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題 名 | Bacteremia and Fungemia in Hematological and Oncological Children with Neutropenic Fever:Two-Year Study in a Medical Center=某大學醫院過去兩年菌血症及黴菌血症在血液病及腫瘤病童合併白血球低下發燒之研究 |
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作 者 | 丘秀慧; 黃立民; 李秉穎; 李慶雲; | 書刊名 | 微免與感染雜誌 |
卷 期 | 31:2 1998.06[民87.06] |
頁 次 | 頁101-106 |
分類號 | 417.5515 |
關鍵詞 | 菌血症; 黴菌血症; 血液病; 腫瘤; 病童; 白血球低下發燒; Bacteremia; Fungemia; Neutropenic fever; Children; |
語 文 | 英文(English) |
中文摘要 | 我們針對自1994年1月至1995年12月兩年間因白血球低下發燒(neutropenic fever ) 合併菌血症而住進一大學醫院之病童進行研究。 在這段期間總共有 273 次的白血球低下 發燒,而在 70 次的白血球低下發燒中分離出 79 株病原。 Klebsiella pneumoniae (27.8 % ), E. coli (10.1 % ), Staphylococcus aureus (10.1 % ) 和 Pseudomonas aeruginosa (7.6 % ) 為最常見之細菌。 所有分離出之 S. aureus 皆為 methicillin sensitive,大約半數之 K. pneumoniae 為多重抗藥性。總共有七例和感染有關之死亡病例 , 三例是由於多重抗藥性 K. pneumoniae, 一例因 S. aureus, 一例因α -hemolytic streptococcus 以及兩例因黴菌血症 (Cryptococcus neoformans 和 Fusarium sp.)。由此 研究可知,在此大學醫院 vancomycin 尚不須包括在白血球低下發燒的經驗療法內,但在裝 有中央靜脈裝置之病童可考慮加上 cefazolin 或 oxacillin。 而使用能對抗腸內菌尤其是 K. pneumoniae 的抗生素是相當重要的。 |
英文摘要 | A retrospective study of bacteremia in children with neutropenic fever admitted to a medical center in Taiwan from Jan. 1994 to Dec. 1995 was performed. There were in total 273 episodes of neutropenic fever during this period, but only 79 pathogens were isolated from blood specimens in 70 episodes. Klebsiella pneumoniae (27.8%), E. coli (10.1%), Staphylococcus aureus (10.1%) and Pseudomonas aeruginosa (7.6%) were the most common pathogens. All the isolates of S. aureus were methicillin sensitive. About half of K. pneumoniae (10/22) was multipledrug resistant. There were seven infection-related mortality cases, three due to multiple-drug resistant K. pneumoniae, one due to S. aureus, one α -hemolytic streptococcus and two fungemia (Cryptococcus neoformans and Fusarium sp.). Vancomycin is not necessary in initial empiric therapy of neutropenic fever, while cefazolin or oxacillin may be included in cases with central venous access device. Antibiotics to cover intestinal flora, especially K. pneumoniae, are paramount in our hospital. |
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