Wright J E, Reid I S
Newcastle Mater Misericordiae Hospital, Newscastle, New South Wales, Australia.
Aust Paediatr J. 1987 Jun;23(3):193-5. doi: 10.1111/j.1440-1754.1987.tb00244.x.
A retrospective study of 78 children with acute cervical lymphadenitis treated in Newcastle over the last 9 years revealed that abscesses formed in 50 children despite antibiotic treatment. Children under 2 years of age were more likely to form an abscess than older children. The commonest organism isolated was penicillin-resistant Staphylococcus. Beta-haemolytic Streptococcus was isolated less commonly and isolation of penicillin-sensitive staphylococci was rare. Penicillin and amoxycillin alone are unsuitable as first line antibiotics. Severe infections and those failing to respond rapidly to initial antibiotic treatment should be admitted to a paediatric unit for intravenous beta-lactamase-resistant antibiotics.
一项对过去9年在纽卡斯尔接受治疗的78例急性颈淋巴结炎患儿的回顾性研究显示，尽管进行了抗生素治疗，但仍有50例患儿形成了脓肿。2岁以下的儿童比年龄较大的儿童更易形成脓肿。分离出的最常见病原体是耐青霉素葡萄球菌。β溶血性链球菌较少分离到，而对青霉素敏感的葡萄球菌很少分离到。单独使用青霉素和阿莫西林作为一线抗生素并不合适。严重感染以及对初始抗生素治疗无快速反应的患儿应收入儿科病房，给予静脉注射β内酰胺酶耐药抗生素。
