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本文报告济南市某医院新生儿室内一次绿脓杆菌感染暴发流行。50个新生儿中36个发病,起病急骤,均有发热、腹泻及脱水,中度以上脱水者并有酸中毒。其中21例大便中为绿脓杆菌纯培养,另有2例血培养、1例心血培养为绿脓杆菌纯培养。同时新生儿室的空气、床单、尿布、奶瓶、牛奶、门把亦培养出绿脓杆菌。治疗;补液量为120～200ml/kg/日,补1/3张液,羧苄青霉素疗效最著,多粘菌素B次之.迁移新病房加强隔离与护理。大便中有脓细胞者占61.1%,容易误诊为细菌性痢疾和沙门氏菌属肠炎,临床需提高警惕.
This article reports an outbreak of Pseudomonas aeruginosa infection in a neonatal hospital in a hospital in Jinan City. Thirty-six of the 50 newborns developed acute onset with fever, diarrhea and dehydration, moderate dehydration and acidosis. Among them, 21 cases of pure stool in Pseudomonas aeruginosa, another two cases of blood culture, one case of Pseudomonas aeruginosa Pok pure culture. At the same time, neonatal room air, sheets, diapers, bottles, milk, doorknob also cultivated Pseudomonas aeruginosa. Treatment; rehydration volume of 120 ~ 200ml / kg / day, make up 1/3 of the liquid, the most effective carbenicillin, followed by polymyxin B. Migration to strengthen isolation and care of new wards. Pus in stools accounted for 61.1%, easily misdiagnosed as bacillary dysentery and Salmonella enteritis, clinical need to be vigilant.