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題 名 | 成人Flavobacterium Meningosepticum菌血症之臨床分析=Flavobacterium Meningosepticum Bacteremia in Adults: Analysis of 20 Cases |
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作 者 | 李欣純; 柯文謙; 莊銀清; 劉清泉; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 10:2 2000.04[民89.04] |
頁 次 | 頁85-93 |
分類號 | 415.15 |
關鍵詞 | 菌血症; 多重菌種血流感染; Flavobacterium meningosepticum; Bacteremia; Polymicrobial blood stream infection; |
語 文 | 中文(Chinese) |
中文摘要 | Flavobacterium meningosepticum 是一種革蘭氏陰性桿菌,文獻上曾記載此菌所造成的幾次新生兒腦膜炎的群突發,有時更伴隨著菌血症,造成相當的致死率及嚴重神經後遺症。成人患者受 F.meningiosepticum感染常見的臨床表現為呼吸道感染及菌血症,腦膜炎個案相當罕見。在臺灣南部某一醫學中心九年間共有 20 例 F.meningosepticum 菌血症成人個案,發生率約 1.1 個案/100,000出院數人次,除一例外,均為院內感染個案,多於住院後一個月左右發生。這些個案通常具有潛在性疾患,如慢性心肺疾病、糖尿病、實質腫瘤、或燒傷等。一半的個案為多重菌種血流感染 (olymicrobial bloodstream infection),常與其他非發酵性革蘭氏陰性菌 (nonfermentative gram-negative bacillus)併發。F. meningosep- ticum 菌血症的臨床症候及徵象,與其他革蘭氏陰性菌敗血症並無差異。個案菌血症直接致死率為 15%。因此, F. meningosepticum 雖是少見的院內感染菌株,但臨床上仍須留意其致病性。(感控雜誌2000;10:85-93) |
英文摘要 | Flavobacterium meningosepticum, a gram-negative bacterium, has been historically' associated with outbreaks of neonatal meningitis with or without bacteremia, and leads to a high mortality rate and serious neurological sequelae in the survivors. In adults, meningitis has rarely been mentioned and the more common clinical manifestations of F. meningosepticum infections have been respiratory tract infections and bacteremia. We here report twenty cases of F. meningosepticum bacteremia at a medical center in southern Taiwan over a 9-year period. Nineteen cases were nosocomial infections which developed about a month after admission. All our patients had at least one under- lying illness, including chronic cardiopulmonary disease, flame burn, solid tumor, and diabetes mellitus, etc. The bacteremia in half of the cases was polymicroblial and often accompanied with other nonfermen-tative gram-negative bacilli. Clinical manifestations and complications were indistinguishable from sepsis caused by other gram-negative bacilli. The direct fatality rate was 15%. Thus, F. meningosepticum is an rare nosocomial pathogen,but in appropriate clinical settings it can cause morbidity or mortality. (Nosocom Infect Control J 2000; 10: 85- 93) |
本系統中英文摘要資訊取自各篇刊載內容。