Wald E R
Clin Pediatr (Phila). 1982 Aug;21(8):463-5. doi: 10.1177/000992288202100803.
Bacteremia without an obvious focus of infection occurs relatively frequently in highly febrile children between the ages of six and 24 months. Management depends on the clinical situation and probable identity of the bacteria. A year-long study to determine the accuracy of differentiating gram-positive cocci morphologically on the Gram-stained smear of a blood culture demonstrated that streptococci and staphylococci can be distinguished when Gram staining is the procedure used by the laboratory. From such a preliminary report, the bacteremia can be evaluated in the context of the clinical situation and appropriate action can be taken.
在6至24个月的高热儿童中，无明显感染灶的菌血症相对常见。治疗取决于临床情况和可能的细菌种类。一项为期一年的研究旨在确定通过血培养革兰氏染色涂片在形态上鉴别革兰氏阳性球菌的准确性，结果表明，当实验室采用革兰氏染色程序时，链球菌和葡萄球菌可以区分开来。根据这样一份初步报告，可以结合临床情况对菌血症进行评估，并采取适当措施。
