CAJ | 학술논문

目的了解嗜麦芽寡养单胞菌的标本来源、临床分布及耐药状况.方法选择2008年我院收治的50例嗜麦芽寡养单胞菌感染患者,共分离出60株嗜麦芽寡养单胞菌.采用API staph鉴定系统和K-B琼脂扩散法,对分离的60株嗜麦芽寡养单胞菌进行鉴定和药敏试验.结果嗜麦芽寡养单胞菌主要来源于痰标本,占81.7%(49/60);科室分布主要分离自ICU(35.0%,21/60)和呼吸内科(25.0%,15/60).该菌对左氧氟沙星、米诺环素、环丙沙星的耐药率较低,分别为7.1%、20.8%、24.1%,对其他抗菌药物的耐药率均较高.结论嗜麦芽寡养单胞菌具有高度和多重耐药性,临床抗感染治疗应根据药敏试验结果选用敏感药物.
목적 료해기맥아과양단포균적표본래원、림상분포급내약상황.방법 선택2008년아원수치적50례기맥아과양단포균감염환자,공분리출60주기맥아과양단포균.채용API staph감정계통화K-B경지확산법,대분리적60주기맥아과양단포균진행감정화약민시험.결과 기맥아과양단포균주요래원우담표본,점81.7%(49/60);과실분포주요분리자ICU(35.0%,21/60)화호흡내과(25.0%,15/60).해균대좌양불사성、미낙배소、배병사성적내약솔교저,분별위7.1%、20.8%、24.1%,대기타항균약물적내약솔균교고.결론 기맥아과양단포균구유고도화다중내약성,림상항감염치료응근거약민시험결과선용민감약물.
Objective To study the clinical distribution of Stenotrophomonas maltophilia (SM) and its drug resistance.Methods A total of 60 SM trains were isolated from 50 SM infected patients admitted to our hospital in 2008.API staph system and K-B agar diffusion method were used to identify the isolated SM and to perform drug susceptibility testing.Results Sputum was the main resource of SM specimens,accounting for 81.7%(49/60),isolated mainly from ICU(35.0%,21/60)and Department of Respiratory Medicine(25.0%,15/60).Its resistance to levofloxacin,minocycline,ciprofloxacin was relatively low (7.1%,20.8% and 24.1% respectively),but higher to other antimicrobial agents.Conclusion SM has high and multiple drug resistance.Drugs should be chosen based on sensitivity test results in clinical anti-infective therapy.