Dieterle J A
J Am Osteopath Assoc. 1977 Apr;76(8):599-601.
Infection of the newborn infant with Group B hemolytic streptococcus is increasing in importance as other pathogens decline. Such infection may appear within the first 48 hours of life and resemble respiratory distress syndrome, or around the tenth day, when signs of meningeal irritation may be present. Early onset disease may be due to any of the five serotypes of the Group B streptococcus and is fatal in a high percentage of cases. Late onset infection usually is due to serotype III. The epidemiologic aspects of early and late infection appear to differ, and a nosocomial source may be involved in the latter. Penicillin prophylaxis may be useful.
随着其他病原体的减少,新生儿感染B组溶血性链球菌的重要性日益增加。此类感染可能在出生后的头48小时内出现,类似呼吸窘迫综合征,或在第十天左右出现,此时可能有脑膜刺激征。早发型疾病可能由B组链球菌的五种血清型中的任何一种引起,且在高比例病例中是致命的。晚发型感染通常由III型血清型引起。早发型和晚发型感染的流行病学特征似乎有所不同,后者可能涉及医院感染源。青霉素预防可能有用。