Nduati R W, Wamola I A
Department of Pediatrics, University of Nairobi, Kenya.
J Trop Pediatr. 1991 Aug;37(4):172-5. doi: 10.1093/tropej/37.4.172.
In a study of septic arthritis infants formed the bulk of patients though, notably, neonates were not encountered. Gram-negative bacterial of the Salmonella species, especially Salmonella typhimurium and Klebsiella species were the most important cause of septic arthritis in infants. Staphylococcus aureus was also isolated. The combination of blood cultures and joint aspirate cultures resulted in very high rate (72 per cent) of bacteria isolation. It is strongly recommended that every effort should be made to obtain two bacteriological specimens for culture to improve bacteriological diagnosis of the disease.
在一项关于脓毒性关节炎的研究中,婴儿占患者的大部分,不过值得注意的是,未发现新生儿病例。沙门氏菌属的革兰氏阴性菌,尤其是鼠伤寒沙门氏菌和克雷伯氏菌属,是婴儿脓毒性关节炎的最重要病因。也分离出了金黄色葡萄球菌。血培养和关节穿刺液培养相结合,细菌分离率非常高(72%)。强烈建议尽一切努力获取两份细菌学标本进行培养,以提高该病的细菌学诊断水平。