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[新生儿重症监护病房中早产儿和新生儿血培养的病原菌谱]

[The pathogen spectrum of blood cultures of premature and newborn infants in a neonatal intensive care unit].

作者信息

Ludwig S, Ludwig U, Schramm D, Straube E, Koch H

机构信息

Klinik für Kinder- und Jugendmedizin Jussuf Ibrahim, Universitätsklinikums Jena.

出版信息

Kinderarztl Prax. 1993 Dec;61(10):355-8.

PMID:8145451
Abstract

The bacterial spectrum of blood cultures in a neonatal intensive-care unit was retrospectively assessed in a two-year study. Analysis of positive blood cultures showed a dominance of gram-positive bacteria, especially of coagulase-negative staphylococci. The resistance of these germs points to vancomycin as the most effective antibiotic. B-streptococci, germs that are dreaded especially in neonatology, were not found in any of the cases. Positive blood cultures were mostly in correlation with clinical symptoms, less so to the leukocyte count and/or C-reactive protein levels. There was no case of death directly caused by sepsis.

摘要

在一项为期两年的研究中,对新生儿重症监护病房血培养的细菌谱进行了回顾性评估。阳性血培养分析显示革兰氏阳性菌占优势,尤其是凝固酶阴性葡萄球菌。这些病菌的耐药性表明万古霉素是最有效的抗生素。B组链球菌是新生儿科特别令人担忧的病菌,在所研究的任何病例中均未发现。阳性血培养大多与临床症状相关,与白细胞计数和/或C反应蛋白水平的相关性较小。没有败血症直接导致死亡的病例。

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