CAJ | 학술논문

目的：比较不同临床标本病原菌分布及耐药性分析，为临床治疗提供参考。方法选取2012年10月至2013年10月大良医院收取的血液、尿液和伤口分泌物标本，进行病原菌培养和药物敏感试验。结果血液标本检出病原菌279株，其中，大肠埃希菌占28．67％，肺炎克雷伯菌占12．19％，凝固酶阴性葡萄球菌占13．62％，金黄色葡萄球菌占9．68％，粪肠球菌占8．60％；尿液标本检出病原菌574株，其中，大肠埃希菌占38．68％，念珠菌占18．64％，铜绿假单胞菌占7．84％，肺炎克雷伯菌占7．49％，粪肠球菌占3．66％；伤口分泌物标本检出病原菌292株，其中，金黄色葡萄球菌占17．12％，大肠埃希菌占14．38％，凝固酶阴性葡萄球菌占10．27％，铜绿假单胞菌占7．53％，粪肠球菌占5．48％。不同标本病原菌分布及耐药性不同。结论临床选用抗菌药物时，应加强耐药性监测，综合考虑各种因素。
목적：비교불동림상표본병원균분포급내약성분석，위림상치료제공삼고。방법선취2012년10월지2013년10월대량의원수취적혈액、뇨액화상구분비물표본，진행병원균배양화약물민감시험。결과혈액표본검출병원균279주，기중，대장애희균점28．67％，폐염극뢰백균점12．19％，응고매음성포도구균점13．62％，금황색포도구균점9．68％，분장구균점8．60％；뇨액표본검출병원균574주，기중，대장애희균점38．68％，념주균점18．64％，동록가단포균점7．84％，폐염극뢰백균점7．49％，분장구균점3．66％；상구분비물표본검출병원균292주，기중，금황색포도구균점17．12％，대장애희균점14．38％，응고매음성포도구균점10．27％，동록가단포균점7．53％，분장구균점5．48％。불동표본병원균분포급내약성불동。결론림상선용항균약물시，응가강내약성감측，종합고필각충인소。
Objective To compare the distribution patterns and analyze the antimicrobial resistance of pathogens of different clinical samples .Methods All pathogens were isolated from clinical specimens(blood ,urine and wound) ,the distribution of patho-gens and drug resistance were monitored continuously from October 2012 to October 2013 in Daling hospital .Results 279 strains weredetectedfrombloodculture.Thedistributionincidenceof Escherichiacoli,Klebsiellapneumoniae,coagulasenegativeStaphy-lococci(CNS) ,Staphylococcus aureus ,Enterococcus f aecalis were 28 .67% ,12 .19% ,13 .62% ,9 .68% and 8 .60% respectively .574 strains were detected from urine culture .The distribution incidence of Escherichia coli ,Candida ,Pseudomonas aeruginosa ,K leb-siella pneumoniae ,Enterococcus f aecalis were 38 .68% ,18 .64% ,7 .84% ,7 .49% and 3 .66% respectively .292 strains were detected from wound secretion .The distribution incidence of Staphylococcus aureus ,Escherichia coli ,CNS ,Pseudomonas aeruginosa ,En-terococcus f aecalis were 17 .12% ,14 .38% ,10 .27% ,7 .53% ,5 .48% respectively .Conclusion Clinical using of antimicrobial agents should monitor drug resistance and consider various factors .