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儿童鼠伤寒沙门菌感染特点及其耐药性分析

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目的 了解儿童鼠伤寒沙门菌感染特点及其耐药情况.方法 通过回顾性分析和药敏试验,对某医院儿科鼠伤寒沙门菌感染的住院患儿临床资料和药敏试验结果进行统计分析.结果 在纳入分析的 105 例鼠伤寒沙门菌感染患儿中,2017-2021 年依次发生 30 例、24 例、26 例、10 例和 15 例,呈逐年下降趋势.发病人群主要集中在3岁以下儿童,为96例,占病例总数的91.43%.患儿送检标本中检出的鼠伤寒沙门菌对亚胺培南、厄他培南较敏感,对左氧氟沙星、头孢类曲松、哌拉西林/他唑巴坦及阿莫西林/克拉维酸钾的耐药率低,对复方磺胺甲噁唑、阿米卡星、头孢呋辛等具有较高的耐药率.结论 丽水地区儿童感染鼠伤寒沙门菌多为 0~3 岁的婴幼儿,临床分离菌株对多数常用抗菌药物敏感,可根据药敏试验选择抗菌药物.
Characteristics and drug resistance analysis of Salmonella typhimurium infection in children
Objective To understand the characteristics and drug resistance of Salmonella typhimurium infection in children.Methods Through retrospective analysis and drug sensitivity testing,the clinical data and drug sensitivity test results of hospitalized children with Salmonella typhimurium infection in pediatric department of a hospital were statistically analyzed.Results Among the 105 pediatric patients with Salmonella typhimurium infection included in the analysis,there were 30 cases,24 cases,26 cases,10 cases and 15 cases respectively from 2017 to 2021,showing a decreasing trend year by year.The affected population was mainly children under 3 years old,with 96 cases,accounting for 91.43%of the total number of cases.The Salmonella typhimurium detected in the submitted samples from pediatric patients was sensitive to imipenem and ertapenem,with low resistance rates to levofloxacin,ceftriaxone,piperacillin/tazobactam,and amoxicillin/clavulanate potassium.It had a high resistance rate to compound sulfamethoxazole,amikacin,cefuroxime,etc.Conclusion Children infected with Salmonella typhimurium in Lishui district are mostly infants and young children aged 0 to 3 years old.Clinically isolated strains are sensitive to most commonly used antibiotics,and antibiotics can be selected based on drug sensitivity tests.

Salmonella typhimuriumpediatric patientsinfection characteristicsdrug resistance

吴杰、樊慧苏、林建军

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浙江省丽水市人民医院,浙江丽水 323000

鼠伤寒沙门菌 患病儿童 感染特征 耐药性

2016年度丽水市医卫类自筹公益性技术应用研究项目

2016ZCGYX04

2024

中国消毒学杂志
军事医学科学院疾病预防控制所,中华预防医学会

中国消毒学杂志

CSTPCD
影响因子:0.754
ISSN:1001-7658
年,卷(期):2024.41(10)
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