中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
27期
48-49,50
,共3页
廖育新%刘静%朱春梅%徐小芬
廖育新%劉靜%硃春梅%徐小芬
료육신%류정%주춘매%서소분
妇科%生殖道感染%病原菌%耐药
婦科%生殖道感染%病原菌%耐藥
부과%생식도감염%병원균%내약
Gynecological%Reproductive tract infection%Pathogenic bacteria%Resistance
目的：了解妇科门诊生殖道感染不同病原菌分布及耐药情况。方法：对笔者所在医院妇科门诊1000例生殖道感染患者的病原菌培养及药敏试验结果进行回顾性分析。结果：1000例标本检出菌株2039株，G+菌43.5%，G-菌22.4%，真菌16.4%，支原体13.2%，沙眼衣原体4.5%；前四位依次为大肠埃希菌13.9%(285/2039)、白色念珠菌13.8(281/2039)、支原体13.2%(270/2039)、表皮葡萄球菌13.0%(265/2039)；大肠埃希菌对阿米卡星、亚胺培南、美洛培南均敏感，对复方磺胺、左氧氟沙星、环丙沙星、头孢吡肟、头孢呋辛、头孢他啶耐药性较高，白色念珠菌对5种抗真菌药物无耐药菌株，支原体对强力霉素、交沙霉素、克拉霉素耐药性较低。结论：研究女性生殖道感染病原体分布及耐药性对于临床合理使用抗菌药物，降低耐药率均具有积极意义。
目的：瞭解婦科門診生殖道感染不同病原菌分佈及耐藥情況。方法：對筆者所在醫院婦科門診1000例生殖道感染患者的病原菌培養及藥敏試驗結果進行迴顧性分析。結果：1000例標本檢齣菌株2039株，G+菌43.5%，G-菌22.4%，真菌16.4%，支原體13.2%，沙眼衣原體4.5%；前四位依次為大腸埃希菌13.9%(285/2039)、白色唸珠菌13.8(281/2039)、支原體13.2%(270/2039)、錶皮葡萄毬菌13.0%(265/2039)；大腸埃希菌對阿米卡星、亞胺培南、美洛培南均敏感，對複方磺胺、左氧氟沙星、環丙沙星、頭孢吡肟、頭孢呋辛、頭孢他啶耐藥性較高，白色唸珠菌對5種抗真菌藥物無耐藥菌株，支原體對彊力黴素、交沙黴素、剋拉黴素耐藥性較低。結論：研究女性生殖道感染病原體分佈及耐藥性對于臨床閤理使用抗菌藥物，降低耐藥率均具有積極意義。
목적：료해부과문진생식도감염불동병원균분포급내약정황。방법：대필자소재의원부과문진1000례생식도감염환자적병원균배양급약민시험결과진행회고성분석。결과：1000례표본검출균주2039주，G+균43.5%，G-균22.4%，진균16.4%，지원체13.2%，사안의원체4.5%；전사위의차위대장애희균13.9%(285/2039)、백색념주균13.8(281/2039)、지원체13.2%(270/2039)、표피포도구균13.0%(265/2039)；대장애희균대아미잡성、아알배남、미락배남균민감，대복방광알、좌양불사성、배병사성、두포필우、두포부신、두포타정내약성교고，백색념주균대5충항진균약물무내약균주，지원체대강력매소、교사매소、극랍매소내약성교저。결론：연구녀성생식도감염병원체분포급내약성대우림상합리사용항균약물，강저내약솔균구유적겁의의。
Objective:To study the distribution and antibiotic resistance of reproductive tract infection pathogenic bacteria in gynecological outpatient. Method:The results of pathogenic bacteria cultivation and drug sensitive test of 1000 cases of reproductive tract infection patients from gynecological outpatient in our hospital were analysed.Result:2039 strains bacteria were detected from 1000 patients with reproductive tract infection,the Gram-positive bacteria accounted for 43.5%,and Gram-negative accounted for 22.4%,fungus accounted for 16.4%,mycoplasma accounted for 13.2%,Chlamydia trachomatis accounted for 4.5%.The top four bacteria were escherichia coli(13.9%),candida albicans(13.8%),mycoplasma(13.2%),staphylococcus epidermidis(13.0%).Escherichia coli was sensitive to Amikacin,Imipenem,Meropenem, and the resistance to Compound Sulfa-drugs and Levofloxacin,Ciprofloxacin,Cefepime,Cefuroxime, Cefotaxime were high.Candida albicans hadn’t resistance to the 5 kinds of antifungal drugs.The resistance of Mycoplasma to Doxycycline,Josamycine, Clarithromycin were low.Conclusion:Studying of the female reproductive tract infection pathogens distribution and drug resistance has positive meaning to clinical rational use of antimicrobial and to reduce drug resistance.
