Haque K N, Chagia A H, Shaheed M M
Division of Neonatology, College of Medicine, Riyadh, Saudi Arabia.
J Trop Pediatr. 1990 Feb;36(1):20-3. doi: 10.1093/tropej/36.1.20.
In a retrospective study to determine the pattern of neonatal sepsis, all cases admitted to the Neonatal Intensive Care Unit (NICU) between October 1983 and July 1988 at King Khalid University Hospital, in Riyadh were studied. During the review period there were a total of 2117 admissions to the NICU. Of those 1252 (59 per cent) underwent septic screening sometimes during their stay in the NICU. The number of babies with proven bacteremia, i.e.; positive blood and or cerebrospinal fluid culture was 190 (15 per cent). Gram-positive organisms were cultured from 132 (69 per cent) and Gram-negative organisms from 47 (25 per cent) of the babies. The single most frequent organism was Staphylococcus epidermidis accounting for 36 per cent (58/190) of all proven cases. These results differ appreciably from other studies reported previously from Riyadh as well as from some other parts of the world, and stress the need to recognize Staphylococcus epidermidis as an increasingly important pathogen in the newborn nursery.
在一项确定新生儿败血症模式的回顾性研究中，对1983年10月至1988年7月期间在利雅得的哈立德国王大学医院新生儿重症监护病房（NICU）收治的所有病例进行了研究。在回顾期内，NICU共收治了2117名患者。其中1252名（59%）在NICU住院期间接受了败血症筛查。确诊为菌血症的婴儿数量，即血培养和/或脑脊液培养呈阳性的婴儿有190名（15%）。132名（69%）婴儿培养出革兰氏阳性菌，47名（25%）婴儿培养出革兰氏阴性菌。最常见的单一病原体是表皮葡萄球菌，占所有确诊病例的36%（58/190）。这些结果与利雅得此前报道的其他研究以及世界其他一些地区的研究结果明显不同，并强调有必要认识到表皮葡萄球菌是新生儿重症监护室中日益重要的病原体。
