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83例新生儿血培养阳性结果与临床分析 被引量:13

Analysis on clinical and positive result of blood culture in 83 newborns
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摘要 目的探讨某院1999年1月—2004年12月6年来新生儿血流感染的临床和细菌学特征。方法回顾分析6年该院血流感染新生儿的临床资料。结果83例住院的新生儿血流感染以革兰阳性(G+)球菌为主,占78.31%(65/83);革兰阴性(G-)杆菌占19.28%(16/83);未检出真菌。在需氧和厌氧配对培养的83例阳性新生儿中,需氧和厌氧培养均生长细菌者34例(40.96%);仅需氧培养长菌者21例(25.30%),仅厌氧培养长菌者28例(33.73%)。非正常分娩是新生儿血流感染的重要易感因素。结论应加强妇婴围产期保健工作及医院感染的监控力度,以减少新生儿血流感染的发生。同时做需氧和厌氧配对培养,可减少漏检。 Objective To evaluate the clinical and bacterial characteristics of bloodstream infection in newborns in a hospital from January 1999 to December 2004. Methods Clinical data of bloodstream infection in newborns in a hospital within 6 years were analysed. Results Eighty-three cases of bloodstream infection in hospitalized newborns were mainly caused by gram-positive cocci, which accounting for 78. 31% (65/83), gram-negative bacilli was 19. 28% (16/83), fungi had not been not found. 83 cases were all performed both aerobic and anaerobic bacteria culture, 34 (40.96%) newborns infected with both aerobic and anaerobic bacteria,21 (25.30%) infected with aerobic bacteria, 28 (33. 73%) infected with anaerobic bacteria. Abnormal delivery was one of the important factors for bloodstream infection. Conclusion In order to reduce newborn bloodstream infection, perinatal health care and nosocomial infection surveillance should be strengthened, samples should be performed both aerobic and anaerobic culture
机构地区 玉溪市人民医院
出处 《中国感染控制杂志》 CAS 2007年第4期253-254,258,共3页 Chinese Journal of Infection Control
关键词 新生儿 血培养 血流感染 病原菌 新生儿败血症 newborns blood culture bloodstream infection pathogen newborn septicemia
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参考文献3

  • 1徐秀华主编..临床医院感染学[M].长沙:湖南科学技术出版社,1998:651.
  • 2王莉,府伟灵,解晓珍,田洪明,张克斌.176次血液培养阳性结果的临床分析[J].中华医院感染学杂志,2003,13(5):489-491. 被引量:12
  • 3Vu-Thien H,Prioreschi S,Sourmay J,et al.Use of the VITAL automated blood culture system in a children's hospital:a one year retrospective study[M].Iunsbruck,Austria:OGHMP,1996:152-155. 被引量:1

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