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近年来鼠伤寒沙门氏菌院内交叉感染报道逐渐增多,已成为当前临床上的重要问题。1987年1～12月我院儿科诊治鼠伤寒沙门氏菌肠炎50例,其中1～3月发生院内交叉感染18例,现将流行病学及临床表现报告如下。院内感染流行调查一、流行时间和发病率 1987年1月有2例支气管肺炎患儿住院,入院前一周开始解粘液脓血便,入院时腹泻症状基本消失,4天后死于全身衰竭。以后同室患儿逐渐出现类似腹泻症状,并渐波及到其他病房,终经大便培养,证实为鼠伤寒沙门氏菌肠炎流行,至1987年3月,共18例,占同期儿科病人的7.1％。
In recent years, reports of cross-infection of Salmonella typhimurium in hospital gradually increased, has become an important clinical issue. 1987 January to December in our hospital pediatric diagnosis and treatment of Salmonella typhimurium enteritis in 50 cases, of which 1 to 3 occurred in 18 cases of cross-infection in the hospital, the epidemiology and clinical performance are reported as follows. Epidemiological survey of nosocomial infections a, the prevalence and incidence of 1987 January 2 cases of bronchial pneumonia in children hospitalized a week before the onset of mucus pus and blood stools, admission to diarrhea symptoms disappeared almost 4 days after the death in systemic failure. After the same room with children gradually appear similar symptoms of diarrhea, and gradually spread to other wards, eventually stool culture, confirmed as Salmonella typhimurium enteritis epidemic, to March 1987, a total of 18 cases, accounting for 7.1% of pediatric patients over the same period.