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出生时咽拭子中的B族链球菌与新生儿败血症的早期检测

Group B streptococci in pharyngeal aspirates at birth and the early detection of neonatal sepsis.

作者信息

Slack M P, Mayon-White R T

出版信息

Arch Dis Child. 1978 Jul;53(7):540-4. doi: 10.1136/adc.53.7.540.

Abstract

The pharyngeal aspirates collected from 400 babies at the time of delivery were examined for the presence of bacteria, especially group B streptococci. Aspirates from 79 babies were found to contain viable bacteria, including 4 with group B streptococci; one of these 4 babies developed streptococcal meningitis within 24 hours. The group B streptococci were seen on a Gram-stained film of the aspirate, and were detectable by coagglutination and countercurrent immunoelectrophoresis within 4 hours and by culture after 24 hours. Examination of pharyngeal aspirates may be of value as a screening test for neonatal sepsis.

摘要

在分娩时从400名婴儿采集咽吸出物,检测其中细菌的存在情况,尤其是B族链球菌。发现79名婴儿的吸出物含有活菌,其中4名含有B族链球菌;这4名婴儿中有1名在24小时内发生了链球菌性脑膜炎。在吸出物的革兰氏染色涂片上可见B族链球菌,4小时内通过协同凝集和对流免疫电泳可检测到,24小时后通过培养可检测到。咽吸出物检查作为新生儿败血症的筛查试验可能有价值。

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本文引用的文献

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The value of umbilical cord histology in the management of potential perinatal infection.
J Pediatr. 1970 Jan;76(1):22-31. doi: 10.1016/s0022-3476(70)80125-1.
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Bacterial inhibition by amniotic fluid.
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Relationship of premature rupture of the membranes to gastric fluid aspirate in the newborn.
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