新生儿尿路感染34例临床分析  

Clininal Analysis for 34 Neonates with Urinary Tract Infection

作　　者：曾静好 罗树荣 文智惠 

机构地区：[1]广东省云浮市人民医院儿科,广东云浮527300

出　　处：《临床医学工程》2009年第3期46-47,共2页Clinical Medicine & Engineering

摘　　要：目的探讨新生儿尿路感染的临床特点及其致病菌的分布和药敏情况,为临床的诊断治疗提供依据。方法对2006年～2008年我院儿科收治34例新生儿尿路感染的临床特点及尿培养、大肠埃希杆菌药敏实验结果进行回顾性分析。结果34例新生儿尿路感染最常见的临床表现和体征是黄疸不退或加重(68.82%)、发热(47.06),其次是吃奶减少或拒奶(41.18%)、精神萎靡(35.29%)等,34例尿培养阳性,其中大肠埃希杆菌25例,肺炎克雷伯菌3例,阴沟肠杆菌、变形杆菌各1例,产气杆菌、粪链球菌各2例;大肠埃希杆菌药敏结果:92%对丁胺卡那霉素最敏感,88%对头孢曲松、头孢噻肟敏感,72%对头孢呋辛敏感。结论新生儿尿路感染临床症状不典型,多以全身症状为主,主要病原菌仍以大肠埃希杆菌为主,可选择第三代或二代头孢菌素抗感染。Objective To investigate the clinical manifestations and main pathogenic bacteria of nenatal urinary tract infection（UTI） and provide approaches for diagnosis and treatment of this type of disease. Methods Thirty-four neonates of UTI admitted to our pediatrics deparment from 2006 to 2008 were recruited, clinical manifestations and urinary culture results were documented, and the drug-sensitive results of Bacterium coli were available as well. Results The main clinical manifestations of all of these 34 nenates were jaudice（62.82%）; fever（47. 06%）; poor feeding（41.18%）; lethargy（35.29%）; And all cases were urinary culture positive, 25 of which were bacterium coli positive; 3 klebsiella pneumoniae positive; And another 4 cases were enterobacter cloacae, bacterium vulgare, bacillus gasoformans and streptococcus faecalis positive respectively. 92% of all bacterium coli positive neonates were amikacin-sensitive, 88% cettriaxone-sensitive, and 72% cefuroxime-sensitive. Conclusion The clinical manifestations of neonatal UTI were not very typical, always need to be identified by general symtoms; bacterium coli still was the most common pathogenic bacteria of neonatal UTI, most of which was sensitive to the second and third generation cephalosporin.

关 键 词：新生儿 泌尿系统 感染 细菌 

分 类 号：R722.13[医药卫生—儿科]