嬰兒兒砂眼披衣菌感染之盛行率

為瞭解台中地區嬰幼兒砂眼披衣菌之帶菌情形，自民國七十四年九月至七十五年六月，由本院嬰兒室及小兒科病房共測試二百二十例病童。在此十個月中，利用酵素免疫分析法測試砂眼技衣菌之抗原。將此病例分為兩組羣。第一組為嬰兒室之新生兒，有98例。於出生後兩小時內自眼結膜採集標本，再以0.5%紅黴素眼藥膏治療。第二組爲患有呼吸道疾病之122例住院病童。自病童咽喉深部採取分泌物。第一組披衣菌抗原陽性率爲12.2%（12例），男女之比爲1:5。第二組披衣菌抗原陽性爲26.2%（32例），男女之比爲5:3。年齡在2歲以下，感染率最高，佔77.2%（34例）。總之，年齡越小，砂眼披衣菌感染率較高，然可能大部份爲帶菌而已。體重3公斤以上之新生兒及滿一個月以上之嬰兒感染後，雖未使用紅黴素但用其他支持療法，臨床症狀亦會逐漸進步。新生兒若有呼吸道感染之症狀，一般需要藥物治療，而目前以紅黴素效果最好。

關鍵字

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並列摘要

To understand the prevalence of Chiamydial infection in children in the central area of Taiwan, 220 cases were surveyed in the hospital nursery and pediatric ward from September 1985 to June 1986. In these 10 months, using the enzyme immunoassay (ETA) method, the patients were divided into two groups. Group A included 98 newborn cases, in the nursery, whose conjunctival secretions were collected within two hours after birth. All cases were then treated with erythromycin ophthalmic ointment. Group B included 122 cases, from the pediatric ward, who suffered from symptoms of respiratory tract disease; aspirated secretions from the trachea-were studied. The antigen positive rate in Group A was 12.2% (12 cases), male to female ratio was 1:5. However, in Group B the antigen positive ratio was 26.2% (32 cases), with male to female ratio of approximating 5:3. Children render two years old had the highest incidence of infection, around 77.2% (34 cases). In conclusion, the younger is the case, the higher the positive rate is. However, most of them probably are carriers. Newborns weighed more than 3 Kg and infants older than one month were not treated by erythromycin, but with supportive methods, the clinical symptoms and signs still improved gradually. However in newborn with symptoms of respiratory problem antibiotic treatment is usually indicated, and at present erythromycin is very effective.

並列關鍵字

Chlamydia trachomatis ； pneumonia ； EIA

國際替代計量

嬰兒兒砂眼披衣菌感染之盛行率

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