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不同体温状况下血培养的阳性率比较

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目的:比较住院发热患儿不同体温采集时机对于血培养阳性率的影响.方法:采用回顾性研究方法,对2023年1月—12月在首都医科大学附属北京儿童医院感染内科病房住院并行血培养采集的530例患儿为研究对象,按照血培养采集时患儿体温分为发热组和非发热组,比较两组血培养阳性率和阳性病原菌的分布情况.结果:共检出11例阳性患儿,阳性率为2.1%,其中发热组6例,非发热组5例;非发热组阳性率为2.3%,发热组阳性率为1.9%,两组比较差异无统计学意义(P>0.05);不同体温组血培养阳性率比较差异无统计学意义(P>0.05),其中低热组血培养阳性率最高(3.4%).两组血培养阳性病原菌分布比较差异无统计学意义(P>0.05).结论:对于使用过抗生素的住院患儿,寒战或发热初期采集血培养对于血培养阳性检出率无明显影响,体温正常期也是可选择的血培养采集时机.
Comparative study on the positive rate of blood culture at different body temperatures
Objective:To compare the impact of different timing of temperature measurement on the positivity rate of blood cultures in hospitalized febrile pediatric patients.Methods:A retrospective study was conducted on 530 pediatric patients who underwent blood culture collection in the infectious disease ward of Beijing Children's Hospital affiliated to Capital Medical University between January and December 2023.The patients were divided into a febrile group and a non-febrile group based on their body temperature at the time of blood culture collection,and the positivity rate of blood cultures and the distribution of positive pathogens were compared between the two groups.Results:A total of 11 positive patients were detected,with a positivity rate of 2.1% .Among them,there were 6 cases in the febrile group and 5 cases in the non-febrile group;the positivity rate was 2.3% in the non-febrile group and 1.9% in the febrile group,with no statistically significant difference between the two groups(P>0.05).There was also no statistically significant difference in the positivity rate of blood cultures among different temperature groups(P>0.05),with the highest positivity rate(3.4% )observed in the low fever group.There was no statistically significant difference in the distribution of positive pathogens in blood cultures between the two groups(P>0.05).Conclusion:For hospitalized pediatric patients who have received antibiotics,collecting blood cultures during the initial stages of shivering or fever has no significant impact on the positivity rate of blood cultures,and the normal temperature period is also a viable option for blood culture collection.

feverchildrenblood culturebody temperaturecollection opportunity

刘静、王旭梅、吴延、王静静、戴明腾、周旭、迟巍

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国家儿童医学中心 首都医科大学附属北京儿童医院,北京 100045

发热 儿童 血培养 体温 采集时机

2025

护理研究
中华护理学会山西分会,山西医科大学第一医院,山西医科大学护理学院

护理研究

北大核心
影响因子:1.377
ISSN:1009-6493
年,卷(期):2025.39(1)