儿童金黄色葡萄球菌肺炎52例临床分析

Clinical Analysis of 52 Patient with Staphylococcus Aureus Pneumonia

目的 了解金黄色葡萄球菌肺炎(SAP)在儿童中的发病现状及耐药性。方法 回顾分析了重庆医科大学儿童医院PICU1993-2003年确诊为金黄色葡萄球菌肺炎52例的发病、抗生素敏感性和预后情况。结果SAP临床表现无特殊性,SA最易致多器官感染,尚未发现万古霉素耐药的病例。结论 SAP临床表现无特殊性,容易出现并发症,细菌具有多重耐药.因此选择适当的抗生素对治疗SAP感染非常重要。

Objective To investigate the morbidity and drug resistance of Staphylococcus Aureus Pneumonia (SAP) with children . Methods The retrospective analysis of the morbidity, the sensitivity to the antibiotics and the factors influencing the prognosis of the hospitalized patients with SAP were carried out in PICU Children' s Hospital, Chongqing University of Medical Sciences during 1993-2003. Results SAP had no typical clinical features and usually result to multipleorgean infection, but until the cases of resistance Vancomycin has no discovery. Conclusion It could be concluded that the patients with SAP had no typical clinical feature, and usually had serious accompanied diseases, pathogens had multiple resistance to antibiotics, so it is very important to choose proper antibiotics in treating SAP.