CAJ | 학술논문

目的：探讨新生儿早发型和晚发型败血症的临床特征。方法选取该院2012年6月-2013年6月时间段内收治的全部66例败血症新生儿作为研究对象，按照所有患儿出生年龄的不同将其分为早发型组(34例)和晚发型组(32例)，并比较两组患儿的临床特征。结果早发型组中败血症患儿常为足月儿，晚发型组常为早产或极低体重患儿；早发型组中主要致病菌为大肠埃希菌13例和B族链球菌11例，晚发型组中多为肺炎克雷伯菌10例和大肠埃希菌9例。结论孕产妇产前积极进行GBS和大肠埃希菌的筛查，并对GBS和大肠埃希菌检查阳性产妇提前预防使用抗生素，将有益于降低早发型新生儿败血症。
목적：탐토신생인조발형화만발형패혈증적림상특정。방법선취해원2012년6월-2013년6월시간단내수치적전부66례패혈증신생인작위연구대상，안조소유환인출생년령적불동장기분위조발형조(34례)화만발형조(32례)，병비교량조환인적림상특정。결과조발형조중패혈증환인상위족월인，만발형조상위조산혹겁저체중환인；조발형조중주요치병균위대장애희균13례화B족련구균11례，만발형조중다위폐염극뢰백균10례화대장애희균9례。결론잉산부산전적겁진행GBS화대장애희균적사사，병대GBS화대장애희균검사양성산부제전예방사용항생소，장유익우강저조발형신생인패혈증。
Objective To investigate the clinical characteristics of early onset and late onset neonatal sepsis. Methods Our hospi-tal in June 2012-June 2013 period were treated 66 cases of neonatal sepsis in the study, according to all the children born of dif-ferent ages will be divided into early-onset group (34 cases) and late-onset group (32 cases), and compared the two groups of children with clinical features. Results A group of children with early-onset sepsis often full-term children, the late-onset group often premature delivery or low birth weight infants;early-onset group, 13 cases of major pathogenic Escherichia coli and group B streptococci in 11 cases, late hairstyle group mostly Klebsiella pneumoniae and Escherichia coli nine cases 10 cases.Conclusion Motherhood Maternity active before GBS screening and Escherichia coli, and E. coli test positive maternal GBS and the prophylac-tic use of antibiotics in advance, would be beneficial to reduce the early onset neonatal sepsis.