CAJ | 학술논문

目的了解东莞塘厦地区儿童脓疱疮的病原菌分布及药物敏感性结果.方法对530例脓疱疮患儿的脓疱液做细菌培养,并对分离出的528株病原菌进行耐药性分析.结果分离出金黄色葡萄球菌504株(95.09％)、A群溶血性链球菌14株(2.64％)、肠球菌3株(0.56％)、鲍曼不动杆菌2株(0.38％)、肺炎克雷白杆菌2株(0.38％)、奇异变形杆菌2株(0.38％)、表皮葡萄球菌1株(0.18％).对504株金黄色葡萄球菌进行药敏试验结果显示,金黄色葡萄球菌对青霉素、红霉素、克林霉素耐药率较高,分别为96.8％、89.1％、53.5％,对其他抗生素耐药率较低.其他病原菌耐药率都不高.结论东莞塘厦地区儿童脓疱疮的主要致病菌为金黄色葡萄球菌,对青霉素、红霉素、克林霉素的耐药性较高,已不适于治疗本地区由金黄色葡萄球菌感染引起的脓疱疮.
목적 료해동완당하지구인동농포창적병원균분포급약물민감성결과.방법 대530례농포창환인적농포액주세균배양,병대분리출적528주병원균진행내약성분석.결과 분리출금황색포도구균504주(95.09％)、A군용혈성련구균14주(2.64％)、장구균3주(0.56％)、포만불동간균2주(0.38％)、폐염극뢰백간균2주(0.38％)、기이변형간균2주(0.38％)、표피포도구균1주(0.18％).대504주금황색포도구균진행약민시험결과현시,금황색포도구균대청매소、홍매소、극림매소내약솔교고,분별위96.8％、89.1％、53.5％,대기타항생소내약솔교저.기타병원균내약솔도불고.결론 동완당하지구인동농포창적주요치병균위금황색포도구균,대청매소、홍매소、극림매소적내약성교고,이불괄우치료본지구유금황색포도구균감염인기적농포창.
Objective To understand the pathogenic bacteria distribution and drug sensitivity in children infected with impetigo in Tangxia area of Gongguan city.Method The pustular liquid of 530 cases was taken for bacterial culture,and the drug resistance was analyzed in 528 separated strains.Results The pathogenic bacteria had staphylococcus aureus 504 strains (95.09％),the hemolytic streptococcus 14 strains (2.64％),the bowel coccus 3 strains (0.56％),the Pan-resistant acinetobacter baumannii 2 strains (0.38％),the Klebsiella pneumonia 2 strains (0.38％),the staphylococcus epidermidis 1 strain (0.18％),the proteus mirabilis 2 strains (0.38％).The test results of drug sensitive of 504 strains of staphylococcus aureus showed the drug resistance of staphyloccus aureus to penicillin,erythromycin and clindamycin was higher,which were 96.8％,89.1％ and 53.5％ respectively,those of other antibiotics were low.Other resistant pathogens were not high.Conclusion In Tangxia area of Gongguan city,the main pathogenic bacteria of children infected with impetigo is staphylococcus aureus,which has higher drug resistance to penicillin,erythromycin and clindamycin,it is already not suitable in this region in the treatment for impetigo caused by staphylococcus aureus infection.