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題 名 | 25例Stenotrophomonas Maltophilia院內血流感染之分析=Nosocomial Stenotrophomonas Maltophilia Bacteremia: Analysis of 25 Cases |
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作 者 | 黃英絹; 黃高彬; 陳彥旭; 蔡季君; 李怡慧; 林春珠; 吳淑卉; 陳田柏; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 8:6 1998.12[民87.12] |
頁 次 | 頁710-717 |
分類號 | 419.38 |
關鍵詞 | 院內血流感染; Stenotrophomonas maltophilia; Nosocomial bacteremia; |
語 文 | 中文(Chinese) |
中文摘要 | 近年來由於Stenotrophomonas maltophilia造成院內感染有逐年增加的趨勢,且成為重要的致病菌,因此收集南部某醫學中心1992年至1996年間共25例院內血流感染個案,作一回溯性分析臨床各項資料及藥物感受性試驗。 結果發現感染個案中女性佔68%(17人);平均年齡為60.7 ± 14.3歲(由32歲至81歲);感染個案大多是住加護病房(72%)的病人。個案都具有多樣化且嚴重之原在性疾病,其中以腦血管疾病(40%)、惡性腫瘤(32%)、糖尿病(16%)較多見。病人多接受侵入性醫療措施,如中心靜脈導管(88%)、氣管內插管(80%)和導尿管(76%)等。由感染個案臨床症狀分析,感染來源包括呼吸道和血管內導管(36)。80%的個案在感染前曾使用過抗生素,尤其是廣效性抗生素;平均住院天數40.3天。臨床症狀則以發燒、畏寒、厭食和休克等菌血症症狀為主。死亡病例17人,其中因此感染而致死的佔12人。菌株的藥物感受性試驗結果發現其敏感性分別為minocycline 96%;ofloxacin 96%;co-trimorazole 84%;moxalactam 76%;ticarcillin + clavulanate 76%;chloramphenicol 60%;netilmicin 60%。以上分析結果針對高危險群病人、儘早移除不必要的導管處置減少不必要抗生素之使用是預防S.maltophilia院內感染之重要工作,對已感染的病人應慎選合適的抗生素治療。 |
英文摘要 | In recent years, the incidence of nosocomial infection caused by Stenotrophomonas maltophilia has increased, and S. maltophilia becomes one of the important pathogens. Now, we collected 25 such cases with diagnosis confirmed by bacteremia. They were admitted to a medical center in southern Taiwan from 1992 to 1996. We conducted a retrospective study to look into the clinical laboratory data and antimicrobial susceptibility test. In this study, 68% was female, and most were aged (mean age:60.7 ± 14.3 y/o, ranging from 32 to 81 y/o);72% were in the ICU; the mean days of admission was 40.3 days. The common clinical signs included fever, chillness, anorexia, and shock. Besides, complicated and severe underlying diseases were noted in these patients. Cerebrovascular disease was the most common underlying disease (40%), followed by malignancy (32%), and diabetes mellitus (16%). Most of these patients have received invasive medical procedures, such as CVP measurement (88%), endotracheal intubation (80%), and Foley tube insertion (76%). According to the clinical feature and laboratory data, 36% of infectious sources were from respiratory tract and intravascular catheterization. 84% of the cases received antibiotics therapy before, and in 12 of 17 death cases the death was directly due to the infection. The results of antimicrobial susceptibility test were as the following:minocycline, 96%; ofloxacin, 96%; cotrimoxazole, 84%; moxalactam, 76%; timentin, 76%; chloramphenicol, 60%; netilmicin, 60%; In conclusion, the keys to nosocomial infection control for high risk group are to remove unnecessary invasive catheters as early as possible, and to choose the appropriate antibiotics for the infected ones. |
本系統中英文摘要資訊取自各篇刊載內容。