초록
병원을 찾은 설사환자의 분변으로 부터 Salmonella sp.와 Shigella sp.을 분리하고 혈청형, 월별, 연령별분포 및 약제내성 양상을 조사하였다. 311명의 설사환자로 부터 34주(10.9%)의 Salmonella sp.와 25주(8%)의 Shigella sp.을 분리하였다. 분리된 Salmonella sp.의 혈청형은 group D(50%)가 가장 많았고, Shigella sp.은 대부분(96%)이 group D에 속하였다. 분리된 Salmonella sp.의 월별 및 연령별 분포는 계절과 연령에 크게 관계없이 분리되는 경향을 보였고, 이와는 달리 Shigella sp.은 7월(64%)과 10대(76%)에서 높은 분리율을 나타내었다. 분리균주에 대하여 약제내성을 조사한 결과 Shlmonella sp.는 streptomycin에 공시한 전 분리균이 내성을 나타내었고, erythromycin과 novobiocin(90.6%), penicillin G(65.6%) 및 cephalexin(46.9%)에, Shigella sp.는 erythromycin(95.8%), novobiocin(91.7%) 및 streptomycin(87.5%)에 각각 높은 내성을 나타내었다. 또한 Salmonella sp.와 Shigella sp.의 내성양상은 각각 18종류 및 4종류의 내성형으로 분포하고 있었다.
A total of 34 Salmonella sp. an d25 Shigella sp. were isolated from 311 patients with diarrhea. The isolation rates of Salmonella sp. ad Shigella sp. were 10.9% and 8%, respectively. The serogroups of 34 Salmonella sp. were in order of group D(50%), group B(38.25), group E(8.8%) and group C 92, 9%0. the serogroups of 25 Shigella sp. were group D(96%) and group B(4%). Seasonal distribution of isolated Salmonella sp. and Shigella sp. were shown the most high at July, 17.65% and 64%, respectively. Age group distribution of isolated Salmonella sp. and Shigella sp. were shown the most high at twenties and thirties (23.5%), and teens(76%), respectively. The Salmonella isolates were resistant in order of prevalence use of streptomycin(SM) (100%), erythromycin (EM) and movobiocin (NB)(90.6%), penicillin G(PG) (65.6%) and cephalexin (CPX)(46.9%). the isolates of Shigella sp. were resistant in order of prevalence use of EM (95.8%), NB(91.7%), SM(87.5%). Eighteen kinds of resistant patterns of Salmonella ioslates were detected. The multiple resistance patterns of Shigella isolates were mostly SM, EM, NB type (79.2%). The minimum inhibitory concentration of Salmonella sp. and Shigella sp. and Shigella sp. isolated from patients with diarrhea were tabulated.