儿科宫淋巴腺炎:病因,临床表现和抗菌耐药性
Mahmoud Khodabandeh1,2,3, Zahra Jam4, Aryan Banai Shahani4
1Department of Infectious Diseases, Pediatrics Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
儿科宫淋巴腺炎通常与上呼吸道感染有关. 金黄色葡萄球菌是最常见的病因,具有显著的抗克林达米耐药性,需要仔细选择抗生素以避免治疗失败.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 宫淋巴腺炎是一种常见的儿科病症,原因多种多样,包括像金黄色葡萄球菌和菌 pyogenes 这样的细菌.
- 抗生素治疗的选择是具有挑战性的,因为病原体及其耐药性模式的地理和时间变化.
研究的目的:
- 调查伊朗儿科宫淋巴腺炎的病因,治疗策略和结果.
- 在这个患者群体中识别常见的病原体及其抗生素敏感性概况.
主要方法:
- 一项对113名 (<18岁) 儿科患者的回顾性横截面研究,这些患者被送往伊朗儿童医疗中心.
- 收集的数据包括人口统计数据,临床表现,淋巴结吸收或排水的培养和抗生素检查结果,治疗细节和结果.
主要成果:
- 金黄色葡萄球菌是主要的病原体 (94%的阳性培养).
- 部胀和红血是最常见的症状 (99.1%),通常与上呼吸道感染 (34%).
- 抗生素耐药性最高的是青素 (94%),较低的是万科米辛,科特里莫克萨和牛素 (6%). 克林达米辛的耐药性为12%.
结论:
- 伊朗儿童的宫淋巴腺炎经常与URI有关,主要是由金黄色葡萄球菌引起的.
- 观察到的克林达米辛耐药性,尽管其常用,强调需要考虑局部抗生素图表有效治疗,并可能减少手术干预.
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