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新生儿科细菌学样本(脑脊液、血培养、尿液)的5年评估

[5-year evaluation of bacteriological samples (CSF, blood cultures, urine) in neonatology].

作者信息

Peigue-Lafeuille H, Vanlieferinghen P, Sirot J, Gaulme J

出版信息

Pediatrie. 1986 Mar;41(2):115-9.

PMID:3774422
Abstract

We report the result of the bacteriological samples performed for 5 years (1980-1984) in neonates, referred to the neonate unit of the hospital of Clermont-Ferrand, for infection (2,894 infants). The CSF tests show aseptic meningitis in 4% of the cases and in 0.4% meningitis with bacteria on the direct examination and in culture. We emphasize the interest of carrying out the soluble bacterial antigen assay (Strepto B, Coli K1) to find out the bacteria involved in the meningitis. 13.7% of the infants have one or several positive blood culture. The germ is a E. Coli in 30% of the cases, and less frequently a streptococcus D. They are few listeria. In 1984, the frequency of streptococcus B is increasing. Septicemia due to anaerobic germs or Candida Albicans emerge during the stay in the unit. Among 12,704 bacteriological urine analysis, we compare the real urinary infections (in which the enterobacteria are the main strain: 75.3%) and the significant bacteriuria.

摘要

我们报告了1980年至1984年这5年间,送至克莱蒙费朗医院新生儿科的2894名因感染而接受细菌学检查的新生儿的检查结果。脑脊液检查显示,4%的病例为无菌性脑膜炎,直接检查及培养显示0.4%的病例为细菌性脑膜炎。我们强调进行可溶性细菌抗原检测(B族链球菌、大肠杆菌K1)以查明引起脑膜炎的细菌的重要性。13.7%的婴儿血培养呈一项或多项阳性。30%的病例中致病菌为大肠杆菌,D组链球菌较少见,李斯特菌则更少。1984年,B族链球菌的感染率在上升。在住院期间出现了由厌氧病菌或白色念珠菌引起的败血症。在12704次细菌学尿液分析中,我们比较了真正的泌尿系统感染(其中肠道杆菌是主要菌株:75.3%)和显著菌尿。

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