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李敏, 刘颖, 王慧珠, 李娟, 焦炳欣. 艾滋病慢性腹泻患者隐孢子虫及病原菌感染调查[J]. 中国公共卫生, 2012, 28(8): 1099-1101. DOI: 10.11847/zgggws2012-28-08-30
引用本文: 李敏, 刘颖, 王慧珠, 李娟, 焦炳欣. 艾滋病慢性腹泻患者隐孢子虫及病原菌感染调查[J]. 中国公共卫生, 2012, 28(8): 1099-1101. DOI: 10.11847/zgggws2012-28-08-30
LI Min, LIU Ying, WANG Hui-zhu, . Cryptosporidium infection among HIV/AIDS patients with chronic diarrhea in Beijing[J]. Chinese Journal of Public Health, 2012, 28(8): 1099-1101. DOI: 10.11847/zgggws2012-28-08-30
Citation: LI Min, LIU Ying, WANG Hui-zhu, . Cryptosporidium infection among HIV/AIDS patients with chronic diarrhea in Beijing[J]. Chinese Journal of Public Health, 2012, 28(8): 1099-1101. DOI: 10.11847/zgggws2012-28-08-30

艾滋病慢性腹泻患者隐孢子虫及病原菌感染调查

Cryptosporidium infection among HIV/AIDS patients with chronic diarrhea in Beijing

  • 摘要: 目的 调查北京地区艾滋病相关性慢性腹泻患者中隐孢子虫及其他病原微生物感染状况.方法 收集67例北京地区艾滋病相关性慢性腹泻患者粪便,对患者粪便标本进行集卵,检测隐孢子虫卵囊,同时对留取的粪便检测隐孢子虫卵囊片段;用流式细胞仪检测患者血液中CD4+细胞计数;检测其是否存在引起腹泻的病原菌和艰难梭菌毒素.结果 4例粪便标本检测隐孢子虫卵囊阳性,且PCR检测均为阳性,2种方法阳性符合率100%,确定感染率为5.97%(4/67),感染者均为获得性免疫缺陷综合征中晚期患者,其血液中CD4+细胞计数<200、200~499、≥500 cells/μL的患者感染率分别为5.9%(2/34)、7.4%(2/27)、0;被感染者均系无业人员,生活来源无保障,生存环境较差;对67份标本同期进行细菌培养及涂片革兰染色,其中60份标本真菌培养阳性,经鉴定均为念珠菌,艰难梭菌毒素A/B检测有1例阳性.结论 北京地区艾滋病慢性腹泻患者中存在着隐孢子虫感染,其感染率与患者性别无关,与患者生存环境有一定关系;患者CD4+细胞计数水平降低及疾病发展到中晚期的患者易发生隐孢子虫感染;北京地区艾滋病慢性腹泻患者中普遍存在真菌肠道感染.

     

    Abstract: Objective To investigate the infection of Cryptosporidium and other pathogenic germs among HIV/AIDS patients with chronic diarrhea.Methods Stool samples were collected from confirmed HIV/AIDS patients with chronic diarrhea and living in Beijing.The samples were concentrated by formalin-ethyl acetate sedimentation technique and stained by modified acid-fast stain for the identification of oocysts by microscopy.And nest-PCR was adopted.CD4+count was detected by flowcytometry.Results The infection rate of Cryptosporidium in the patients was 5.97%(4/67).The bacterial culture detected 60 cases of fungus infection and one case was positive for Clostridium difficile toxin.Conclusion AIDS patients infected by Cryptesporidium are not rare in Beijing,and the infectious rate is not associated with patient's gender but associated with patient's living environment,especailly for the patients living in the countrysides and with lower level of CD4 cells and the patiens in the middle-late period of the disease.

     

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