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重症肺炎患儿继发抗生素相关性腹泻病原菌检测与肠镜观察

胡鸿伟 程国平 戴昕 张振 向赟

中国医学创新Issue(24):105-107,3.
中国医学创新Issue(24):105-107,3.DOI:10.3969/j.issn.1674-4985.2015.24.038

重症肺炎患儿继发抗生素相关性腹泻病原菌检测与肠镜观察

The Pathogen and Colonoscopy Detection of Severe Pneumonia Children with Antibiotic-associated Diarrhea

胡鸿伟 1程国平 1戴昕 1张振 2向赟2

作者信息

  • 1. 湖北省咸宁市通城县人民医院 湖北 通城 437400
  • 2. 湖北省武汉市妇女儿童医疗保健中心
  • 折叠

摘要

Abstract

Objective:To investigate the intestinal pathogen and colonoscopy of antibiotic-associated diarrhea in children with severe pneumonia.Method:283 children with severe pneumonia in our hospital were analyzed retrospectively the etiological data of antibiotic associated diarrhea from March 2012 to March 2014. Result:The results dictated there were 48 samples toxin-positive of clostridium difficile,and after culturing there were 127 cases of Candida albicans,114 cases of Escherichia coli,43 cases of Staphyloccocus aureus,35 cases of clostridium perfringens,26 cases of Klebsiella oxytoca,19 cases of enterobacter cloacae,16 cases of Klebsiella pneumoniae and 8 cases of pseudomonas aeruginosa in the fecal specimens of 283 severe pneumonia children with antibiotic associated diarrhea. Colonoscopy detection showed there were 26 cases of pseudomembranous spots in all CD infection children,67 cases of inflammatory in other bacterial infections children. Conclusion:Severe pneumonia children with antibiotic associated diarrhea have complicated pathogens,the best pathogens are candida albicans and Escherichia coli. Colonoscopy detection shows different inflammatory changes in these pathogens associated AAD.

关键词

重症肺炎/抗生素相关性腹泻/儿童/病原菌/肠镜

Key words

Severe pneumonia/Antibiotic-associated diarrhea/Children/Pathogenic bacteria/Colonoscopy

引用本文复制引用

胡鸿伟,程国平,戴昕,张振,向赟..重症肺炎患儿继发抗生素相关性腹泻病原菌检测与肠镜观察[J].中国医学创新,2015,(24):105-107,3.

基金项目

2015年度湖北省卫计委科研项目 ()

中国医学创新

1674-4985

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