新生儿重症监护室肺炎克雷白杆菌感染的临床分析  

Clinical analysis of Klebsiella pneumoniae infection in neonatal intensive care unit

作　　者：赵日明 Zhao Riming(Department of Newborn Pediatrics,Juxian People’s Hospital,27650)

机构地区：[1]莒县人民医院新生儿科,276500

出　　处：《中国社区医师》2018年第17期14-15,共2页Chinese Community Doctors

摘　　要：目的:分析新生儿重症监护室肺炎克雷白杆菌感染临床特征与耐药性状况。方法:收治新生儿患儿3 018例,对重症监护室肺炎克雷白杆菌感染的现象进行观察比较。结果:出现肺炎克雷白杆菌感染60例,感染发生率1.99%,早产儿43.3%。肺炎克雷白杆菌感染危险因素主要是早产低体重、长期使用广谱抗生素、长期静脉营养、长时间住院。临床症状主要体现为发热、呼吸性窘迫、腹胀与休克等。结论:肺炎克雷白杆菌属于医院感染致病菌,若患儿发病、病情状况相对凶险,且病死率相对较高,对患儿实施治疗方案的时候,需要按照药敏试验的结果采取针对性的有效抗生素药物。Objective：To analyze the clinical characteristics and drug resistance of Klebsiella pneumoniae infection in neonatal intensive care unit.Methods：3 018 cases of neonatal children were selected.The infection of Klebsiella pneumoniae in intensive care unit was observed and compared.Results：There were 60 cases of Klebsiella pneumoniae infection,the incidence of infection was 1.99%,and the preterm infant was 43.3%.The main risk factors of Klebsiella pneumoniae infection are preterm low birth weight,long-term use of broad-spectrum antibiotics,long term intravenous nutrition,long time hospitalization.The main manifestations of clinical symptoms are fever,respiratory distress,abdominal distention and shock,etc.Conclusion：Klebsiella pneumoniae is a symptom of pathogenic bacteria in hospital infection.If children are ill,the condition is relatively dangerous and the risk of death is relatively high,it is necessary to adopt a targeted effective antibiotic drug in accordance with the results of the drug sensitivity test when the treatment program is implemented for the children.

关 键 词：新生儿 监护室 肺炎克雷白杆菌 感染 

分 类 号：R722.13[医药卫生—儿科]