中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2008年
12期
15-17
,共3页
尿路感染%病原菌%耐药性%合理用药
尿路感染%病原菌%耐藥性%閤理用藥
뇨로감염%병원균%내약성%합리용약
Urinary system infection%Pathogens%Drug resistance%Antibacterials correctely
目的 了解我院尿路感染病原菌的分布及体外耐药性,为临床提供诊断与治疗依据.方法 对我院2006年1月至2007年12月尿培养分离出的273株细菌的种属分布及耐药性进行分析.结果 大肠埃希氏菌是引发尿路感染的主要病原菌,占38.1%;其次是凝固酶阴性葡萄球菌(14.3%)、肠球菌(12.5%)、真菌(11.7%)、肺炎克雷伯氏菌(7.0%)、奇异变形杆菌(5.5%)及铜绿假单胞菌(5.1%);药敏试验结果显示除肠杆菌科细菌对亚胺培南,肠球菌属和葡萄球菌属细菌对万古霉素100%敏感外,对其他抗菌药物都有较高的耐药性.结论 大肠埃希氏菌是尿路感染的最主要病原菌,临床医生应注意其耐药性变化,合理应用抗菌药物.
目的 瞭解我院尿路感染病原菌的分佈及體外耐藥性,為臨床提供診斷與治療依據.方法 對我院2006年1月至2007年12月尿培養分離齣的273株細菌的種屬分佈及耐藥性進行分析.結果 大腸埃希氏菌是引髮尿路感染的主要病原菌,佔38.1%;其次是凝固酶陰性葡萄毬菌(14.3%)、腸毬菌(12.5%)、真菌(11.7%)、肺炎剋雷伯氏菌(7.0%)、奇異變形桿菌(5.5%)及銅綠假單胞菌(5.1%);藥敏試驗結果顯示除腸桿菌科細菌對亞胺培南,腸毬菌屬和葡萄毬菌屬細菌對萬古黴素100%敏感外,對其他抗菌藥物都有較高的耐藥性.結論 大腸埃希氏菌是尿路感染的最主要病原菌,臨床醫生應註意其耐藥性變化,閤理應用抗菌藥物.
목적 료해아원뇨로감염병원균적분포급체외내약성,위림상제공진단여치료의거.방법 대아원2006년1월지2007년12월뇨배양분리출적273주세균적충속분포급내약성진행분석.결과 대장애희씨균시인발뇨로감염적주요병원균,점38.1%;기차시응고매음성포도구균(14.3%)、장구균(12.5%)、진균(11.7%)、폐염극뢰백씨균(7.0%)、기이변형간균(5.5%)급동록가단포균(5.1%);약민시험결과현시제장간균과세균대아알배남,장구균속화포도구균속세균대만고매소100%민감외,대기타항균약물도유교고적내약성.결론 대장애희씨균시뇨로감염적최주요병원균,림상의생응주의기내약성변화,합리응용항균약물.
Objective To investigate the distribution and drug resistance of pathogensin urinary system infection. Methods Two hundred and seventy three strains collected from patients urine specimens of our hospital during Jan. 2006 to Dec. 2007 were cultrured to detect and were sdudied drug resistance. Results Among these pathogens, Eseherichia coli rated the top one(38.1%), followed by coagulase negative Staphylococcus (14.3%), Enterococcus (12.5%), Fungus (11.7%), Klebsiella pneumoniae (7.0%), Pmirabilis (5.5%), and Pseudomonas aeruginosa (5.1%). Enterobacteriaceae sensitived to imipenen (100%), Enterococcue and Staphytococcus sensitived tovancomycin(100%). But they showed higher drug resistance to other antibiotics. Conclusion Eseherichia coli is the main infectious bacterium in urinary system infection. Clinician should pay attention to the changes of their drug resistance and use correctely.
