Battisti O, Mitchison R, Davies P A
Arch Dis Child. 1981 Oct;56(10):775-8. doi: 10.1136/adc.56.10.775.
An analysis was made of all cases of bacteraemia that had occurred in the referral neonatal intensive care unit at Hammersmith Hospital during the years 1976--79. One hundred and thirteen infants had positive blood cultures; 27 were born in the hospital, and 86 admitted from elsewhere. This gave a rate of 5.7/1000 live hospital births, and 165/1000 outborn admissions to the unit. The latter infants were predominantly of very low birthweight or were ill. Thirty-three of the isolates were cultured in the first 48 hours of life (early) and the remaining 80 after that time (later). Staphylococcus epidermidis was the organism most often isolated both early and later. These results were different from those recorded in the previous 9 years (1967--75) from the same unit. Then, group B beta-haemolytic streptococcus was the organism most often isolated early, while Gram-negative bacteria predominated among later isolates. The changing nature of care may contribute to these findings.
对1976年至1979年间在哈默史密斯医院转诊新生儿重症监护病房发生的所有菌血症病例进行了分析。113名婴儿血培养呈阳性；27名在医院出生，86名从其他地方转入。这使得医院活产婴儿的发病率为5.7/1000，转入该病房的外地婴儿发病率为165/1000。后一组婴儿主要是极低体重儿或患病婴儿。33株分离菌是在出生后48小时内（早期）培养出来的，其余80株是在此之后（晚期）培养出来的。表皮葡萄球菌是早期和晚期最常分离出的菌种。这些结果与该病房此前9年（1967年至1975年）记录的结果不同。当时，B组溶血性链球菌是早期最常分离出的菌种，而革兰氏阴性菌在晚期分离菌中占主导地位。护理性质的变化可能是导致这些结果的原因。
