Vela F, Chunga F, Valls A
Departamento de Pediatría del Hospital Universitario de Sevilla.
An Esp Pediatr. 1987 Oct;27(4):249-52.
A retrospective study of infectious diseases has been performed in 194 small-for-date full-term babies, finding septicaemia in 7.2% of cases, urinary tract infection in 5.2%, meningoencephalitis in 1% and enterocolitis in 3%. Most frequent infections agents were: 1) in septicaemia, Klebsiella pneumoniae (28.5%), E. coli and staphylococcus coagulase negative (21.4% for each); 2) in urinary tract infections, Klebsiella pneumoniae and E. coli (40% for each); 3) in meningoencephalitis, Klebsiella pneumoniae and E. coli (50% for each), and 4) in enterocolitis, E. coli (50%) and rotavirus (33%). Overall mortality rate was 4.1%, being 14.3% in the group with septicaemia (14 babies). Incidence of septicaemia is significatively related to assisted ventilation, catheterization of blood vessels, anemia and intravascular disseminated coagulation.
对194例足月小样儿进行了传染病回顾性研究，发现败血症发生率为7.2%，尿路感染为5.2%，脑膜脑炎为1%，小肠结肠炎为3%。最常见的感染病原体为：1）败血症中，肺炎克雷伯菌（28.5%）、大肠杆菌和凝固酶阴性葡萄球菌（各占21.4%）；2）尿路感染中，肺炎克雷伯菌和大肠杆菌（各占40%）；3）脑膜脑炎中，肺炎克雷伯菌和大肠杆菌（各占50%）；4）小肠结肠炎中，大肠杆菌（50%）和轮状病毒（33%）。总死亡率为4.1%，败血症组（14例婴儿）为14.3%。败血症的发生率与辅助通气、血管插管、贫血和血管内弥散性凝血显著相关。
