@article{oai:niigata-u.repo.nii.ac.jp:00017037, author = {伊藤, 末志}, issue = {10}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Oct}, note = {Although aute enteritis is very common in clinical practice, marked changes have been observed recently either in the main pathogens to cause diarrhea or in the peak seasen of the occurrence of viral enteritis. In the present study, we investigated 2,057 patients (875 children and 1,182 adults) who underwent medical treatment for bacterial enteritis between 1981 and 1996, and 1,005 inpatients with viral enteritis between 1983 and 1996 at our hospital. When classifying bacterial enteritis into food poisoning (n=1,409) and drug-induced enteritis (n=648), pathogens as a cause of food poisoning were Campylobacter (n=627;388 children and 239 adults), Salmonella (n=283;130 children and 153 adults), Vibrio (n=216;18 children and 198 adults), Enteropathogenic E. coli (EPEC;n=138;99 children and 39 adults), and Yersinia enterocolitica (n=77;71 children and 6 adults) in order of the frequency. In addition, Aeromonas and Shigella were detected in 30 and 21 patients, respectively. When comparing the frequency between the first and the latter half of survey period of 16 yeats, Campylobacter enteritis decreased nearly half in both children and adults;Salmonella enteritis was much the same in children and increased by 1.5 times in adults;Vibrio parahaemolyticus and EPEC slightly decreased in both children and adults;Yersinia enteritis was reduced to ca 1/4 in children. Dysentery has not occurred since the outbreak at this district in 1987. The monthly frequency of food poisoning was higher in the summer, particularly in August, and lower in the winter. The frequency of drug-induced enteritis did not vary notably with the season, although it tended to increase in the winter and to decrease in the summer. Concerning the seasonal frequency of viral enteritis, Rotavirus infection is considered to prevail during the cold season, hence called “infantile winter diarrhea”. At our hospital, however, its frequency has peaked in April for the last several years.}, pages = {619--626}, title = {4)当院における腸管感染症の変遷 : 小児例を中心に(シンポジウム 最近の腸管感染症, 第530回新潟医学会)}, volume = {111}, year = {1997} }