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内盖夫地区儿童革兰氏阴性肠道菌血症(1989 - 1994年)

[Gram-negative enteric bacteremia in children in the Negev (1989-1994)].

作者信息

Maimon-Greenwald M, Leibovitz E, Maimon N, Peled N, Dagan R

机构信息

Pediatric Infectious Disease Unit, Soroka Medical Center, Beer Sheba.

出版信息

Harefuah. 1997 Oct 2;133(7-8):275-81, 335.

PMID:9418356
Abstract

During 1989-1994, there were 322 episodes of Gram-negative enteric bacteremia in 308 children. The incidence increased from 31/100,000 in children younger than 15 years of age during 1989-1991, to 50/100,000 during 1992-1994. The most common pathogens were Klebsiella, E. Coli, Salmonella and Enterobacter. 39% of episodes were nosocomial and a significant increase was recorded for each species during the last 3 years of the study. Klebsiella represented the most common pathogen causing nosocomial bacteremia, while E. coli and Salmonella were the main pathogens causing community-acquired bacteremia. In this study in southern Israel, the incidence of Gram-negative enteric bacteremia was significantly higher in Bedouin children, with the exception of bacteremia due to Salmonella, which occurred mainly in Jewish children.

摘要

1989年至1994年间,308名儿童发生了322次革兰氏阴性肠道菌血症。发病率从1989年至1991年15岁以下儿童的31/100,000增至1992年至1994年的50/100,000。最常见的病原体是克雷伯菌、大肠杆菌、沙门氏菌和肠杆菌。39%的感染发生在医院,在研究的最后三年中,每种病原体的感染率都有显著增加。克雷伯菌是导致医院菌血症最常见的病原体,而大肠杆菌和沙门氏菌是引起社区获得性菌血症的主要病原体。在以色列南部的这项研究中,贝都因儿童革兰氏阴性肠道菌血症的发病率显著更高,但由沙门氏菌引起的菌血症除外,沙门氏菌引起的菌血症主要发生在犹太儿童中。

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