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目的探讨急性白血病患儿院内感染的菌种分布特点。方法收集2001年5月至2004年9月白血病病房白血病患儿院内感染的咽分泌物、痰及大便标本,培养出病原菌79株,并进行回顾性分析。结果61份标本,阳性标本为59份。复数菌标本为20份。共检出病原菌79株。其中白色念珠菌占首位共22株(27.8%),肺炎链球菌21株(26.6%),草绿色链球菌14株(17.7%),奈瑟氏菌11株(13.9%),大肠埃希氏菌4株(5.1%),铜绿假单胞菌2株(2.5%),屎肠球菌2株(2.5%),克雷伯氏菌、金黄色葡萄球菌及阴沟肠杆菌各1株,各占1.3%;结论白血病患儿院内感染以条件致病菌为主。白血病病房必须建立严格的消毒管理制度,防止交叉感染。而且要积极改善患儿机体免疫状态,加强患儿支持对症治疗,以帮助患儿度过感染关,保证化疗顺利进行。
Objective To investigate the distribution characteristics of nosocomial infections in children with acute leukemia. Methods The pharyngeal secretions, sputum and stool samples of nosocomial infection from leukemia patients with leukemia ward from May 2001 to September 2004 were collected, and 79 pathogens were cultured and analyzed retrospectively. Results 61 samples, positive samples were 59 copies. Complex bacteria specimens for 20 copies. A total of 79 pathogens were detected. Among them, Candida albicans accounted for the first 22 (27.8%), Streptococcus pneumoniae 21 (26.6%), Streptococcus viridans 14 (17.7%), Neisseria 11 (13.9%), Escherichia coli Four strains of bacteria (5.1%), two strains of Pseudomonas aeruginosa (2.5%), two strains of Enterococcus faecium (2.5%), Klebsiella, Staphylococcus aureus and Enterobacter cloacae each accounted for 1.3% .Conclusion Infectious leukemia patients are mainly opportunistic pathogens. Leukemia ward must establish a strict disinfection management system to prevent cross-infection. And to actively improve the immune status of children with children to strengthen the symptomatic treatment to support, to help children through the infection off, to ensure the smooth progress of chemotherapy.