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Volume 03
Stem Cells 2019 & Pediatrics Congress 2019
November 06-07, 2019
Journal of Child and Adolescent Psychiatry
November 06-07, 2019 | Tokyo, Japan
STEM CELLS AND REGENERATIVE MEDICINE
PEDIATRICS AND CHILD CARE
International Conference on
2
nd
World Congress on
&
J Child Adolesc Psych, Volume 03
Bloodstream infection at children in Belarus
Serhiyenka E N
and
Romanova O N
Belarusian State Medical University, Belarus
I
n a retrospective study from 2009 to 2017 was studied identified etiological pattern of bacteremia. Only for the period allocated 655
pathogens cultured from blood cultures 515 patients aged from 3 weeks to 18 years old. According to the results of the study, the
proportion of gram-negative bacteria was 31.7%, gram-positive bacteria-61.9%, fungus -6.4%. Fungemia was registered in different
years from 2.2 (2013) to 14.7% (2010) of all positive hemocultures.
Candida parapsilosis
prevails in the structure of pathogens
(64.3%) and 27 cases (64.3%) of the genus Torulopsis. Among the isolated microorganisms,
staphylococci
prevailed (41%), the 2nd
place in the frequency of isolation was occupied by non-fermenting bacteria (16.7%), the 3rd place-bacteria of the Enterobacteriacae
family (14.1%) and the 4th place –
streptococci
(10.8%). The spectrum of gram – negative bacteria in the family Enterobacteriacae
(n=86) is diverse:
Escherichia
– 10.5%,
Salmonella
– 5.8%,
Shigella
– 25.6%,
Proteus mirabilis
– 1.15%,
Providencia stuartii
–
1.15%,
Serratia
– 15.1%,
Klebsiella
– 27.9%,
Enterobacter
– 10.5% and others – 2 (2,3%). Gram-negative non-fermenting bacteria
were isolated in 102 (16.7%) episodes of bacteraemia. Among them dominated
Acinetobacter
– 47.1%,
Pseudomonas
– 20.6%,
Achromobacter
– 12.7% and
Stenotrophomonas maltophilia
– 7.8%. The structure of gram-positive bacteria (n=404) was dominated
by
staphylococci
(62.1%), with the most frequently isolated coagulase-negative types (84.5%). In the structure of all
staphylococci
(n=251),
S. aureus
was found with a frequency of 15.1%, the most common was
S. epidermis
– 63.3% of cases.
Streptococci
(n=66)
were dominated by
Str. pneumonia
(27.3%) and
Str. agalacia
(19.7%) and
Str. viridans
groups (15.2%).
Enterococci
were isolated
in 31 patients (5.1%), with almost the same frequency dominated by
Enterococcus faecalis
and
Enterococcus faecium
(41.9% and
38.7%, respectively). During the study period, 7 (1.1%) strains of
Corynebacterium
spp were isolated.
Serhiyenka@yandex.com