南华大学学报(医学版)
南華大學學報(醫學版)
남화대학학보(의학판)
JOURNAL OF NANHUA UNIVERSITY MEDICAL EDITION
2001年
2期
133-135
,共3页
细菌L型%尿液%细菌培养%药敏试验%抗药性
細菌L型%尿液%細菌培養%藥敏試驗%抗藥性
세균L형%뇨액%세균배양%약민시험%항약성
目的 探讨泌尿系感染患者尿液细菌L型的病原菌种类及耐药性。方法 采取10 200例门诊及住院患者的尿液进行细菌L型培养及药敏试验。结果 分离出细菌L型2 979株，阳性率29.2%，分离出菌种22种，其中革兰氏阳性菌2 178株(占73.1%)，革兰氏阴性菌801株(占26.9%)。4种主要病原菌是表皮葡萄球菌、粪肠球菌、大肠埃希氏菌及金黄色葡萄球菌，分别占全部检出细菌L型的25.6%、20.5%、17.9%、17.7%。药敏试验显示表葡菌、金葡菌、粪肠球菌共同敏感的药物是万古霉素、呋喃妥因和舒普深；4种主要病原菌共同敏感的药物是呋喃妥因，其次是舒普深。结论 泌尿系感染患者尿液常规培养加细菌L型培养可提高细菌检测阳性率，为临床诊断和抗生素的合理使用提供重要依据。
目的 探討泌尿繫感染患者尿液細菌L型的病原菌種類及耐藥性。方法 採取10 200例門診及住院患者的尿液進行細菌L型培養及藥敏試驗。結果 分離齣細菌L型2 979株，暘性率29.2%，分離齣菌種22種，其中革蘭氏暘性菌2 178株(佔73.1%)，革蘭氏陰性菌801株(佔26.9%)。4種主要病原菌是錶皮葡萄毬菌、糞腸毬菌、大腸埃希氏菌及金黃色葡萄毬菌，分彆佔全部檢齣細菌L型的25.6%、20.5%、17.9%、17.7%。藥敏試驗顯示錶葡菌、金葡菌、糞腸毬菌共同敏感的藥物是萬古黴素、呋喃妥因和舒普深；4種主要病原菌共同敏感的藥物是呋喃妥因，其次是舒普深。結論 泌尿繫感染患者尿液常規培養加細菌L型培養可提高細菌檢測暘性率，為臨床診斷和抗生素的閤理使用提供重要依據。
목적 탐토비뇨계감염환자뇨액세균L형적병원균충류급내약성。방법 채취10 200례문진급주원환자적뇨액진행세균L형배양급약민시험。결과 분리출세균L형2 979주，양성솔29.2%，분리출균충22충，기중혁란씨양성균2 178주(점73.1%)，혁란씨음성균801주(점26.9%)。4충주요병원균시표피포도구균、분장구균、대장애희씨균급금황색포도구균，분별점전부검출세균L형적25.6%、20.5%、17.9%、17.7%。약민시험현시표포균、금포균、분장구균공동민감적약물시만고매소、부남타인화서보심；4충주요병원균공동민감적약물시부남타인，기차시서보심。결론 비뇨계감염환자뇨액상규배양가세균L형배양가제고세균검측양성솔，위림상진단화항생소적합리사용제공중요의거。
Objective： To explore the parental bacteria of L-form in the urine of the patients with urinary infection and its drug sensitivity .Methods: Cultivation and drug sensitivity test were performed on the urine samples of 10 200 patients with urinary infection. Results:2 979 strains of bacterial L-form were separated out and the positive rate was 29.2%. 22 kinds of parental bacteria were identified,Gram positive bacteria being 2 178 strains (73.1%) and Gram negative bacteria being 801 strains (26.9%).The main four kinds of parental bacteria were S.epidermidis (25.6%),S.faecalis (20.5%),E. coli (17.9%) and S.aureus (17.7%).On the drug sensitivity test ,S. epidermidis,S.aureus and S.faecalis were sensitive to vancomycin,furadantin and cefoperazone,and all of four kinds of bacteria were well sensitive to furadantin,then sensitive to sefoperazone. Conclusions: Cultivation of L-form with sample of urine ,if routinely perormed,can increase the positive rate of bacteria and provide animportant clue to the diagnosis and the rational administration of antibiotics.
