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Title: Salmonellosis—What you need to know
题目:沙门氏菌病,你需要知道什么?
Author 作者: Andrea Tenner
General Information一般资料:
Salmonella: gram-negative rod-shaped bacilli
沙门菌:革兰氏阴性棒状杆菌
S/S: diarrhea (often bloody), fever and abdominal cramping
症状/体征 :腹泻(常为血性),发烧和腹部绞痛
Incubation: 12-24hrs
潜伏期: 12 - 24小时
duration: 4-7d
病程:4 〜7天
Generally resolves without treatment. Antibiotics prolong bacterial shedding and thus only recommended in severely ill patients (high fever, severe diarrhea/dehydration, sepsis), the very young, and the very old.
一般无需治疗即可痊愈。抗生素延长细菌排出,因此只建议在重症 (高烧,严重腹泻/脱水,败血症),很年轻,很老的患者中应用。
Area of the world affected世界影响的区域:
Worldwide, especially in developing countries
世界范围内,特别是在发展中国家
Relevance to the US physician与美国医生相关:
As of Oct. 7th, 278 people infected in the most recent US outbreak, thought to be related to chicken from Foster Farms
截至2013年10月7日, 最近在美国爆发中已有278人感染,认为与福斯特农场鸡有关。
Many of these strains of Samonella were drug-resistant
这些沙门氏的许多菌株都是耐药性的
Bottom Line 要点:
Suspect Salmonellosis in patients with appropriate exposure and symptoms, give supportive care for most, only give antibiotics to severely ill patients after sending blood and stool culture and sensitivities.
对有接触史和症状的可疑沙门氏菌病患者,主要是支持治疗,只有对那些重症患者在做血液和粪便培养和敏感试验后给予抗生素。
References参考文献:
http://www.cdc.gov/salmonella/heidelberg-10-13/index.html