大理学院学报
大理學院學報
대이학원학보
JOURNAL OF DALI COLLEGE
2014年
10期
64-66
,共3页
肠球菌%药敏试验%抗生素%耐药性
腸毬菌%藥敏試驗%抗生素%耐藥性
장구균%약민시험%항생소%내약성
enterococcus%drug sensitive test%sensitivity%resistance to drug
目的：了解肠球菌的临床分离率及其对常用抗生素的耐药性，指导临床合理使用抗生素。方法：用Vitek 2 Compact法进行细菌鉴定及常规药敏试验。结果：临床分离到的342株肠球菌中，粪肠球菌有140例，阳性率40.9%，屎肠球菌有186例，阳性率54.4%，其它肠球菌有16例，阳性率4.7%。342株肠球菌主要分离自尿液254例，阳性率74.3%；血液28例，阳性率8.2%；脑脊液21例，阳性率6.1%；胆汁15例，阳性率5.3%。屎肠球菌对青霉素、氨苄西林、环丙沙星、左氧氟沙星、红霉素和四环素的耐药率已接近或达到90%，而粪肠球菌对青霉素和氨苄西林仍保持100%敏感性。未发现肠球菌对万古霉素、利奈唑胺和替加环素耐药。结论：革兰阳性球菌中肠球菌是引起医院感染的重要病原菌之一，肠球菌引起的感染性疾病的治疗一定要以药敏结果为指导合理选用抗生素。
目的：瞭解腸毬菌的臨床分離率及其對常用抗生素的耐藥性，指導臨床閤理使用抗生素。方法：用Vitek 2 Compact法進行細菌鑒定及常規藥敏試驗。結果：臨床分離到的342株腸毬菌中，糞腸毬菌有140例，暘性率40.9%，屎腸毬菌有186例，暘性率54.4%，其它腸毬菌有16例，暘性率4.7%。342株腸毬菌主要分離自尿液254例，暘性率74.3%；血液28例，暘性率8.2%；腦脊液21例，暘性率6.1%；膽汁15例，暘性率5.3%。屎腸毬菌對青黴素、氨芐西林、環丙沙星、左氧氟沙星、紅黴素和四環素的耐藥率已接近或達到90%，而糞腸毬菌對青黴素和氨芐西林仍保持100%敏感性。未髮現腸毬菌對萬古黴素、利奈唑胺和替加環素耐藥。結論：革蘭暘性毬菌中腸毬菌是引起醫院感染的重要病原菌之一，腸毬菌引起的感染性疾病的治療一定要以藥敏結果為指導閤理選用抗生素。
목적：료해장구균적림상분리솔급기대상용항생소적내약성，지도림상합리사용항생소。방법：용Vitek 2 Compact법진행세균감정급상규약민시험。결과：림상분리도적342주장구균중，분장구균유140례，양성솔40.9%，시장구균유186례，양성솔54.4%，기타장구균유16례，양성솔4.7%。342주장구균주요분리자뇨액254례，양성솔74.3%；혈액28례，양성솔8.2%；뇌척액21례，양성솔6.1%；담즙15례，양성솔5.3%。시장구균대청매소、안변서림、배병사성、좌양불사성、홍매소화사배소적내약솔이접근혹체도90%，이분장구균대청매소화안변서림잉보지100%민감성。미발현장구균대만고매소、리내서알화체가배소내약。결론：혁란양성구균중장구균시인기의원감염적중요병원균지일，장구균인기적감염성질병적치료일정요이약민결과위지도합리선용항생소。
Objective:To understand the distribution and drug resistance of commonly used antibiotics of enterococcus, in order to provide the basis for clinical rational drug use. Methods:Vitek 2 Compact method was used for routine bacteria identification and drug susceptibility test. Results: Among clinical isolated 342 strains of enterococcus, 140 cases were 40.9% in enterococcus, excrement enterococcus 186 rate of 54.4%;other enterococcus 16 cases were 4.7%. 342 strains of enterococcus were mainly isolated from urine of 254 cases (74.3%), 28 cases (8.2%) and blood cerebrospinal fluid 21 cases (6.1%), 15 cases (5.3%) of bile. Excrement enterococcus to penicillin, ampicillin, ciprofloxacin, levofloxacin, erythromycin and tetracycline resistance was close to or reached 90%, and dung bowel aureus to penicillin and ampicillin remained 100%sensitivity. There were no resistance to enterococcus among vancomycin, rina thiazole amine and Tigecycline. Conclusion: Enterococcus was one of the important pathogenic bacteria in hospital infection. According to the results of drug susceptibility, clinical treatment of enterococcus infection should choose reasonable antibiotics.
