国际检验医学杂志
國際檢驗醫學雜誌
국제검험의학잡지
INTERNATIONAL JOURNAL OF LABORATORY MEDICINE
2015年
8期
1075-1077
,共3页
舒黛莉%张文利%范萍%王芳%郭梅%魏新江%唐晓燕%査红萍%许群%张红岩
舒黛莉%張文利%範萍%王芳%郭梅%魏新江%唐曉燕%査紅萍%許群%張紅巖
서대리%장문리%범평%왕방%곽매%위신강%당효연%사홍평%허군%장홍암
泪囊炎%致病菌%耐药性
淚囊炎%緻病菌%耐藥性
루낭염%치병균%내약성
dacryocystitis%pathogen%antibiotics resistance
目的:了解儿童泪囊炎感染致病菌分布及其耐药情况。方法采集泪囊炎患儿泪囊分泌物标本,常规方法培养、分离致病菌,采用VITEK2全自动细菌鉴定仪、API鉴定条及纸片扩散法进行致病菌鉴定和耐药性检测。结果共检出致病菌800株,革兰阳性菌502株,占62.75%,以肺炎链球菌、草绿色链球菌、金黄色葡萄球菌为主;革兰阴性菌295株,占36.88%,以肺炎克雷伯菌、铜绿假单胞菌为主;白色念珠菌3株,占0.37%。肺炎链球菌和草绿色链球菌对妥布霉素、红霉素和克林霉素的耐药率高达53.8%~91.9%,金黄色葡萄球菌对青霉素的耐药率高达99.3%;肺炎克雷伯菌对氨苄西林的耐药率高达98.6%,对三代头孢类和妥布霉素较为敏感,对亚胺培南完全敏感。泪囊炎患儿以大于1个月至1岁年龄段儿童为主。结论儿童泪囊炎好发于小年龄段婴幼儿,致病菌对常用抗菌药物耐药率较高。
目的:瞭解兒童淚囊炎感染緻病菌分佈及其耐藥情況。方法採集淚囊炎患兒淚囊分泌物標本,常規方法培養、分離緻病菌,採用VITEK2全自動細菌鑒定儀、API鑒定條及紙片擴散法進行緻病菌鑒定和耐藥性檢測。結果共檢齣緻病菌800株,革蘭暘性菌502株,佔62.75%,以肺炎鏈毬菌、草綠色鏈毬菌、金黃色葡萄毬菌為主;革蘭陰性菌295株,佔36.88%,以肺炎剋雷伯菌、銅綠假單胞菌為主;白色唸珠菌3株,佔0.37%。肺炎鏈毬菌和草綠色鏈毬菌對妥佈黴素、紅黴素和剋林黴素的耐藥率高達53.8%~91.9%,金黃色葡萄毬菌對青黴素的耐藥率高達99.3%;肺炎剋雷伯菌對氨芐西林的耐藥率高達98.6%,對三代頭孢類和妥佈黴素較為敏感,對亞胺培南完全敏感。淚囊炎患兒以大于1箇月至1歲年齡段兒童為主。結論兒童淚囊炎好髮于小年齡段嬰幼兒,緻病菌對常用抗菌藥物耐藥率較高。
목적:료해인동루낭염감염치병균분포급기내약정황。방법채집루낭염환인루낭분비물표본,상규방법배양、분리치병균,채용VITEK2전자동세균감정의、API감정조급지편확산법진행치병균감정화내약성검측。결과공검출치병균800주,혁란양성균502주,점62.75%,이폐염련구균、초록색련구균、금황색포도구균위주;혁란음성균295주,점36.88%,이폐염극뢰백균、동록가단포균위주;백색념주균3주,점0.37%。폐염련구균화초록색련구균대타포매소、홍매소화극림매소적내약솔고체53.8%~91.9%,금황색포도구균대청매소적내약솔고체99.3%;폐염극뢰백균대안변서림적내약솔고체98.6%,대삼대두포류화타포매소교위민감,대아알배남완전민감。루낭염환인이대우1개월지1세년령단인동위주。결론인동루낭염호발우소년령단영유인,치병균대상용항균약물내약솔교고。
Objective To understand the distribution of infectious pathogens and antibiotics resistance from children patients with dacryocystitis .Methods Lacrimal secretion specimens of the outpatients with dacryocystitis were identified for bacteria using automatic instrument VITEK2 and API systems .Antibiotics sensitivity tests were detected by using VITEK 2 instrument and K‐B method .Results There were 800 strains of pathogenic bacteria isolated from eye secretions .Gram positive bacteria were 502 strains ,accounting for 62 .75% ,mainly of which were Streptococcus pneumoniae ,Streptococcus viridans and Staphylococcus au‐reus .Gram negative bacteria were 295 strains ,accounting for 36 .88% ,mainly of which were Klebsiella pneumoniae and Pseudo‐monas aeruginosa .There were 3 strains of Candida albicans ,accounting for 0 .37% .Streptococcus pneumonia and Streptococcus viridans were highly resistant to tobramycin ,erythromycin and clindamycin .At the same time ,Staphylococcus aureus resistant rate to penicillin was 99 .3% .The resistant rate of Klebsiella pneumoniae to ampicillin was 98 .6% ,but susceptible to the third generation cephalosporins and tobramycin ,and completely susceptible to imipenem .Most of children patients with dacryocystitis were from 1 month to 1 year old .Conclusion Children patients with dacryocystitis were mainly distributed in infants .Antibiotic resistant rate of pathogenic bacteria might be high .