查詢結果分析
相關文獻
- Antimicrobial Susceptibility Testing for Klebsiella Pneumoniae Isolates Resistant to Extended-Spectrum β-Lactam Antibiotics
- A Multicenter Study on Eradication of Helicobacter pylori Infection in Patients with Duodenal Ulcer by Lansoprazole-Antibiotics Combined Therapy
- 膽道感染之致病菌與抗生素之選用的臨床分析
- Serratia Marcescens Bacteremia: Clinical Features and Antimicrobial Susceptibilities of the Isolates
- 抗生素使用基本認知
- Vancomycin與Teicoplanin使用評估
- 預防性抗生素與疫苗在風濕疾病的應用
- 串聯電極式壓電石英晶體感測器之多通道系統於大腸桿菌的總生菌數檢測
- 加護病房抗生素使用之規範
- Antimicrobial Susceptibilities of Gram-negative Bacilli Isolated from Adult Intensive Care Unit Patients
頁籤選單縮合
題 名 | Klebsiella ozaenae Bacteremia: Clinical Features and Antimicrobial Susceptibility of Isolates=Klebsiella ozaenae菌血症:臨床特色及菌株之抗生素感受性 |
---|---|
作 者 | 林榮第; 陳宜君; 薛博仁; 張上淳; 陸坤泰; 謝維銓; | 書刊名 | 中華民國感染症醫學會雜誌 |
卷 期 | 8:1 1997.06[民86.06] |
頁 次 | 頁28-34 |
分類號 | 415.15 |
關鍵詞 | Klebsiella ozaenae菌血症; 抗生素; Bacteremia; K. ozaenae; |
語 文 | 英文(English) |
中文摘要 | 過去16年間,臺大醫院有12名病例被診斷有K.ozaenae菌血症。我們回朔分析這些病例的臨床特色及所分離菌株之抗生素感受性。75%病例的菌血症屬於社區感染,且所有12名病例皆屬單一菌株菌血症。臨床症候群包括肝膽道感染(33%),泌尿道感染(25%),肺炎(17%),皮膚及軟組織感染(8%),及原發性菌血症(17%)。所有病例均具有潛在性疾病,包括糖尿病(42%),惡性腫瘤(33%),及肝膽道疾病(25%)。一名病例併發敗血性休克並死亡。所有菌株對ampicillin-sulbactam, cephalosporins, aztreonam, imipenem, aminoglycosides,及quinolones皆具感受性,25%菌株對ampicillin具感受性。與 K.pneumoniae比較起來,K.ozaenae菌血症具有下列特色:女性病例較多,社區感染及單一菌株菌血症的比例較高,肝膽道為菌血症的主要入口,較少併發敗血症合併症,菌株對常用抗生素較具感受性及預後較好。 |
英文摘要 | Twelev patients with Klebsiella ozaenae bacteremia were seen from July1980 to June 1996 at the National Taiwan University Hospital. The clinicalfeatures of these patients and antimicrobial susceptibility of 12 isolatesrecovered from these patients were analyzed retrospectively. Nine patients (75﹪) had community-acquired bacteremia and all 12 (100﹪) had monomicrobialbacteremia. Clinical symptoms included hepatobiliary infections (33﹪),urinary tract infection (25﹪), pneumonia (25﹪), skin and soft tissue infections (8﹪), and primary bacteremia (17﹪). All the patients hadunderlying disease including diabetes mellitus (42﹪), neoplastic disease (33﹪), and hepatobiliary disease (25﹪). One patient (8﹪) suffered septic shock and died of K.ozaenae bacteremia. All the isolates were susceptible to ampicillin-sulbactam, cephalosporins, aztreonam, imipenem, aminoglycosides, and quinolones whilst 25﹪ of the isolates were susceptible to ampicillin only. Compared with K.pneumoniae bacteremia, patients with K.ozaenae bacteremia had the following characteristics: female predominance, higher rate of community-acquired and monomicrobial bacteremia, predominance of the hepatoblilary tract as the portal of entry, low incidence of septic complications, more susceptibile to commonly used antibiotics, and favorable outcomes. |
本系統中英文摘要資訊取自各篇刊載內容。