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Clinical Analysis on Organisms Isolated from Blood Culture.

Journal of the Korean Pediatric Society 1988;31(1):40-47.
Published online January 31, 1988.
Clinical Analysis on Organisms Isolated from Blood Culture.
Dong Min Kang, Jong Seo Lee, Hong Dae Cha, Tae Chan Kwon, Chin Moo Kang
Department of Pediatrics, Keimyung University, School of Medicine, Taegu, Korea
소아의 혈액 배양에서 분리된 균주에 대한 임상적 연구
강동민, 이종수, 차홍대, 권태찬, 강진무
계명대학교 의과대학 소아과학교실
Received: 17 September 1987
This is the report of clinical analysis on 197 organisms isolated from blood culture for 8,385 patients which were admitted to the Pediatric department of Dong San Hospital, Keimyung University, during the priod of 3 years from June 1982 to May 1985. The results were as follows Out of 197 cases, 81 (41.4%) were above 5 years of age. Out of 197 cases, 117 (59.4%) were male and 80 (40.6%) were female. The most prevalent organism was salmonella species (53.3%). Besides salmonella, staphylococcus aureus (18.3%) E. coli (9.2%) and pseudomonas aeruginosa (8.6%) were the principal organisms. Salmonella species was the organism cultured mostly above the age of 5 years and staphylococcus aureus and E. coli were in the neonatal period. Most of the pseudomonas were cultured in infancy and preschool period. Salmonella species were cultured mostly in the summer season and E. coli were in summer and spring. Pseudomonas were cultured in summer and autumn frequently and staphylococcus aureus were isolated in all season. Leukocytosis were noted in 33% of the cases and more apparent in pseudomonas (76.5%) and staphylococcal infection (69.5%). 20.8% of the cases showed leukopenia, mostly in salmonella infec- tion. The cardinal symptoms were fever (83.8%) and gastrointestinal symptoms (21.8%) and the jaundice was most frequent signs in neonatal period. Staphylococcus and E. coli were more responsible for clinical sepsis and pneumonia. Pseudomonas was the important orgainism for bum and pneumonia. Overall mortality was 14.2% and higher in pseudomonas and enterococcus infection.
Key Words: Blood culture, Clinical analysis

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