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1): 52. Liu Qi, Mao Yu,[link widoczny dla zalogowanych], Chunhua Cai. Dental hospital infection prevention measures [J]. Fourth Military Medical University newspaper ,2005,26:72-73. Deng Xiaohong, Wu Yinghong, Luo Wei, et al. Dental instrument sterilization method of [J]. Journal of Hospital Infection, 2003,13 (1) :34-37. 'Chen Li, Yan Li Jin, Fu body right,[link widoczny dla zalogowanych], and so on. Disinfection of Dental Instruments Research [J]. Journal of Hospital Infection, 2001,11 (6) :448-449. Yang, the stone Sizhen. Oral Preventive Medicine and Children's Oral Medicine [M]. 2. Beijing: People's Publishing House ,1994.162-165. Salmonella Dublin causes neonatal blood, cerebrospinal fluid infection in 1 case REN Ping, Zhou (Liangshan Prefecture in Xichang City, the First People's Hospital Laboratory, Sichuan Xichang 615000) Keywords: Salmonella Dublin; blood, cerebrospinal fluid infection; neonatal CLC : R378 Document code: B Article ID :1005 -4529 (2008) 02-0223 ~ 01 Salmonella is widely distributed in nature, present in the water, livestock, poultry and a variety of animal intestines, as well as contaminated food, Once infected, the incubation period is 7 ~ 20d. Neonatal salmonella bacteremia, while cases of Salmonella infection in cerebrospinal fluid is extremely rare. I am Room in July 2006 in one case the blood and cerebrospinal fluid of neonates were also detected Salmonella Dublin. Are reported below. 1 The clinical data of 1.1 cases of children, female, born 25d. Who lives in Liangshan Prefecture, Yi. Fever, needy, do not cry, seizures 2d admission. Physical examination: body temperature 38.5 ��,[link widoczny dla zalogowanych], respiratory 5O times / min. Newborn appearance, serious illness Yung,[link widoczny dla zalogowanych], looking schungite, light skin, a moderate jaundice. Light reflex sensitivity,[link widoczny dla zalogowanych], heart rate 13O times / min, law Qi strong, no noise, lung (one), not heard, and dry and wet �� sound. Nerve stimulation, poor muscle tone high limbs, eyes staring, lips slightly cyanotic week, shortness of breath, moan, physiological reflex was not elicited, neck resistance (��). 1.2 Laboratory tests of blood: WBC9.4 �� 10 / L, Hbl75g / L, PLT244 �� 10 / L. CSF: the appearance of yellow micro-Hun, no clots, Pan's test (+), WBC80 �� 10 / L, RBC29 �� 10 / L, Category: N63L37. Blood biochemistry: total bilirubin 275.9ttmol / L, direct bilirubin 22.1ttmol / L, indirect bilirubin 253.9ttmol / L. Diagnosed as: (1) neonatal sepsis. (2) Neonatal intracranial infection of a purulent meningitis (suspected). (3) neonatal jaundice red pigment the blood. 1.3 Identification of the blood in the biphasic bacterial blood in the enrichment medium within 24h Received Date :2007 -03-16 bacteria growth and later species of blood agar and chocolate plate culture. Cerebrospinal fluid and direct inoculation of blood agar plate culture of chocolate, 24h there are bacteria. Selected colonies cultured blood and cerebrospinal fluid were lath for the BIO-KONT20F, biochemical reaction results: maltose, xylose, mannitol, nitrate reduction enzyme ornithine decarboxylation, lysine decarboxylation enzyme, hydrogen sulphide, citric acid salt, glucose, were positive. Clinton Double sugar iron produce acid and gas, lactose negative results were identified Salmonella infection. The factor serum agglutination test, the final identification results: blood culture and cerebrospinal fluid culture showed the same kind of a Dublin Salmonella bacteria infection. 1.4 Drug sensitivity tests of blood and cerebrospinal fluid culture KB disk diffusion method were used to MH for the medium susceptibility test. Bacteria to piperacillin, ceftazidime and ceftazidime / clavulanic acid, cefotaxime, cefotaxime / clavulanic acid and other antimicrobial drug susceptibility. / 2 results and discussion The survey found that children as Yi, living environment and living conditions of the poor. For children with immature immune systems, bacteria from the umbilical cord, oral, respiratory or gastrointestinal mucosa strong possibility of invasive infection, but children with other parts of the umbilical and no obvious infection focus, whether by the intestinal infection due to breastfeeding cause, pending further examination confirmed. According to history, children with a serious condition, have high fever, convulsions, etc., believed to be due to invasive infections caused by bacteria in the intestine. The diagnosis of Salmonella based primarily on: (1) Clinical symptoms and signs. (2) laboratory examination, biochemical and serological identification of two ways. By children in the hospital anti-infection, dehydration, intracranial pressure lowering treatment such as 2d, the result of a serious condition automatically discharged from the hospital, giving up treatment. Therefore, time is too short hospitalization, follow-up inspections and investigations can not be, hereby briefly. ]]]]]] 123456 [[[[[[
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