新生儿感染性疾病139例分析

目的　回顾我院儿科 5年新生儿感染性疾病情况 ,为新生儿感染性疾病的防治提供依据。方法　分析 139例新生儿感染性疾病分布及败血症血细菌培养结果 ;比较感染性疾病各组早期感染发生率。结果　 1.病种分布 :新生儿脐炎6 5例 (占 46 7% )居首位 ,其次为新生儿肺炎 36例 (占 2 5 9% )。疾病转归 :136例患儿康复 ,死亡 1例、放弃治疗 2例。2 新生儿肺炎组早期感染率为 5 2 8% ,居首位 (P <0 .0 1)。 3 新生儿败血症 2 7例 ,血培养 16例 ,7例阳性中表皮葡萄球菌 5例。 4 2 6例患儿为家中接生 ,其中败血症 13例。结论　新生儿肺炎组早期感染率高 ;败血症血培养多为条件致病菌 ;应加强流动人口新生儿出生管理。

Analysis of 139 Neonatal Infection Cases in Polyclinic Pediatrics of Recent 5 Years

Objective In order to give advice for prevention and treatment of neonatal infections, we reviewed 139 infection cases of recent 5 years. Methods To study the distribution of neonatal infections and the result of blood cultures. The incidences of early infection were compared. Results 1. 46.7% of 139 infection cases were omphalitis and the ratio of pneumonia was 25.9%. One baby was dead and two were given up. 2. The highest incidence of early infection was 52.8% in pneumonia ( P <0.01). 3. There were 27 cases of sepsis. Bacteria were detected in 43.7% of 16 common blood cultures, 71% of which were staphylococci epidermidis. 4. 26 babies were born at home, 13 of which occurred sepsis. Conclusion The incidence of early infection was high in neonatal pneumonia. Most of the results of blood cultures were conditional nosogenetic bacteria. The neonatal health status of floating population should be cared.