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本文报告了1980～1984年收治的17例白色葡萄球菌败血症(以下简称白葡菌败血症,SAS)。与以往资料相比,其发病年龄有推迟,皮疹发生率增高,临床表现常无特异性,主要为顽固性发热和对多种抗菌素耐药,泌尿系及消化系症状均较轻微。作为条件性致病菌,其病原作用已获得公认。其前驱病或既存的基础疾病在诊断上有重要意义。早期多次做血培养是诊断本病的关键。实践证明,无论凝固酶试验是否阳性,治疗上均应严肃对待。白葡菌为机会性的弱毒性致病菌,体外实验虽耐药,但坚持用多种抗菌素联合治疗,可获得较好效果。
This article reports 17 cases of Staphylococcus aureus sepsis (hereinafter referred to as Staphylococcus aureus septicemia, SAS) admitted between 1980 and 1984. Compared with the previous data, the onset of the disease has been delayed, the incidence of rash increased, often non-specific clinical manifestations, mainly refractory fever and a variety of antibiotic resistance, urinary tract and digestive symptoms are minor. As a conditional pathogen, its pathogenic role has been recognized. Its precursors or pre-existing underlying diseases are of diagnostic importance. Many early blood culture is the key to diagnosis of the disease. Practice has proved that, regardless of coagulase test is positive, the treatment should be taken seriously. Staphylococcus aureus opportunistic pathogenic bacteria, although the drug resistance in vitro, but adhere to a variety of antibiotic combination therapy, can get better results.