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KMID : 0367419700130060031
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Journal of Korean Pediatric Society
1970 Volume.13 No. 6 p.31 ~ p.37
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Clinical and Bacteriological Observation of Acute Respiratory Infection
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김응순/Kim, Ung Soon
정규혜/박양현/Chung, Kyu Hae/Park, Yang Hyun
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Abstract
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Clinical and bacteriological observations were made in 203 cases of acute respiratory tract infection who were admitted to in Pediatric Department of Kwangju Christian Hospital during the 3 years from November 1966. Results are summarized as follows:
1. 60% of 203 cases were male.
2. No difference was marked among incidences by age groups, and higher incidence was noted during winter and spring season.
3. Pneumonia was the most frequent pathological change (73.4%), and empyema (10.8%), pharyngitis, laryngitis, bronchitis, lung abscess and bronchiolitis followed in decreasing order of frequency.
4. The B-hemolytic streptococcus was the most frequently isolated pathogen with 42.1% of all cases, followed by staphylococcus aureus (33.3%), Gram-negative bacilli (10. 9%) and pneumococcus (10.9%)
5. Sensitivity test revealed that most of the organisms were highly sensitive to aureomycin, kanamycin, erythromycin, novobiocin, and resistant to streptomycin and penicillin.
6. On x-ray findings, majority of pneumonia cases 126 cases (84%) was found to be bronchopneumonia, followed by lobar pneumonia. In most cases of lobar pneumonia (60.8%), pathological changes were localized in right upper lobe.
7. Overall mortality rate was 15. 3% with 11 cases, infants under 6 months of age occpies most of fatalities. They had been affected by repeated infections and complication in addition to malnutrition
8. It was noted that most of the severe cases with grave prognosis were found among the children instituted in orphanages. This indicates that the children care and hygienic environment in those institutions are improper and must be greatly improved
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