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Study of Streptococcus pneumoniae bacteremia in children

机译：儿童链球菌肺炎菌血糖血症的研究

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From July 1999 to June 2004, we evaluated Streptococcus pneumoniae bacteremia in 40 children in Kamikawa and Soya Subprefectures in Hokkaido by obtaining the patient's information from 7 out of 9 hospitals in the area. The incidences of S. pneumoniae bacteremia in children aged < 2 years and < 5 years were 79.1 and 63.4. Median age was 19.6 months with a range from 4 months to 4 years. Thirty-one (77.5%) of the total were less than 2 years old. All of the children were admitted. The diagnoses were occult bacteremia in 12 patients, pneumonia or bronchitis in 11, pharyngitis in 7, pneumonia and acute otitis media in 5, acute otitis media in 3, orbital cellulitis in 1, and arthritis in 1. All of the patients had fever and temperatures and 35 (87.5%) of them were more than 39 degrees C. Ten patients had a febrile convulsion. Twenty-nine had a high total white blood cell counts (> 15,000/microg/ml) and 31 had positive CRP values (> 0.6 mg/dl) on admission. Meningitis and poor prognosis did not occur after occult bacteremia in our patients. We studied the susceptibility to penicillin G in 22 strains of S. pneumoniae isolated from the children. One and 18 strains were penicillin-resistant (MIC > or = 2.0 microg/ml) and intermediate (MIC 0.1-1.0 microg/ml).
机译：从1999年7月到2004年6月，我们通过从该地区7个医院中的7家医院获得患者的信息，在北海道的40名儿童中评估了40名儿童的肺炎链球菌肺炎菌血症。 2岁和<5年儿童的S.肺炎菌菌血症的发生率为79.1和63.4。中位年龄为19.6个月，范围为4个月至4年。总计三十一（77.5％）少于2岁。所有的孩子都被录取了。在11名患者，肺炎或支气管炎中诊断患有11例，咽炎，咽炎，肺炎和急性中耳炎5，急性中耳炎3，眶型蜂窝炎在1，和关节炎。所有患者发烧了它们的温度和35（87.5％）超过39℃。十名患者患有热痉挛。 29九个具有高总白细胞计数（> 15,000 / microg / ml），31种含有阳性CRP值（> 0.6mg / dL）。脑膜炎和预后不良未发生在我们患者的隐匿性血症后。我们研究了与儿童分离的22株S.肺炎的青霉素G易感性。抗青霉素（MIC>或= 2.0 microg / ml）和中间体（MIC 0.1-1.0 microg / ml）。

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