国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
10期
1892-1894
,共3页
谢杨杨%韩晓玲%雷荣%张将
謝楊楊%韓曉玲%雷榮%張將
사양양%한효령%뢰영%장장
慢性泪囊炎%革兰阳性球菌%革兰阴性杆菌%药物敏感性试验%抗生素
慢性淚囊炎%革蘭暘性毬菌%革蘭陰性桿菌%藥物敏感性試驗%抗生素
만성루낭염%혁란양성구균%혁란음성간균%약물민감성시험%항생소
chronic dacryocystitis%gram - positive coccus%gram - negative bacilli%drug sensitivity test%antibiotics
目的：分析慢性泪囊炎致病菌和药物敏感性的现状，为临床合理用药提供依据。<br> 方法：对171例慢性泪囊炎患者的泪囊分泌物取样，做病原菌培养鉴定及药物敏感试验。针对结果分析慢性泪囊炎致病菌菌株的检出率，慢性泪囊炎致病菌菌种种类，慢性泪囊炎的主要致病菌，大多数致病菌对何种药物敏感。结果：慢性泪囊炎的致病菌检出率为76.61%(131例)。革兰阳性球菌构成慢性泪囊炎的主要致病菌，占72.52%(95例)，其中人葡萄球菌占27.48%(36例)，表皮葡萄球菌占16.79%(22例)，草绿色链球菌占12.98%(17例)。大多数致病菌对头孢哌酮/舒巴坦、妥布霉素、庆大霉素、左氧氟沙星敏感，其中革兰阳性球菌中对头孢哌酮/舒巴坦、庆大霉素、妥布霉素最为敏感，革兰阴性杆菌对头孢哌酮/舒巴坦、妥布霉素、左氧氟沙星最为敏感。<br> 结论：人葡萄球菌成为慢性泪囊炎的主要致病菌，妥布霉素可作为治疗慢性泪囊炎的首选局部用抗生素。
目的：分析慢性淚囊炎緻病菌和藥物敏感性的現狀，為臨床閤理用藥提供依據。<br> 方法：對171例慢性淚囊炎患者的淚囊分泌物取樣，做病原菌培養鑒定及藥物敏感試驗。針對結果分析慢性淚囊炎緻病菌菌株的檢齣率，慢性淚囊炎緻病菌菌種種類，慢性淚囊炎的主要緻病菌，大多數緻病菌對何種藥物敏感。結果：慢性淚囊炎的緻病菌檢齣率為76.61%(131例)。革蘭暘性毬菌構成慢性淚囊炎的主要緻病菌，佔72.52%(95例)，其中人葡萄毬菌佔27.48%(36例)，錶皮葡萄毬菌佔16.79%(22例)，草綠色鏈毬菌佔12.98%(17例)。大多數緻病菌對頭孢哌酮/舒巴坦、妥佈黴素、慶大黴素、左氧氟沙星敏感，其中革蘭暘性毬菌中對頭孢哌酮/舒巴坦、慶大黴素、妥佈黴素最為敏感，革蘭陰性桿菌對頭孢哌酮/舒巴坦、妥佈黴素、左氧氟沙星最為敏感。<br> 結論：人葡萄毬菌成為慢性淚囊炎的主要緻病菌，妥佈黴素可作為治療慢性淚囊炎的首選跼部用抗生素。
목적：분석만성루낭염치병균화약물민감성적현상，위림상합리용약제공의거。<br> 방법：대171례만성루낭염환자적루낭분비물취양，주병원균배양감정급약물민감시험。침대결과분석만성루낭염치병균균주적검출솔，만성루낭염치병균균충충류，만성루낭염적주요치병균，대다수치병균대하충약물민감。결과：만성루낭염적치병균검출솔위76.61%(131례)。혁란양성구균구성만성루낭염적주요치병균，점72.52%(95례)，기중인포도구균점27.48%(36례)，표피포도구균점16.79%(22례)，초록색련구균점12.98%(17례)。대다수치병균대두포고동/서파탄、타포매소、경대매소、좌양불사성민감，기중혁란양성구균중대두포고동/서파탄、경대매소、타포매소최위민감，혁란음성간균대두포고동/서파탄、타포매소、좌양불사성최위민감。<br> 결론：인포도구균성위만성루낭염적주요치병균，타포매소가작위치료만성루낭염적수선국부용항생소。
AIM: To analyze the pathogens and drug sensitivity of chronic dacryocystitis in order to provide evidence for clinical drug use. <br> METHODS:Lacrimal secretion of 171 cases with chronic dacryocystitis was sampled for pathogenic bacteria culture identification and drug sensitivity test. Based on the results, the isolation rate of pathogens strains, the pathogens kind of chronic dacryoeystitis, main pathogens of chronic dacryocystitis, and sensitive drug for pathogens were analyzed. <br> RESULTS: The isolation rate of pathogens strains was 76. 61% ( 131 cases ). The pathogens constituting the chronic dacryocystitis were predominantly gram-positive coccus,the percentage was 72. 52% (95 cases), among which staphylococcus hominis occupied 27. 48% ( 36 cases), staphylococcus epidermidis 16. 79% (22 cases), streptococcus viridans 12. 98% (17 cases). The majority of these bacteria were sensitive to cefoperazone-sulbactam, tobramycin, gentamicin and levofloxacin. For gram -positive coccus, cefoperazone - sulbactam, gentamicin and tobramycin were the most sensitive drug. For gram-negative bacilli, cefoperazone - sulbactam, tobramycin and levofloxacin were most sensitive drug. <br> CONCLUSION: Staphylococcus hominis is the main pathogen of chronic dacryocystitis, tobramycin can be used as the first choice for local treatment of chronic dacryocystitis.
