传染性腹泻是一种有效的医学和公共卫生问题

D. Monica
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摘要

感染性急性腹泻,指肠胃炎,其临床体征和症状包括:恶心、呕吐、腹痛和痉挛、腹胀、胀气、发热、便血、下坠和大便急症[10]。腹泻病是世界范围内的一个问题,在特定病原体的流行率方面存在很大的区域差异。事实上,传染性腹泻病是全球发病率和死亡率的第二大原因,并可能造成真正的公共卫生问题。在罗马尼亚特兰西瓦尼亚地区,将这种腹泻作为一种医学疾病进行了为期3年(2017-2020)的研究。发现3577例,几乎在7月至8月期间。在整个夏季,该病的病例发病率达到65%。这些数据由12个区卫生警察转交给公共卫生中心。这些病例大多是由领土家庭医生诊断的,其中50%以上的患者由于多种疾病需要住院几天。对于这种疾病,它使用了一种特定的充足的液体和电解质替代作为治疗的关键,以控制腹泻疾病。即便如此,仍有3名5岁以下的儿童死于严重的并发症。据估计,他们的死因是有机中毒。临床和流行病学评估确定了这种疾病的严重程度和类型。经授权的微生物学实验室确定的急性腹泻检测到的感染病原有:志贺氏菌、沙门氏菌、弯曲杆菌、耶尔森氏菌、轮状病毒、贾第鞭毛虫。大多数病例出现在儿童中,占63%,其次是老年人或成年人,各占17%,所有数据均为确定的感染性腹泻的量化数量。急性腹泻病必须被视为一个重大的公共卫生问题,需要采取控制措施。传染性急性腹泻的公共卫生监测,包括强制性感染控制策略。良好的卫生、洗手、安全的食物制备和获得清洁水是预防腹泻疾病的关键因素
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Infectious Diarrhea, as a Valid Medical and Public, Worldwide Health Problematic
Acute diarrhea of infec­tious etiology, referred to gastroenteri­tis and is associated with clinical signs and symptoms including: nausea, vomiting, abdomi­nal pain and cramps, bloating, flatulence, fever, passage of bloody stools, tenesmus, and fecal ur­gency disorders [10]. Diarrheal illness is a problem worldwide, with substantial regional variation in the prevalence of specific pathogens [8]. In fact, Infectious diarrheal diseases, are the second leading cause of morbidity and mortality worldwide and can cause real public health problems. Such diarrhea was studied as a medical disorder, in a 3 year period, 2017-2020, in Transylvania region from Romania. It was found 3577 number of cases, almost during July to August. The case incidence for the disease arrived at 65%, in the entire summer season. The data were transmitted by 12 district Sanitary Polices, to the Public Health Center. This all were mostly diagnosed by the territorial family doctors and more than 50% , have need some days of hospitalization, because of several disease disorders. For this disorders it was used a specific adequate fluid and electrolyte replacement as key of the treatment, to managing diarrheal illnesses. Even so, 3 children under 5 year’s age died, because of severe complications. Organic failed was estimate to be the cause of their deaths. Clinical and epidemiological evaluation defined the severity and type of this illnesses. The detected infectious etiology for the acute diarrhea, where determined in authorized Microbiology laboratories, and there were identified: Shigella spp, Salmonella spp, Campylobacter spp, Yersinia spp, Rotavirus, Giardia. Most number of cases appeared in children in 63%, followed by elderly or adult people in 17% each, all data as quantified number of determined infectious diarrheas. Acute diarrheal illness had to be considered a major public health issue, against which control efforts are needed. Public health surveillance of infectious acute diarrhea, includes obligatory strategies of infection control. Good hygiene, hand washing, safe food preparation, and access to clean water are key factors in preventing diarrheal illness
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