鑫(Hsin Chi) ； 孫武(Wu Sun) ； 陳偉燾(Wai-Tao Chan) ； 李宏昌(Hung-Chang Lee) ； 方旭彬(Shiun-Bin Fang)

《Acta Paediatrica Taiwanica》 42卷5期 (2001/10) Pp. 297-300

https://doi.org/10.7097/APT.200110.0297

摘要

為了瞭解台東地區幼童沙門氏菌腸炎的情形，我們做了此回顧性的研究。自1995年1月1日至1998年12月31日的四年間，在台東馬偕醫院小兒科，以腹瀉為主訴的住院病人，凡是糞便培養證實為沙門氏菌感染者均列入此研究。所有病例均詳細記錄年齡、臨床症狀，實驗室數據及沙門菌菌族，並以統計學方式加以分析。四年間共收集了157例沙門氏菌腸炎，占所有腸炎的16.8%。我們發現病例數逐年增加。發病平均年齡為14.6±14.1月大。79例為男童，78例為女童。發病到住院的的時間為2.6±1.9天，住院天數為6.6±4.8天。59.3%的病例為小於一歲的嬰兒。八、九月的發生率最高，最常見的臨床表徵為發燒(74.5%)和血便(46.5%)，病例中有115例是沙門氏菌B族，有18例是沙門氏菌C族，有10例是沙門氏菌D族，有8例是沙門氏菌E族。有12例同時有輪狀病毒感染。在157病例中有7例同時有敗血症，所有病例菌血症的發生率為4.6%。有2例同時有腦膜炎。年齡小於3個月以下的病例並無菌血症的發生。沙門氏菌D1族占所有菌血症病例的28.6%。有5例有低白蛋白血症，有2例合併有毒性巨結腸症。我們發現台東地區的沙門氏菌腸炎在這四年內有逐年增加的趨勢，幸而在經適當的治療之後，沒有腸穿孔或死忘的病例。

關鍵字

沙門氏菌腸炎 ； 菌血症 ； 台東地區

並列摘要

In order to understand the childhood Salmonella enterocolitis in Taitung, we retrospectively collected the patients with the diagnosis of acute enterocolitis who were admitted to the pediatric wards of Taitung branch of Mackay Memorial Hospital from January 11995 to December 31, 1998. Salmonella enterocolitis accounted for 16.8% of the total cases of acute enterocolitis. The mean age of the patients was 14.6±14.1 months old. Seventy-nine patients were male and 78 patients were female. Eighty-two patients lived in the urban area and 75 patients lived in the suburbs. The mean duration from onset of illness to admission was 2.6±1.9 days. The mean duration of hospitalization was 6.6±4.8 days. The peak incidence was in August and September. The most common clinical manifestations were fever (74.5%) and bloody stool (46.5%). In 157 patients, Salmonella sero group B was isolated from stool in 115 patients. The rate of bacteremia was 4.5%. Serogroup D accounted for 28.6% of the bacteremia. Two patients developed meningitis and one patient had osteomyelitis. Of 88 patients examined for rotavirus, 12 had positive results. There was neither bowel perforation nor mortality recorded in our study.

並列關鍵字

Salmonella enterocolitis ； bacteremia ； Taitung area