Abstract:Objective: To analyze the pathogenic microorganism of infantile diarrhea pathogenic factors and the changes of serum interferon-γ(IFN-γ), interleukin-6 (IL-6), and transgenic growth factor -β(TGF-β). Methods: 100 cases of Infantile diarrhea children who treated from May 2015 to May 2018 in our hospital, according to the severity of the disease those children were divided into 41 cases of light group and 59 cases of heavy group, and 41 cases of healthy infants were selected for outpatient physical examination in the same period as a control group. The distribution of pathogenic microorganisms in infants and young children with diarrhea was analyzed, and the serum levels of IFN-γ, IL-6 and TGF-βin each group were compared, and the correlation was analyzed. Results: A total of 100 stool samples from infants with diarrhea were collected,a total of 80 pathogenic microorganisms were detected,the total detection rate was 83.00%, which the detection rate of rotavirus was 37.34%, the detection rate of calicivirus was 28.91%, the detection rate of small double-section virus was 9.63%, the detection rate of adenovirus was 8.43%, The detection rate of bacteria was 6.02%, and the detection rate of remaining viruses and bacteria was low. The serum levels of IFN-γ, IL-6 and TGF-β in the research group were lower than those in the control group, and the difference was statistically significant (P<0.05). The levels of serum IFN-γ, IL-6 and TGF-β in the severe group were higher than those in the light group (P<0.05).The areas of serum IFN-γ, IL-6, TGF-β and combined index ROC curves were 0.770, 0.788, 0.859, 0.940,the ROC curve area of the combined indicator was significantly higher than the individual indicators of IFN-γ, IL-6 and TGF-β. Conclusion: rotavirus is the main pathogenic microorganism of infantile diarrhea,analysis of serum IFN-γ, IL-6, TGF-β levels can be useful for the observation of disease diagnosis and progression.
潘淑, 张婧, 马瑜珊. 婴幼儿腹泻病原微生物检测及血清IFN-γ IL-6 TGF-β 的变化分析[J]. 河北医学, 2019, 25(3): 671-674.
PAN Shu, ZHANG Jing, MA Yushan. Detection of Pathogenic Microorganism of Infantile Siarrhea and Analysis of Changes of IFN-γ IL-6 and TGF-β. HeBei Med, 2019, 25(3): 671-674.
[1] Chisti MJ, Ahmed T, Ahmed AM, et al. Hypernatremia in children with diarrhea: presenting features, management, outcome and risk factors for death[J]. Clin Pediatr (Phila), 2016,55(7):654~663. [2] Becker-Dreps S, Allali I, Monteagudo A, et al. Gut microbiome composition in young nicaraguan children during diarrhea episodes and recovery[J]. Am Trop Med Hyg,2015,93(6):1187~1193. [3] Lee WS, Ng RT, Chan KW,et al. Variable outcome in infantile-onset inflammatory bowel disease in an Asian cohort[J]. World Gastroenterol,2016,22(48):10653~10662. [4] Wan CM, Yu H, Liu G, et al. A multicenter randomized controlled study of Saccharomyces boulardii in the prevention of antibiotic-associated diarrhea in infants and young children[J]. Zhonghua Er Ke Za Zhi,2017,55(5):349~354. [5] 毕小朵,郭妍妍.771例婴幼儿腹泻病原微生物监测分析[J].中国病原生物学杂志,2016,11(12):1118~1121. [6] 黄伟,夏明月,李明丽,等.急性腹泻患儿血清25-羟维生素D与炎性细胞因子水平的关系[J].山东医药,2017,57(10):58~59. [7] 巩敏红,王玉,彭兆旭.小儿轮状病毒肠炎血清与粪细胞因子的临床变化及治疗[J].现代消化及介入诊疗,2016,21(6):871~873. [8] 宋翠领,曹锦芬,张晓,等.轮状病毒肠炎患儿相关炎性因子及免疫状态的变化[J].宁夏医科大学学报,2018,40(1):108~110.