[1]翟华丽,杨瑞利,丁丽丽,等.早产儿胃液培养在早发性感染诊断中的价值[J].现代检验医学杂志,2016,31(01):155-157.[doi:10.3969/j.issn.1671-7414.2016.01.046]
　ZHAI Hua-li,YANG Rui-li,DING Li-li,et al.Value Gastric Juice Culture of Premature Baby to Early-onset Infection Diagnosis[J].Journal of Modern Laboratory Medicine,2016,31(01):155-157.[doi:10.3969/j.issn.1671-7414.2016.01.046]
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早产儿胃液培养在早发性感染诊断中的价值()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第31卷
期数:
2016年01期
页码:
155-157
栏目:
检验与临床
出版日期:
2016-01-25

文章信息/Info

Title:
Value Gastric Juice Culture of Premature Baby to Early-onset Infection Diagnosis
作者:
翟华丽; 杨瑞利; 丁丽丽; 邹爱民; 沈建军
长安医院检验科,西安 710016
Author(s):
ZHAI Hua-li; YANG Rui-li; DING Li-li; ZOU Ai-min; SHEN Jian-jun
Department of Clinical Laboratory,Chang'an Hospital,Xi'an 710016,China
关键词:
早产儿;  胃液培养;  早发性感染
分类号:
R722.13; R446.5
DOI:
10.3969/j.issn.1671-7414.2016.01.046
文献标志码:
A
摘要:
目的 分析早产儿胃液细菌培养在早发性感染诊断中的价值。方法 对2013～2014年长安医院新生儿重症监护室(NICU)收治的174例早产儿行胃液细菌培养,根据临床症状及实验室检查结果将患儿分为感染组和非感染组,进行统计学分析。结果 胃液细菌培养阳性率为40.8%(71/174),位于前四位的是大肠埃希氏菌30.99%(22/71)、凝固酶阴性葡萄球菌21.13%(15/71)、金黄色葡萄球菌14.08%(10/71)和B族链球菌8.45%(6/71),早产儿细菌培养阳性与羊水胎粪污染、母亲妊娠期感染、胎膜早破有关,与妊娠期高血压、母亲分娩时发热无关。结论 胃液细菌培养阳性率高,与早发性感染有明显相关性。
Abstract:
Objective To analyze the clinical value of gastric bacterial cultivation in the early diagnosis of bacterial infection in preterm infants.Methods 174 preterm with risk perinatal factors of infection in NICU of Chang'an Hospital from January 2013 to December 2014were collected,they were given the gastric juice cultivation checking in 1 hour after birth before eating,watering and giving medicine.According to the clinical symptoms and laboratory test results,they were divided into the infected group and non-infected group.Their Gastric cultivation inspection was comparedand analyzed in two groups.Results The positive rate ofbacterial culture of gastric fluid was 40.8%(71/174),and located in the top four is Escherichia coli 30.99%(22/71),coagulase-negative staphylococci 21.13%(15/71),Staphylococcus aureus 14.08%(10/71)and group B streptococcus 8.45%(6/71).There was relation between premature infants with bacterial culture positive and meconium stained amniotic fluid,maternal infectionduring pregnancy,premature rupture of membranes,but not with gestational hypertension,fever unrelated to the mother giving birth.Conclusion There was high positive rate of gastric juice bacterial culture with a significant correlation of early onset infection.

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备注/Memo

备注/Memo:
基金项目:西安市科技攻关项目(HM1124)。 作者简介:翟华丽(1982-),女,本科,主管技师,从事临床微生物学检验,E-mail:249135211@qq.com。 通讯作者:沈建军,副主任技师,主要从事临床检验,E-mail:13572907376@163.com。
更新日期/Last Update: 2016-01-20