摘要
目的:分析血细菌培养阳性结果,结合临床体征和抗生素使用情况对儿童败血症做出准确诊断。方法:详细记录58例血培养阳性病例的一般资料、临床体征、实验室检查等情况,对血培养阳性患儿的临床诊断重新判定,对抗生素使用进行评估。结果:58例血培养阳性病例只有28例符合败血症诊断,其中新生儿、婴幼儿和儿童分别有14例、9例和5例。患儿表现有脓疱、脐炎、严重肺炎等,体检指标中体温、血沉和CRP升高及检出细菌较敏感的患儿符合败血症诊断的较多。不同年龄段患儿用药均有不必要治疗和过度治疗。结论:不同年龄段患儿均存在败血症的误诊。患儿临床表现、检出细菌的种类以及对用药的反应有助于败血症的鉴别诊断,避免不必要治疗和过度治疗。
Objective：Through analysis of the positive blood culture results combined with the clinical features and the reactions to antibiotics,to make exact diagnosis of septicemia in infants.Methods：The diagnosis of those child patients with positive blood culture results were rejudged and their drug therapies were evaluated.Results：Among 58 cases with positive blood culture results,28 cases were in accordance with the septicemia diagnosis,the numbers of cases in different ages were 14（1 month）,9（~3 years） and 5（~10 years）,respectively.Most of the cases with the septicemia diagnosis suffered with pustule,omphalitis or severe pneumonia and their temperature,erythrocyte sedimentation rate（ESR） and C reactive protein（CRP） were elevated.Isolated bacteria being sensitive to antibiotics always caused septicemia.Children who received unnecessary treatments and over-treatments could be found in different ages.Conclusions：Misdiagnosis occurred to childrn of different ages.Clinical symptoms,bacterial isolation and responses to antibiotics of patients will help to judge septicemia,avoid unnecessary treatments and over-treatments.
出处
《儿科药学杂志》
CAS
2012年第4期38-41,共4页
Journal of Pediatric Pharmacy
关键词
血培养
败血症
抗生素
过度治疗
Blood culture
Septicemia
Antibiotic
Over-treatment
