查詢結果分析
相關文獻
- Group B Streptococcal Infections in Children:The Changing Spectrum of Infections in Infants
- 嬰兒期及兒童期畸胎瘤
- Child Transitional Object Attachment: Nature, Development, and Related Factors
- Group B Streptococcal Infections in Children in a Tertiary Care Hospital in Southern Taiwan
- 散布性交易訊息刑罰化合憲否
- 兒童知覺動作發展
- 聯合國與盧安達人權:滅絕種族及其他罪行之懲治
- 學齡前兒童之聽力篩檢
- Strokes in Children: A Medical Center-Based Study
- 兒童癲癇重積狀態
頁籤選單縮合
題 名 | Group B Streptococcal Infections in Children:The Changing Spectrum of Infections in Infants=兒童時期B群鏈球菌感染:嬰兒期感染特性的改變 |
---|---|
作 者 | 楊燿榮; 劉清泉; 王世敏; | 書刊名 | 微免與感染雜誌 |
卷 期 | 31:2 1998.06[民87.06] |
頁 次 | 頁107-112 |
分類號 | 417.5622 |
關鍵詞 | B群鏈球菌感染; 嬰兒期; 兒童; Group B streptococcus; Children; Infant; Meningitis; |
語 文 | 英文(English) |
中文摘要 | 自從1988年一月至1996年十二月,九年期間在成大醫院總共收集了36例年齡小於 18 歲並且有 B 群鏈球菌感染的小孩。 在 33 個嚴重感染的病人,3 個 (9 % ) 是屬於早 發型 (early onset disease, EOD)、27 個 (82 % ) 遲發型 (late onset disease, LOD) 、和 3 個 (9 % ) 發病時年齡大於三個月。 全部 EOD 的病例皆在出生第一天被診斷出來 並且其中二位是早產兒。 在過去十年來屬於 LOD 的嬰兒中,腦膜炎佔了相當高的比例 (78 % )。 發燒 (81 % ) 是最常見的臨床表現, 接著為躁動啼哭 (42 % ) 及餵食不良 (39 % )。在腦膜炎的病例中有 57 %表現抽搐。比較 EOD 和 LOD 之產婦和新生兒的危險因子 時發現,早產及低體重有顯著好發於 EOD 的嬰兒 (P=0.01)。 菌種的抗生素敏感試驗對於 penicillin, ampicillin, 和 erythromycin 的敏感性分別為 83 %, 74 %,和 75 %, 所有的菌種對於 tetracycline 及 gentamicin 皆有抗藥性。 病人中有二例 (6 % ) 死亡 及六例 (17 % ) 有嚴重的神經性後遺症。 這些資料顯示絕大部分的 EOD 病人都在第一天 被診斷出來並且早產是一個重要的危險因子。 在研究期間,嬰兒 B 群鏈球菌感染的特性有 了一些改變:和過去臺灣其他醫院報告相較,觀察到的 EOD 的發生率明顯減少,而 LOD 的 病人則仍以腦膜炎為主。近年來由於疾病的早期診斷及積極的治療,使得此疾病的死亡率比 以往的報告降低許多。 |
英文摘要 | During a 9-year period from January 1988 to December 1996, 36 patients less than 18 years of age with Lancefield group B streptococcal infections were seen in the National Cheng Kung University Hospital. Among 33 infants with invasive group B streptococcal infections, 3 (9%) were early onset disease (EOD), 27 (82%) late onset disease (LOD) and 3 (9%) onset beyond the third month of life. All cases of EOD were detected during the first day of life and 2 of them were premature births. In the infants with LOD, a high incidence of meningitis occurred (78%). The most common clinical presentation in group B streptococcal infections was fever (81%), followed by irritable crying (42%) and poor feeding (39%). Seizure was noted in 57% of meningitis cases. Obstetric and neonatal risk factors were compared between EOD and LOD, with prematurity and low birth weight significantly (P=0.01) more common among infants with EOD compared with LOD. Of the strains tested, the sensitivity to penicillin, ampicillin and erythromycin were 83%, 74%, and 75%, respectively. All strains were resistant to tetracycline and gentamicin. There were 2 case fatalities (6%) and 6 (17%) had major neurologic sequelae. These data provide that the vast majority of EOD are recognized on the first day of life and prematurity is an important risk factor. In comparison to the previous report in Taiwan, a changing spectrum of GBS infections in infants occurs during the study period. The observed incidence of EOD is decreased and meningitis is still predominantly in LOD. it is suggested early recognition and aggressive therapy have resulted in a much lower mortality rate than previously reported. |
本系統中英文摘要資訊取自各篇刊載內容。