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目的 分析引起幼儿园内肺炎链球菌感染爆发流行的相关因素和流行特点。方法 详细调查导致流行的有关因素,动态分析患儿的临床表现、治疗经过及实验室检查特点。结果 3d内共有126人发病,占同期180名住园儿童的70％,其中50例咽拭子培养均有肺炎链球菌生长。126名中急性上呼吸道感染115例占91.4％,支气管炎6例占4.7％,肺炎5例占3.9％。均对青霉素敏感,经青霉素、哌拉西林等治疗全部治愈。居住拥挤、环境污染严重、外来人员大量涌入是导致流行的主要因素。结论 肺炎链珠菌在一定条件下可引起爆发流行,改善管理是杜绝流行的关键。
Objective To analyze the related factors and epidemic characteristics of the outbreak of pneumococcal infection in kindergarten. Methods A detailed survey of the factors that led to the epidemic, dynamic analysis of children with clinical manifestations, treatment and laboratory tests through the characteristics. Results A total of 126 patients were found in 3d, accounting for 70% of the 180 park-based children in the same period. Among them, 50 of the throat swabs had Streptococcus pneumoniae growth. Among the 126 cases, 115 (91.4%) had acute upper respiratory tract infection, 6 (4.7%) had bronchitis and 5 (3.9%) had pneumonia. Are sensitive to penicillin, penicillin, piperacillin and other treatment of all cured. Crowded living, serious environmental pollution, a large influx of foreign workers is the leading factor in the epidemic. Conclusion Streptococcus pneumoniae can cause outbreak under certain conditions, improve management is the key to eliminate the epidemic.