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相關文獻
- Neonatal Group B Streptococcal Infection: A 7-Year Experience
- 分娩中使用抗生素對足月兒早發性B型鏈球菌感染的影響
- Neonatal Group B Streptococcus Infection in Taiwan: An Increasing Trend
- Group B Streptococcus Infection in Infancy: 21-Year Experience
- 如何預防新生兒早發性B型鏈球菌感染
- Risk Factors for Mortality in Non-pregnant Adults with Group B Streptococcus Bacteremia
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題 名 | Neonatal Group B Streptococcal Infection: A 7-Year Experience=高雄長庚醫院新生兒B型鏈球菌感染的回溯分析 |
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作 者 | 鍾美勇; 高丹榕; 陳志誠; 黃崇濱; 鍾景宏; 陳豐順; 黃高彬; | 書刊名 | 長庚醫學 |
卷 期 | 27:7 2004.07[民93.07] |
頁 次 | 頁501-508 |
分類號 | 417.517 |
關鍵詞 | B型鏈球菌感染; 產程預防性抗生素; Group B streptococcal infection; Intrapartum chemoprophylaxis; |
語 文 | 英文(English) |
中文摘要 | 背景:本文回溯分析過去7年來高雄長庚醫院新生兒B型鏈球菌染的趨勢、危險因子、臨床表現及預後。 方法:先以培養報告找出從1996牛1月到2002年12月被B型鏈球菌感染的嬰兒,並且回顧分析他們的病歷資料。 結果:在過去7年中本院共有33名被B型鏈球菌感染的嬰兒。病例數從1996牛到2001年有逐漸攀升的勢。16名為早發型,17名為晚發型。9名有產科危險因子的早發型病嬰當中,廠水超過18小時者占曘多。呼吸症狀是早有型最常見的臨床表現,而發燒則是晚發型最常見的臨床表現。死亡率於早型型為13%,於晚發型為6%。早產和肺炎是造成死亡的重要因子。 結論:B型鏈球菌感染的新生兒近年來似乎有增加的趨勢。因為臺灣沒有產婦帶原及新生兒感染的全面報告,是以無法評估產程抗生素預防的必要性。我們或許該慎重考慮施行產婦帶原及生新兒感染的全國性研究。 |
英文摘要 | Background: This retrospective study was designed to determine the trend of neonatal group B streptococcal (GBS) infection during the past 7 years at the Chang Gung Memorial Hospital of Kaohsinung, a well as to assess the risk factors, clinical fatures and patient outcomes. Methods: Medical records of infants with neonatal GBS infection identified by positive results of cultures of sterile body fluid in our hospital from January 1996 through December 2002 were reviewed for demographic and clinical data. Results: There were 33 infants with neonatal GBS infections during the past 7 years in our hospital. The number of patients increased from 1996 to 2001 Sixteen infants had early onset infections and 17 infants had late onset infections. Of the nine patients with maternal risk factors in the early onset group, prolonged rupture of membranes (7, 44%) was most frequently encountered. Distressed respiratory sign (8, 50%) was the most common clinical presentation in early onset group, while fever>38℃ (17, 100%) was the most common presentation in late-onset group. The mortality rates were 13% and 6% in early and late onset groups, respectively. Gestational age (p=0.05) and pneumonia (p=0.015) were two most important factors influencing the mortality rate. Conclusions: The number of GBS-infected infants seemed to have increased during the past 7 years in our hospital. Because the incidence of neonatal GBS infection and maternal colonization in Taiwan has not been collected, we could not determine the necessity of intrapartum chemoprophylaxis. Setting a comprehensive surveillance in Taiwan should be considered. |
本系統中英文摘要資訊取自各篇刊載內容。