严重呼吸道合胞病毒性细支气管炎(RSV)合并肺部或全身细菌感染

• 作 者: Duttweiler L. Nadal D. Frey B. 宁亮
• 机 构: Dept. of Intensive Care/Neonatol. University Children's Hospital CH-8032 Zurich,Switzerland Dr.,
• 出 处: 世界核心医学期刊文摘(儿科学分册)
• 发表日期: 2005年09期
• 关键词: 细支气管炎 呼吸道合胞病毒 细菌感染 全身 获得性感染 细菌感染者 重症监护 显微镜检查 细菌性肺炎 院内感染

In 127 infants admitted-to intensive care-for RSV bronchiolitis, concomitant bacterial sepsis was a rare even. However, in the subgroup of intubated patients the incidence of bacterial pneumonia was 43.9% (95% CI 31.0-56.8% ), half community acquired and half nosocomial. As clinical signs are not helpful in identifying these patients, tracheal aspirates have to be investigated microbiologically on a routine basis in order to start antibiotics in time.

However, in the subgroup of intubated patients the incidence of bacterial pneumonia was 43.9% (95% CI 31.0-56.8%), which was obtained from half of the infants admitted to intensive care-for RSV bronchiolitis, concomitant bacterial sepsis was a rare even As of clinical signs are not helpful in identifying these patients, tracheal aspirates have to be investigated microbiologically on a routine basis in order to start antibiotics in time.