中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
30期
56-57
,共2页
结核,肺%嗜麦芽窄食单胞菌%耐药性
結覈,肺%嗜麥芽窄食單胞菌%耐藥性
결핵,폐%기맥아착식단포균%내약성
Tuberculosis,pulmonary%Stenotrophomonas maltophilia%Drug resistance
目的 探讨肺结核合并嗜麦芽窄食单胞菌感染的特点和耐药情况.方法 对65例肺结核合并嗜麦芽窄食单胞菌感染的临床资料进行回顾性分析.结果 65株嗜麦芽窄食单胞菌主要分离于痰液标本,占75.4％(49/65).该菌对多种抗菌药物的耐药率较高,对碳青酶烯类、β-内酰胺类耐药率在60％以上,敏感率大于70％的仅有莫西沙星、复方磺胺甲(口恶)唑、替卡西林/克拉维酸.结论 嗜麦芽窄食单胞菌对多种抗菌药物高度耐药,对此引起的肺结核患者肺部感染,临床应加强重视,根据药敏结果合理用药.
目的 探討肺結覈閤併嗜麥芽窄食單胞菌感染的特點和耐藥情況.方法 對65例肺結覈閤併嗜麥芽窄食單胞菌感染的臨床資料進行迴顧性分析.結果 65株嗜麥芽窄食單胞菌主要分離于痰液標本,佔75.4％(49/65).該菌對多種抗菌藥物的耐藥率較高,對碳青酶烯類、β-內酰胺類耐藥率在60％以上,敏感率大于70％的僅有莫西沙星、複方磺胺甲(口噁)唑、替卡西林/剋拉維痠.結論 嗜麥芽窄食單胞菌對多種抗菌藥物高度耐藥,對此引起的肺結覈患者肺部感染,臨床應加彊重視,根據藥敏結果閤理用藥.
목적 탐토폐결핵합병기맥아착식단포균감염적특점화내약정황.방법 대65례폐결핵합병기맥아착식단포균감염적림상자료진행회고성분석.결과 65주기맥아착식단포균주요분리우담액표본,점75.4％(49/65).해균대다충항균약물적내약솔교고,대탄청매희류、β-내선알류내약솔재60％이상,민감솔대우70％적부유막서사성、복방광알갑(구악)서、체잡서림/극랍유산.결론 기맥아착식단포균대다충항균약물고도내약,대차인기적폐결핵환자폐부감염,림상응가강중시,근거약민결과합리용약.
Objective To explore the characteristics and drug resistance of pulmonary tuberculosis combined with Stenotrophomonas maltophilia infection.Methods The clinical data of 65 patients with Stenotrophomonas maltophilia infection were analyzed retrospectively.Results It showed that 65 strains of Stenotrophomonas maltophilia mainly came from sputum sample [75.4％(49/65)] and were highly resistant to many kinds of antimicrobial agents,of which the resistance rate to carbapenems,β-lactames was above 60％ and the sensitive rate to moxifloxacin,ethoprin-sulfamethoxazole and ticarcillin/clavulanic was above 70％.Conclusion Clinical practices should pay more attention to the high resistance of Stenotrophomonas maltophilia infection,which might result in pulmonary tuberculosis,and prescribe antibiotics rationally according to the drug sensitive test.
