COVID-19真的能拯救儿童吗?

Jia Bainga Kangbai
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引用次数: 1

摘要

背景金黄色葡萄球菌是世界范围内重要的医院病原菌,分为耐甲氧西林金黄色葡萄球菌(MRSA)和敏感金黄色葡萄球菌(MSSA)两大类。目的比较伊拉克住院患者不同临床标本中MRSA和MSSA金黄色葡萄球菌的分布频率和耐药性。材料与方法对2017年2 - 5月203例不同年龄住院患者临床标本中的金黄色葡萄球菌分离株进行调查。用API和Vitek进行鉴定,用一组抗生素确定分离株的抗菌敏感性。结果烧伤拭子中金黄色葡萄球菌分离率最高(35%),其次为尿标本和血液标本,分别为30%和26%。MSSA分离株占57.5%,其余为MRSA分离株(42.5%)。MRSA在烧伤和创面标本中较高(分别为485和13%),而MSSA在血液、尿液和耳部标本中较高(分别为29%、38%和3.5%)。MRSA对7种抗生素耐多药,而MSSA仅对2种抗生素耐多药。结论MSSA在临床标本中的检出率高于MRSA,不同临床标本的检出率不同。MRSA多药耐药比MSSA更明显。
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Is COVID-19 really sparing children?
Background Staphylococcus aureus is an important nosocomial pathogen worldwide, with two major Classes Methicillin resistant S. aureus (MRSA) and Methicillin sensitive S. aureus (MSSA). Aim To compare the distribution frequency and antimicrobial sensitivity of MRSA and MSSA S. aureus isolates in different clinical specimen from hospitalized Iraqi patients. Materials and Methods S. aureus isolates from clinical specimens were investigated in 203 hospitalizes patients with wide range of ages during the period from February to May 2017. API and Vitek were used for identification and a panel of antibiotics was used to define the antimicrobial sensitivity of the isolates. Results The highest S. aureus isolates were from burn swab (35%), followed by urine specimen and blood samples with (30 and 26% respectively). MSSA isolates represents (57.5%) of the total and the rest was MRSA isolates (42.5%). MRSA isolates was higher in burns and wound specimens (485 and 13% respectively) whereas the MSSA isolates were higher in blood, urine and ear specimens (29%, 38% and 3.5% respectively). MRSA were multidrug resistance to 7 antibiotics in comparison to MSSA (only two antibiotics). Conclusion MSSA isolate are more common than MRSA in clinical specimens with variable proportions in different clinical specimens. Multidrug resistance was more evident among the MRSA than MSSA.
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