CAJ | 학술논문

目的：对合并感染的多囊肾病原菌及耐药性进行分析。方法回顾性分析97例多囊肾合并感染患者的临床资料。结果通过采集到的97例多囊肾感染囊液送检结果得出院病原菌以革兰阴性菌为主，其中前两位分别为大肠埃希菌、肺炎克雷伯菌，其较敏感的抗生素为亚胺培南、美罗培南、厄他培南、呋喃妥因、哌拉西林/他巴唑坦等。结论大肠埃希菌是合并感染多囊肾患者主要的感染病原菌，随着抗生素的普遍使用，病原菌的耐药性也随之增高，临床医生在选用抗生素时应根据尿培养结果，有针对性的合理使用，提高治疗效果。
목적：대합병감염적다낭신병원균급내약성진행분석。방법회고성분석97례다낭신합병감염환자적림상자료。결과통과채집도적97례다낭신감염낭액송검결과득출원병원균이혁란음성균위주，기중전량위분별위대장애희균、폐염극뢰백균，기교민감적항생소위아알배남、미라배남、액타배남、부남타인、고랍서림/타파서탄등。결론대장애희균시합병감염다낭신환자주요적감염병원균，수착항생소적보편사용，병원균적내약성야수지증고，림상의생재선용항생소시응근거뇨배양결과，유침대성적합리사용，제고치료효과。
Objective To study the pathogens and drug resistance of the PKD (polycystic kidney disease ) patients of with infection. Methods We study retrospectively the clinical data of 97 infectious PKD patients. Re-sults Gram-negative bacteria was the main pathogen,and the first two were Escherichia coli,Klebsiella pneu-moniae,which were sensitive to imipenem、meropenem、ertapenem、nitrofurantoin、Piperacillin/Tazobactam,etc. Conclusions Escherichia coli is the main pathogen,drug resistance become more and more serious with the ex-tensively use of antibiotics. We should choose the right antibiotics based on the results of urine culture.