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克雷伯氏菌暴发感染和实验研究
引用本文:阮良,徐秀华,熊宏恩,纪标,李洁. 克雷伯氏菌暴发感染和实验研究[J]. 中南大学学报(医学版), 1996, 0(1)
作者姓名:阮良  徐秀华  熊宏恩  纪标  李洁
作者单位:湘雅医院医院感染科
摘    要:对某产婴室暴发医源性肺炎克雷伯氏菌感染作一调查,发现新生儿感染率达21.67%;以脐炎,结膜炎为主,2例死于败血症。收集自产婴室和其他病室的56株菌的耐药谱分7型,5种噬菌体将56株菌分成12型,流行株和散发株间型别有显著性差异。质粒分型在36种以上;流行株含2种质粒,酶切图谱近似,系同源株。

关 键 词:克雷伯氏肺炎杆菌;新生儿室;医院;流行病学;细菌分型技术;抗药性,微生物;噬菌体;质粒

CLINICAL AND LABORATORY STUDIES OF THE OUTBREAK OF KLEBSIELLA PNEUMONIAE INFECTION
Ruan Liang, Xu Xiuhua,Xiong Hong-en,Ji Biao, Li Jie. CLINICAL AND LABORATORY STUDIES OF THE OUTBREAK OF KLEBSIELLA PNEUMONIAE INFECTION[J]. Journal of Central South University. Medical sciences, 1996, 0(1)
Authors:Ruan Liang   Xu Xiuhua  Xiong Hong-en  Ji Biao   Li Jie
Abstract:rom September to October in l990,an outbreak of Klebsiella pneumoniae infection occurredin the Neonatal Unit of Obstetrical Department in our hospital.The morbidity rate was 2l.67%. Omphalitis and conjunctivitis were the main clinical manifestations. Two neonates died of sep-ticemia. The 56 strains which resisted to l6 antibiotics were classified into 7 types;these strainswere again divided into l2 types by 5 phages of KP. There was significant difference in types be-tween epidemic and sporadic strains,The isolation rate of plasmid was 85.7l%and more than 36types were discovered.Epidemic strains containing 2 plasmids with similar enzymatic-cleavagefingerprintings were considered as hOmologous strains.
Keywords:Klebsiella pneumoniae  nurseries  hospital  epidemiology  bacterial typing techniques  drug resistance  microbial  bacteriophage  plasmids
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