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儿童血培养分离到少动鞘氨醇单胞菌40例临床分析

王晓芳 李建平 华春珍 杜立中

浙江医学Issue(16):1505-1507,3.
浙江医学Issue(16):1505-1507,3.

儿童血培养分离到少动鞘氨醇单胞菌40例临床分析

王晓芳 1李建平 2华春珍 3杜立中4

作者信息

  • 1. 310003 杭州,浙江大学医学院附属儿童医院
  • 2. 杭州师范大学附属医院儿科
  • 3. 浙江大学医学院附属儿童医院, 杭州,310003
  • 4. 杭州师范大学附属医院儿科
  • 折叠

摘要

Abstract

Objective To review the clinical features of children with positive blood culture for Sphingomonas paucimobilis (S. paucimobilis). Methods The clinical and laboratory data of 40 children with positive S. paucimobilis culture, who were admit-ted from September 2006 to August 2011, were retrospectively analyzed. Results The mean age of patients was 41.4±40.7m (7d~12.5y) and 67.5%were<3y, among whom 62.5%were boys. 77.5%of patients were diagnosed during April to September and 55%had high CRP levels. All patients had underlying conditions, low respiratory tract infection was leading one (40%), fol-lowed by hematological disorders(27.5%) and surgical operation(15%). Drug resistant test showed that 94.6%of the strains were sensitive to imipenem, 96.8%were sensitive to meropenem and 85.3%were sensitive to cefoperazon- sulbactam sodium. Thera-peutic outcome showed that the third generation cephalosporins were effective and al patients were cured. Conclusion Children with S. paucimobili infection have favorable prognosis, the third generation cephalosporin and carbopenems are effective for in-fection of S. paucimobilis.

关键词

少动鞘氨醇单胞菌/血培养/儿童

Key words

Sphingomonas paucimobilis/Blood culture/Children

引用本文复制引用

王晓芳,李建平,华春珍,杜立中..儿童血培养分离到少动鞘氨醇单胞菌40例临床分析[J].浙江医学,2013,(16):1505-1507,3.

浙江医学

OACSTPCD

1006-2785

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