Spencker F B, Handrick W, Braun W, Rieske K, Springer W, Bennek J
Padiatr Grenzgeb. 1989;28(1):47-56.
Blood cultures are extremely useful in diagnosing various bacteremic diseases in childhood. The results obtained in this study are presented in relation to two periods of equal length (1972-1978, 1979-1985). At the present time there are about 22 relevant isolates from blood cultures per 1000 admitted children and year in the Department of Pediatrics, and about 3 isolates per 1000 admitted children and year in the Department of Pediatric Surgery, respectively. From newborns we isolated most frequently E. coli, Staph. aureus, B-Streptococci, Pseudomonas aeruginosa, Klebsiella pneumoniae, and yeasts. From children beyond the first month of life Haemophilus influenzae, Streptococcus pneumoniae, other streptococci, Neisseria meningitidis, and Staph. aureus were the most frequent identified etiologic agents. The main factors influencing the spectrum of agents causing bacteremia are: age of patients, status of hospitals, and applicated diagnostic and therapeutic procedures.
血培养对于诊断儿童期各种菌血症性疾病极为有用。本研究所得结果是按照两个等长时间段（1972 - 1978年，1979 - 1985年）呈现的。目前，儿科每年每1000名入院儿童的血培养中约有22种相关分离菌，而小儿外科每年每1000名入院儿童的血培养中约有3种分离菌。从新生儿中，我们最常分离出大肠杆菌、金黄色葡萄球菌、B族链球菌、铜绿假单胞菌、肺炎克雷伯菌和酵母菌。在出生后第一个月之后的儿童中，流感嗜血杆菌、肺炎链球菌、其他链球菌、脑膜炎奈瑟菌和金黄色葡萄球菌是最常鉴定出的病原体。影响菌血症病原体谱的主要因素有：患者年龄、医院状况以及应用的诊断和治疗程序。
