Schröder H, Tessmar J, Paust H, Keller P, Hanefeld F
Monatsschr Kinderheilkd. 1982 Mar;130(3):153-6.
In recent years group B streptococci accounted for nearly 40% of all cases of neonatal septicemia in our intensive-care-unit. Nineteen of 38 babies did not survive the acute illness (mortality 50%). Six of 18 surviving children showed abnormalities related to the septicemia/meningitis (morbidity 33%). The severity of chronic complications ranged from minor neurological problems to marked retardation, deafness, blindness, and epilepsy. In our series there seemed to be a relation between the severity of complications during the acute illness (meningitis, convulsions), and later neurological sequelae. Early detection and early treatment were found to be most important for the final outcome.
近年来,在我们的重症监护病房中,B组链球菌占新生儿败血症所有病例的近40%。38名婴儿中有19名未能在急性疾病中存活(死亡率50%)。18名存活儿童中有6名出现了与败血症/脑膜炎相关的异常(发病率33%)。慢性并发症的严重程度从轻微的神经问题到明显的智力迟钝、耳聋、失明和癫痫不等。在我们的系列研究中,急性疾病期间并发症的严重程度(脑膜炎、惊厥)与后期神经后遗症之间似乎存在关联。发现早期检测和早期治疗对最终结果最为重要。