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医院内感染是近年来出现的一个新问题,已引起各方面的重视。1977年7月,在大阪医科大学附属医院儿科病房发生了一起鼠伤寒沙门氏菌流行。31名住院患儿中,有15名受到感染,9名发病,6名带菌。一、临床表现:起病突然,发病患儿都有高热(体温多在38.0～40.0℃)、腹痛和腹泻,同时伴有恶心及呕吐。腹泻每天6～15次,开始为水样便、稀便或粘液便,2～6天后8例出现血性便。实验室检查:白细胞数正常或轻度增加,C-反应蛋白全部强阳性,血沉均增快。8例从粪便中、1例从尿中培养出鼠伤寒沙门氏菌。以培养
Infection in hospitals is a new problem that has emerged in recent years and has drawn great attention from all quarters. In July 1977, a Salmonella typhimurium epidemic occurred in the pediatric ward of Osaka Medical University Hospital. Of the 31 hospitalized children, 15 were infected, 9 were affected and 6 were carriers. First, the clinical manifestations: sudden onset, onset of children have high fever (body temperature more than 38.0 ~ 40.0 ℃), abdominal pain and diarrhea, accompanied by nausea and vomiting. Diarrhea 6 to 15 times a day, began to watery stools, loose stools or mucus will be, 2 to 6 days after bloody stools in 8 cases. Laboratory tests: normal or mild increase in white blood cells, C-reactive protein all strongly positive, ESR are faster. Eight of the eight cases were stools and one case of Salmonella typhimurium was cultured from urine. To cultivate