Đặc điểm lâm sàng, cận lâm sàng và đánh giá kết quả điều trị nhiễm trùng huyết sơ sinh tại bệnh viện nhi đồng cần thơ năm 2016-2017

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Tác giả: Hoàng Sơn Lê, Hận Trường Nhân Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 618.92 Pediatrics

Thông tin xuất bản: Y dược học cần thơ, 2018

Mô tả vật lý: 69-77

Bộ sưu tập: Metadata

ID: 488993

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Chủ đề

A Cross sectional descriptive study was carried out of 53 infants aged 0-28 days who were diagnosed of neonatal sepsis, treated at the Neonatal intensive care unit of Can Tho Children's Hospital from 4/2016 to 6/2017. All patients, there were 54.7% of male and 45.3% of female, of them 28.3% was premature and low birth weight children. The clinical and paraclinical characteristics of neonatal sepsis were: fever 69.7%, hypothermia 13.2%, tachypnea 81.1%, tachycardia 20.8%, bradycardia 13.2%, leukocytosis 52.8%, increased CRP 57.7%, infitration on lung X-ray 88,7%. Gram-negative 64.2%, Gram-positive 35,8% (Staphy 35,8%). Early neonatal infection 50.9%, late neonatal infection 49.1%. Bacteria causing early neonatal infection were Kleb, E. coli and Acineto. Bacteria causing late eonatal infection were Staphy and Pseudo. Gram-negative bacteria were susceptible to Tienam, resistant to Ampicillin and Cefotaxim. Gram positive bacteria were susceptible to Tienam, Vancomycin and resistant to Oxacillin, Ampicillin. The survival rate was 84.9%, mortality rate was 15.1%.Đặc điểm lâm sàng, cận lâm sàng và đánh giá kết quả điều trị nhiễm trùng huyết sơ sinh tại Bệnh viện Nhi đồng Cần Thơ năm 2016-2017. Kết quả nghiên cứu trên 53 trẻ bị nhiễm trùng huyết sơ sinh cho thấy triệu chứng lâm sàng của bệnh rất đa dạng. Nguyên nhân gây bệnh do vi khuẩn gram âm là 64,2%, gram dương là 35,8%. Các loại vi khuẩn gây bệnh đa số kháng các loại kháng sinh thông thường, vi khuẩn gram âm nhạy cao với Tienam, gram dương nhạy cảm với Tienam và Vancomycin. Tỷ lệ tử vong ở trẻ nhiễm trùng huyết sơ sinh còn cao và tử vong do nhiễm trùng huyết sơ sinh sớm là 18,5%.

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