SciELO - Scientific Electronic Library Online

 
vol.25 número2Hipertiroidismo: Experiência de uma Consulta de Endocrinologia PediátricaTransfusão de concentrado eritrocitário em Recém-Nascidos de Muito Baixo Peso e/ou Idade Gestacional menor ou igual a 32 semanas: experiência de 4 anos de uma Unidade de Cuidados Intensivos Neonatais índice de autoresíndice de assuntosPesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

  • Não possue artigos similaresSimilares em SciELO

Compartilhar


Nascer e Crescer

versão impressa ISSN 0872-0754

Resumo

GARCEZ, Carla et al. Positive blood cultures from a pediatric department: 2003-2012. Nascer e Crescer [online]. 2016, vol.25, n.2, pp.69-76. ISSN 0872-0754.

Introduction: In selected clinical situations is recommended to investigate the child with fever, including performing blood culture. Aim: To analyze positive blood cultures for pathogenic bacteria in a pediatric department, including the most common agents, its evolution, respective antibiotic susceptibility  and correlation with some clinical data. Methods: Retrospective analysis of microbiological data of pathogens isolated in blood cultures and clinical data from children aged one month to 17 years, admitted in a pediatric department between 2003 and 2012. Results: During the study period, the annual rate of positive blood cultures for potentially pathogenic bacteria ranged between 0.8% and 2.9%. In total, were isolated 158 pathogenic bacteria and the most common were: Staphylococcus aureus (29,1%), Streptococcus pneumoniae (27,8%), Escherichia coli (10,1%), Enterococcus faecalis (8,2%), Neisseria meningitidis (5,7%) and Streptococcus pyogenes (5,7%). No Neisseria meningitidis were resistant to ampicillin, 9% of Streptococcus pneumoniae had intermediate resistance to penicillin, 8,7% of Staphylococcus aureus were resistant to methicillin and 6,3% of Escherichia coli were resistant to amoxicillin/clavulanic acid. Sixty-seven percent of positive blood cultures for pathogenic bacteria corresponded to children under the age of 36 months. The most relevant diagnoses were: occult bacteremia, pneumonia, sepsis, meningitis and pyelonephritis. A child died due to septic shock (Streptococcus pneumoniae). Conclusion: In the 10 years analyzed, the most common bacteria were: Staphylococcus aureus, Streptococcus pneumoniae and Escherichia coli. The incidence of Neisseria meningitidis after 2005 and Streptococcus pneumoniae after 2007 decreased. Susceptibility of different pathogenic bacteria to antimicrobials remained stable. We emphasize the importance of epidemiological and clinical monitoring of microbiological data.

Palavras-chave : antibiotic susceptibility; blood culture; pathogenic bacteria; pediatric.

        · resumo em Português     · texto em Português     · Português ( pdf )

 

Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons