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1988年1月至1989年12月收治新生儿金黄色葡萄球球菌败血症62例,占同期新生儿败血症患儿的29.7%,居首位。89%病例来自农村,感染途径主要为脐带部及皮肤粘膜,少数病例为院内感染所致。诊断及治疗结果表明,白细胞层涂片检菌法简便易行,有助于早期诊断;先锋铋素、先锋霉素V,氧哌嗪青霉素等对该菌较敏感;在尽早使用有效抗生素治疗的同时,彻底清除感染灶、输注全血或血浆等亦是提高疗效降低死亡率作用的重要措施。
January 1988 to December 1989 admitted to neonatal Staphylococcus aureus septicemia 62 cases, accounting for 29.7% of neonates with sepsis in the same period, ranking first. 89% of the cases came from rural areas. The main routes of infection were umbilical cord and skin and mucous membranes. A few cases were caused by nosocomial infections. Diagnosis and treatment results show that the leukocyte smear method is simple and easy to help early diagnosis; pioneer bismuth, cephalosporin V, piperazine and other penicillin sensitive to the bacteria; early use of effective antibiotic treatment At the same time, the complete removal of infection foci, infusion of whole blood or plasma is also an important measure to improve the efficacy of reducing mortality.