Text Box: THE CAUSES¡¯ AND AGENTS¡¯ VARIATIONS FROM YEAR TO YEAR ON CASES OF PEDIATRIC NUTRITIONAL DYSTROPHY
Zhen Whei-bing, Chen Zhoen -yony, Ho Quei-zhuen, et al.
Guangzhou Children¡¯s Hospital, Guangzhou, China

Object: To understand the variation of the causes and agents of nutritional dystrophy (ND) on time shifting in Guangzhou area.
Method: 2558 cases suffered from ND in 1989-2000 have been reviewed, analyzed and summarized in order to get a conclusion.
Result: The cases of pure type of ND due to nutritional deficiency only have been decreased from year to year. The cases caused by infective agents have been increased because of abuse of broad-spectrum antibiotics. The strains of antibiotic-resistance bacteria have an increasing tendency. The cases of ND caused by pathogenetic, enterogenic fungus have been no more a rare situation. The pathogenetic opportunistic protozoa infections such as sporozoa infection have been vanished because of the improvement of water origin, circumstance pollution and also of isolating domestic animals from living area of host.
Conclusion: The causes and agents causing ND have been changed from year to year, and we have to take correlative measures to prevent and treat ND cases happened nowadays.

Key words: pediatric nutritional dystrophy, agents, fungus, and broad-spectrum antibiotics abuse
2008