Abstract：
BACKGROUND:Community-acquired Gram-Negative (GN) bacteremia caused more morbidity and mortality recently in children. The increasing drug resistance was also an important issue. However, published reference was few about children. METHODS:We conducted a retrospective study to collect febrile patients with blood culture from a pediatric emergency department during 2007∼2013, and exclude cases ever admitted to hospital within 14 days. These blood cultures all showed single GN organism. The demographic characteristics of enrolled patients and the antibiogram of pathogens were recorded, and then were compared statistically to find out the immediate and appropriate antibiotics. RESULTS:Total 143 sets of blood culture were GN bacilli and the median age of cases was 2 (IQR, 1-5) years old. Male gender was predominant. Non-fermenting Gram-negative bacilli group (NFGNB spp.), Salmonella spp. and Escherichia coli were first three common pathogens respectively. However, total 37 cases of NFGNB spp. other than Pseudomonas aeruginosa were the possible pathogens. By multiple logistic regression analysis, lower hemoglobin and higher alanine aminotransferase were significant difference between common pathogens and possible ones. Besides, the prevalent age regarding resistant strains of Escherichia coli and Pseudomonas aeruginosa were both focused on less than 1 year old. However, Salmonella spp. were prevalent in the age from 1 to 3 years old. CONCLUSIONS:For different age groups, Salmonella spp. and Escherchia coli were the most common pathogens of community-acquired GN bacteremia. For infants, Pseudomonas aeruginosa sepsis and resistant strain of Escherchia coli should be alert, and broader antibiotics should be considered.
journal_name
Pediatr Neonatoljournal_title
Pediatrics and neonatologyauthors
Kuo KC,Yeh YC,Chiu IM,Tang KS,Su CM,Huang YHdoi
10.1016/j.pedneo.2019.05.009subject
Has Abstractpub_date
2020-02-01 00:00:00pages
51-57issue
1eissn
1875-9572issn
2212-1692pii
S1875-9572(18)30751-4journal_volume
61pub_type
杂志文章abstract：:Pediatric cardiomyopathies are a group of myocardial diseases with complex taxonomies. Cardiomyopathy can occur in children at any age, and it is a common cause of heart failure and heart transplantation in children. The incidence of pediatric cardiomyopathy is increasing with time. They may be associated with variabl...
journal_title：Pediatrics and neonatology
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journal_title：Pediatrics and neonatology
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journal_title：Pediatrics and neonatology
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journal_title：Pediatrics and neonatology
pub_type： 杂志文章
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journal_title：Pediatrics and neonatology
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journal_title：Pediatrics and neonatology
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journal_title：Pediatrics and neonatology
pub_type： 杂志文章
doi：10.1016/j.pedneo.2012.01.010
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journal_title：Pediatrics and neonatology
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journal_title：Pediatrics and neonatology
pub_type： 杂志文章,评审
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journal_title：Pediatrics and neonatology
pub_type： 杂志文章
doi：10.1016/j.pedneo.2011.03.009
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journal_title：Pediatrics and neonatology
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journal_title：Pediatrics and neonatology
pub_type： 杂志文章
doi：10.1016/j.pedneo.2015.10.008
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journal_title：Pediatrics and neonatology
pub_type： 杂志文章
doi：10.1016/j.pedneo.2011.02.009
更新日期：2011-04-01 00:00:00
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journal_title：Pediatrics and neonatology
pub_type： 杂志文章
doi：10.1016/j.pedneo.2014.07.002
更新日期：2015-02-01 00:00:00
abstract：BACKGROUND:A yearly increase in the proportion of very low birth weight (VLBW) live births has resulted in the slowdown of decreasing trends in crude infant mortality rates (IMRs). In this study, we examined the trends in birth weight-specific as well as birth weight-adjusted IMRs in Taiwan. METHODS:We linked three na...
journal_title：Pediatrics and neonatology
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journal_title：Pediatrics and neonatology
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journal_title：Pediatrics and neonatology
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journal_title：Pediatrics and neonatology
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journal_title：Pediatrics and neonatology
pub_type： 杂志文章
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journal_title：Pediatrics and neonatology
pub_type： 杂志文章
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journal_title：Pediatrics and neonatology
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更新日期：2017-08-01 00:00:00
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journal_title：Pediatrics and neonatology
pub_type： 杂志文章
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journal_title：Pediatrics and neonatology
pub_type： 杂志文章
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journal_title：Pediatrics and neonatology
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journal_title：Pediatrics and neonatology
pub_type： 杂志文章,评审
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更新日期：2013-04-01 00:00:00
abstract：BACKGROUND:Little is known about the characteristics of patients who visit the emergency department (ED) due to food allergy in Taiwan. This study aims to assess the triggers, clinical presentations, and management of patients presenting to a tertiary ED for food allergy. METHODS:This is a retrospective study of 369 v...
journal_title：Pediatrics and neonatology
pub_type： 杂志文章
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abstract：:Trisomy 18 is the second most common chromosomal syndrome and has multiple dysmorphic features. However, ocular findings in trisomy 18 are rarely reported. Retinal folds are the most common ocular finding described to date, although retinal hypopigmentation, dysplasia, and areas of hemorrhage and gliosis are also foun...
journal_title：Pediatrics and neonatology
pub_type： 杂志文章
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