新生儿枸椽酸杆菌肠炎27例分析

ANAYSES OF 27 CASES OF CIRROBACFER ENTERITIS CONCERNING THE NEWBORN INFANT

我科新生儿病房从1989年6～12月连续收住从本院婴儿室出院,当天即住我科的腹泻患儿,经1～3次大便培养证实为枸椽酸杆菌感染共27例,从而发现该菌在婴儿室的感染流行。全部病例有不同程度的脱水,绝大部分有酸中毒和低热,大便常规化验大部分正常,13例查药敏均对丁胺卡那敏感。据报告、在新生儿腹泻的病因中,该菌仅次于致病性大肠杆菌及变形杆菌。枸缘酸杆菌为条件致病菌,新生儿特别是应用广谱抗菌素及激素后易发生此类机会性感染,故其病因地位应受到重视。

Since June, 1989, we have cured some patients who had diarr- hea, they iust came out of the nursery in our hospital and were admitted to our department at the same day. After one or three stool culturel test, We found 27 cases of them were citrobacter in fection, so the bac- terial in fection and epidemic is found in the nursery. All patients has dehydration in varying degrees, most of them have low fever and acidosis, most stool routine test are normal. For the medicine susceptibity test, 13 cases are susceptible to amikacin. It is reported that in the diarrhea di- sease cause among the newborn children, Citrobacter is next to enteropu thogenie and proteus. It is a conditional germ, citrobacter is easily infec- ted under newborn, especially to those babies who take antibitotic broad- spectrum, Thus the emphasis should be laid upon the pathogen.