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首页> 外文期刊>感染症学雑誌 >A three-year review of acute respiratory tract infections caused by Streptococcus milleri group
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A three-year review of acute respiratory tract infections caused by Streptococcus milleri group

机译：米尔链球菌引起的急性呼吸道感染三年回顾

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The objective of our study is to understand the clinical features of patients with acute respiratory tract infection associated with Streptococcus milleri group (SMG). Fifteen patients with SMG respiratory tract infection visited our hospital from July, 1997 through May, 2000. There were seven cases of pneumonia, two pulmonary abscess, three thoracic empyema and three acute bronchitis. The mean age of the patients was 57.8 years (range 16-87), twelve were males, and seven were smokers. The moderately to severe underlying diseases existed in thirteen patients (86.7%) and included the following: respiratory diseases (20.0%), history of the esophageal or gastric surgery (26.7%), central nerve system diseases (13.3%), alcohol intake (60.0%), hepatitis and pancreatitis (33.3%), diabetes mellitus (13.3%) and malignancy (6.7%). The species of SMG detected were as follows: S. constellatus, 8, S. anginosus, 6 and S. intermedius, 1. Anaerobic organism and other microorganisms were detected in five patients. A patient with SMG nosocominal pneumonia who previously had thoracic surgery for esophageal cancer died. Antibiotics therapy with carbapenem or combination therapy, drainage and no surgery, were successful in 14 of the 15 cases (93.3%). The number of intermediately or complete resistant strains against penicillin G, ampicillin and cefmetazole were 5 (33.3%), 8 (53.3%) and 12 (80.0%), respectively in this series. Recently, it is seemed that acute respiratory tract infections caused by SMG are increasing in the patients with moderately to severe underlying diseases, and several clinical strains of SMG are acquiring a tolerance to antibiotics.
机译：我们研究的目的是了解与米氏链球菌（SMG）相关的急性呼吸道感染患者的临床特征。从1997年7月至2000年5月，我院共收治15例SMG呼吸道感染患者，其中肺炎7例，肺脓肿2例，胸腔积液3例，急性支气管炎3例。患者的平均年龄为57.8岁（范围16-87），男性十二名，吸烟者七名。中度至重度基础疾病存在于13例患者中（86.7％），包括以下疾病：呼吸系统疾病（20.0％），食道或胃外科手术史（26.7％），中枢神经系统疾病（13.3％），酒精摄入（ 60.0％），肝炎和胰腺炎（33.3％），糖尿病（13.3％）和恶性肿瘤（6.7％）。所检测到的SMG种类如下：链球菌8，链球菌，中间链球菌6和中间链球菌1.在5例患者中检测到厌氧生物和其他微生物。先前接受过食管癌胸外科手术的SMG医院肺炎患者死亡。 15例中的14例（93.3％）联合碳青霉烯类抗生素治疗或联合治疗，引流且无需手术。在该系列中，对青霉素G，氨苄青霉素和头孢美唑的中度或完全耐药菌株分别为5（33.3％），8（53.3％）和12（80.0％）。最近，在中度至重度基础疾病患者中，由SMG引起的急性呼吸道感染似乎正在增加，并且几种SMG临床菌株正在获得对抗生素的耐受性。

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