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中国 2008-2017 年人类李斯特菌病的流行病学研究。

Epidemiology of Human Listeriosis in China During 2008-2017.

机构信息

Jiangsu Key Laboratory of Zoonosis, Yangzhou University, Yangzhou, China.

Key Laboratory of Prevention and Control of Biological Hazard Factors (Animal Origin) for Agrifood Safety and Quality, Ministry of Agriculture and Rural Affairs of the People's Republic of China, Yangzhou University, Yangzhou, China.

出版信息

Foodborne Pathog Dis. 2020 Feb;17(2):119-125. doi: 10.1089/fpd.2019.2683. Epub 2019 Sep 26.

Abstract

is a facultative, intracellular foodborne pathogen that causes listeriosis and is prevalent worldwide. However, our knowledge of this bacterium and the listeriosis it causes is still extremely limited until now. Therefore, this retrospective study of patients in mainland China over 10 years (2008-2017) was performed to better understand the demographic trends and clinical features of listeriosis in China. Both electronic and manual retrieval systems were used to collect the relevant literature on listeriosis in mainland China. A total of 759 cases were reported from 22 provinces. Among the clinical cases, septicemia was the most common presentation (49%), followed by central nervous system infection (25%). The overall case fatality rate was 18%, with a higher rate among neonatal patients (73%). In recent years, listeriosis has been reported annually and even peaked in 2014. The median age of nonperinatal cases was 36 years (range, 0-102), with a predominance of male cases (52%). Sporadic cases were frequent from March to May. Efforts to prevent and control the spread of listeriosis are required through further research and collaborative efforts to improve the capacities of clinical diagnosis and treatment.

摘要

李斯特菌是一种兼性、细胞内食源性病原体,可引起李斯特菌病,在全球范围内广泛流行。然而,直到现在,我们对这种细菌及其引起的李斯特菌病的了解仍然非常有限。因此,进行了这项对中国内地超过 10 年(2008-2017 年)的患者进行的回顾性研究,以更好地了解中国李斯特菌病的人口统计学趋势和临床特征。使用电子和手动检索系统收集了中国内地李斯特菌病的相关文献。共报告了来自 22 个省的 759 例病例。在临床病例中,败血症是最常见的表现(49%),其次是中枢神经系统感染(25%)。总病死率为 18%,新生儿患者的病死率更高(73%)。近年来,李斯特菌病每年都有报告,甚至在 2014 年达到高峰。非围产期病例的中位年龄为 36 岁(范围 0-102 岁),男性病例居多(52%)。散发性病例多发生在 3 月至 5 月。需要通过进一步的研究和合作努力,以提高临床诊断和治疗能力,来预防和控制李斯特菌病的传播。

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