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[凝固酶阴性葡萄球菌败血症:新生儿重症监护病房的经验]

[Plasmacoagulase-negative Staphylococcus sepsis: experience in a neonatal intensive care unit].

作者信息

Pérez Fernández J M, Soler Carreras C, Esque Ruiz M T, Llagostera Benedico J, Carbonell-Estrany X

机构信息

Departamento de Neonatología, Casa Provincial de Maternidad, Barcelona.

出版信息

An Esp Pediatr. 1987 Aug;27(2):103-6.

PMID:3662263
Abstract

Among 1,049 admissions in the newborn department, during 18 months, authors found 148 positive blood cultures to staphylococci epidermidis (EPN). Recovery of EPN from blood should not be dismissed as a contaminant. 11 newborn were considered to have septicemia by EPN, that means 1.04% of all admissions and 5.6% of babies admitted in intensive care. They find that catheters (100%), assisted ventilation (45.4%) and previous surgery (36.3%) are significant predisposing risk factors. Clinical and laboratory pattern was not different of other sepsis except its late onset. Two patient died. Vancomycin is considered the drug of choice.

摘要

在新生儿科18个月期间收治的1049例患儿中,作者发现148例血培养表皮葡萄球菌(EPN)呈阳性。从血液中检出EPN不应被视为污染物而不予理会。11例新生儿被认为患有EPN败血症,占所有入院患儿的1.04%,占重症监护病房收治患儿的5.6%。他们发现,导管(100%)、辅助通气(45.4%)和既往手术(36.3%)是重要的易感危险因素。除发病较晚外,其临床和实验室表现与其他败血症无异。两名患者死亡。万古霉素被认为是首选药物。

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