| Outbreak of Non-typhoidal Salmonellosis in neonates |
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N.M. Park, M.J. Chey, M.J. Jeong, H.S. Kim, K.H. Kim, H.S. Lee |
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Department of Pediatrics, Chungang Gil Hospital, Incheon, Korea |
| 신생아에서 발생한 유행성 비장티푸스성 살모넬라증에 대한 임상적 관찰 |
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박난미, 최명재, 정미진, 김희섭, 김길현, 이학수 |
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중앙 길병원 소아과 |
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| Abstract |
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During the period from Jun. 24, 1991 to Aug. 31, 1991, we experienced 6 cases of non-typhoidal salmonella and 18 cases with symptoms suggesting salmonellosis.
The results obtained were as follows;
1) Mean age on admission was 9¡¾6 days and mean body weight was 3.3¡¾0.3kg. All cases were fullterm neonate.
2) 12 pts were transferred from nursery becasuse of diarrhea (50.0%), 7 pts were readmitted after discharge from nursery (29.2%), and 1 pt was case of onser during admission in nICU(4.2%)
4) Nature of diarrhea was loose(29.2%), watery(45.8%), or mucoid(25.0%), and mean duration of diarrhea was 11¡¾6 days
5) Culture yielded non-typhoidal salmonella in 4 cases(16.6%) in blood, 3 cases(12.5%) in urine, 1 cases(4.2%) in stool, and 1 case(4.2%) in joint fluid.
6) On ABGA, metabolic acidosis developed in 83.4% and mean pH was 7.22¡¾0.13
7) Susceptability to antibiotics showed sensitivity to amikacin (77.8%), gentamicin(55.6%), clindamycin(55.6%), shereas resistancy to ampicillin(77.8%), chloramphenicol(66.7%), and kanamycin(66.7%)
8) There was no expired case, and septic arthritis in the left shoulder joint developed in 1 case(4.2%) as a complication
9) All possible endeavours to search for the infection sources failed to discover the index cases on this occasion. |
| Key Words:
Neonates, Non-typhoidal salmonellosis |
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