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叶蓓,蒋茂莹,邵启民.40例小儿鼠伤寒沙门菌临床分析[J].浙江中西医结合杂志,2017,27(7):
40例小儿鼠伤寒沙门菌临床分析
Analysis of Clinical for 40 Children Infected Salmonella Typhimurium
投稿时间:2017-01-07  修订日期:2017-03-06
DOI:
中文关键词:  鼠伤寒沙门菌  儿童  
英文关键词:Salmonella typhimurium  Children  
基金项目:
作者单位E-mail
叶蓓 杭州市儿童医院 405225364@qq.com 
蒋茂莹   
邵启民 为通讯作者 杭州市儿童医院 杭州市下城区文晖路号  
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中文摘要:
      目的:对本地区鼠伤寒沙门菌感染患儿进行临床分析。方法:对我院2012年—2015年经粪便培养证实为鼠伤寒沙门菌感染患儿40例的临床表现、实验室检查、药敏及治疗和转归情况进行分析。结果:本组病例发病以婴幼儿多见,特别是6月-2岁多见;绝大部分病例出现腹泻及发热表现;全部病例炎症特异性指标并不能反应感染鼠伤寒沙门菌,或是提示感染了鼠伤寒沙门菌;药敏试验中亚胺培南敏感率 100%,哌拉西林/他唑巴坦敏感率85.74%、氨曲南敏感率78.57%,头孢他定敏感率为64.28%,对头孢曲松敏感率为57.14%,敏感度越高治疗效果越好。结论:粪便培养是确诊鼠伤寒肠炎的重要方法,结合药敏试验选用敏感抗生素可取得较好的治疗效果。
英文摘要:
      Objective: To analysis of clinical of children in the region infected Salmonella typhimufium.Methods:From 2012 to 2015,clinical manifestations,laboratory examinations,drug sensitivity and treatment and prognosis of 42 patients confirmed by stool culture for Salmonella typhimurium infection were analyzed.Results: The incidence of this disease is more common in infants and young children, especially in the six months to 2 years old. The vast majority of cases of diarrhea and fever. All cases of inflammatory specificity index can not express to infect the Salmonella typhimurium, or hint infected with salmonella typhimurium. Drug sensitive test from the imipenem sensitive rate is 100%, piperacillin/he azole temple sensitive rate 85.74%, ammonia 85.74%, he cephalosporin rate was 64.28%, sensitive to ceftriaxone rate was 57.14%. The higher the sensitivity, the better the treatment.
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