All issues > Volume 31(1); 1988

Original Article

J Korean Pediatr Soc. 1988;31(1):40-47. Published online January 31, 1988.

Clinical Analysis on Organisms Isolated from Blood Culture.

Dong Min Kang¹, Jong Seo Lee¹, Hong Dae Cha¹, Tae Chan Kwon¹, Chin Moo Kang¹

¹Department of Pediatrics, Keimyung University, School of Medicine, Taegu, Korea

Received: September 17, 1987;

Abstract

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.

Keywords :Blood culture, Clinical analysis