Bacterial and Clinical Study on Diarrheal Children Who had Positive Stool Cultures, |
Ton Sang Park, Chang Joo Cho, Ki Young Lee, Dong Shick Chin |
Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea |
大便 細菌培養檢査에 關한 細菌및 臨床的 觀察 |
朴敦相, 曺昌周, 李琦寧, 陳東植 |
延世大學校醫科大學小兒科學敎室 |
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Abstract |
Bacterial and clinical study were performed on 391 cases of diarrheal children who were admitted, in pediatric department, Severance Hospital from July 1966 to June 1971 and the following results were obtained.
1.Of the potential pathogens, the most common bacteria was E.P.E.C. (24.6%) and shigella. C22.4%) was the next. 2.Most commonly cultured type of E.P.E.C. was type 055(32.7%) and type 0128(28.3%)was the next and most common group of shigella was group B(91. 9%). 3.E.P.E.C. and shigella were most frequently cultured in infancy(84%) and 1 to 3 years of age respectively, while salmonella was most commonly found in the children over 3 years of age.4.E.P.E.C. was most commonly cultured in July but salmonella had no specific seasonal. preponderance on cultures. 5.Over 80% of cases with shigellosis revealed bloody or mucoid stool characters while watery in cases with E.P.E.C. infection. 6.Most sensitive antibacterial agents for E.P.E.C. was kanamycin (64.4%) and next in order of potency were ampicillin, streptomycin and chloramphenicol. Ampicillin(72.1%) was the most
sensitive agent for shigellosis and the next in order of potency were kanamycin, neomycin and penicillin.
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