小儿肺炎克雷伯氏杆菌肠炎51例临床分析

Clinical analysis of 51 enteritis children infected pneumonia Klebsiella pneumoniae

目的 :探讨小儿肺炎克雷伯氏杆菌肠炎的临床特征、药敏试验及治疗等问题。方法 :对经粪便细菌培养证实的 51例小儿肺炎克雷伯氏杆菌肠炎的临床资料进行回顾性分析。结果 :735例腹泻患儿粪便标本中 ,肺炎克雷伯氏杆菌检出率 6 .9% ,51例病例中 ,迁延性及慢性腹泻占 78.4 % ,2岁以下婴幼儿占 76 .5% ,药敏试验结果对头孢哌酮、丁胺卡那霉素较敏感。结论 :肺炎克雷伯氏杆菌是本地区小儿腹泻的主要致病菌之一 ,易引起 2岁以下婴幼儿迁延性及慢性腹泻 ,治疗上强调调整肠道微生态平衡 ,加强支持治疗 ,必要时选用敏感抗生素 ,防止滥用广谱抗生素及糖皮质激素。

Objective: To study the feature drug sensitive test and treatment of enteritis children infected pneumonia Klebsiells pneumoniae. Method:We reviewed 51 enteritis children infected pneumionia Klebsiella pneumoniae who were cultived bowl. Result: In the bowl of 735 cases children with diarrhea, The Klebsiella pneumoniae testing rate is 6.9%. 51 cases of them with delayed and chronic diarrhea were 78.4%,below 2 years old infamt is 76.5%. The drug sensitive test result is that cephanone. amikacin were sensitive to them. Conclusion: klebsiella is the main virus to the local diarrhea childern, We should pay more attention to the mictobal balance, and supporting. When it's nessissary, we'll use sensitive spectrum antibiotic, and wont use broad spectrum antibiotic and glucocorticoid.