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[D组链球菌感染(作者译)]

[Infections by group D streptococci (author's transl)].

作者信息

Ferrer Pi S, Pérez Prado C, Jiménez González R

出版信息

An Esp Pediatr. 1981 Aug;15(2):190-201.

PMID:6798907
Abstract

A study of the pediatric infections due to group D streptococci, based on the causist of the Pediatric Department of the School of Medicine at Barcelona is performed. It comprises 20 cases of newborn sepsis (one of them with meningitis), and nine urinary infections in children of several ages. The isolated straws, that pertained all to "enterococcus", revealed greatest sensibility in decreasing order to ampicillin, carbenicillin, chloramphenicol, furantoin and gentamicin. In neonatal sepsis the beginning was precocious in 50% of the cases, the frequency of newborns with low birth weight was high (35%), and the course was favourable in 95%; the only case that died was affected of meningitis with pyocephalia. Urinary infections prevailed in the first year of life (44%), but all the affected were older than a month of life. There were characterized by little accused symptomatology, and quickly favourable course of the infection, through adequate antibiotic treatment. Nevertheless, the long term prognosis is darkened by severe renal and urinary malformations that were appreciated in 55% of the patients.

摘要

基于巴塞罗那医学院儿科学系的病例记录,对D组链球菌引起的儿科感染进行了一项研究。该研究包括20例新生儿败血症(其中1例伴有脑膜炎)以及几例不同年龄段儿童的9例泌尿系统感染。分离出的菌株均属于“肠球菌”,对氨苄西林、羧苄西林、氯霉素、呋喃妥因和庆大霉素的敏感性依次降低。在新生儿败血症中,50%的病例起病较早,低体重新生儿的发生率较高(35%),95%的病例病情转归良好;唯一死亡的病例是患有脑脓肿性脑膜炎。泌尿系统感染在生命的第一年最为常见(44%),但所有感染患儿均超过1月龄。其特点是症状不明显,通过适当的抗生素治疗,感染病程迅速好转。然而,55%的患者存在严重的肾脏和泌尿系统畸形,这使长期预后变得黯淡。

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