CAJ | 학술논문

目的：研究糖尿病住院患者发生泌尿系感染的病原菌分布特点及药敏分析，为临床治疗提供参考依据。方法收集2012－2014年80例糖尿病住院患者发生泌尿系感染细菌培养及药敏临床资料进行统计分析，数据采用WHO‐NET5．4进行统计。结果80例糖尿病泌尿系感染患者送检尿液标本共检出102株病原菌，以革兰阴性菌为主，共63株占61．8％，其次为革兰阳性菌和真菌，分别占23．5％、14．7％；大肠埃希菌、肺炎克雷伯菌及铜绿假单胞菌对氨苄西林的耐药率分别为95．0％、100．0％、100．0％；粪肠球菌、白色假丝酵母菌、热带假丝酵母菌未发现严重耐药。结论糖尿病患者易发生泌尿系感染，临床应结合药敏试验合理使用抗菌药物。
목적：연구당뇨병주원환자발생비뇨계감염적병원균분포특점급약민분석，위림상치료제공삼고의거。방법수집2012－2014년80례당뇨병주원환자발생비뇨계감염세균배양급약민림상자료진행통계분석，수거채용WHO‐NET5．4진행통계。결과80례당뇨병비뇨계감염환자송검뇨액표본공검출102주병원균，이혁란음성균위주，공63주점61．8％，기차위혁란양성균화진균，분별점23．5％、14．7％；대장애희균、폐염극뢰백균급동록가단포균대안변서림적내약솔분별위95．0％、100．0％、100．0％；분장구균、백색가사효모균、열대가사효모균미발현엄중내약。결론당뇨병환자역발생비뇨계감염，림상응결합약민시험합리사용항균약물。
OBJECTIVE To study the pathogen distribution of urinary infections in diabetic inpatients and drug sen‐sitive analysis so as to provide reference for clinical treatments .METHODS From 2012 to 2014 ,the clinical data of bacteria culture and drug sensitivity results of urinary infections in 80 diabetic patients in our hospital were statisti‐cally analyzed by WHO‐NET 5 .4 software .RESULTS In the urine specimens of 80 diabetic patients with urinary tract infections ,totally 102 strains of pathogenic bacteria were detected .Gram‐negative bacteria with 63 strains dominated the majority ,accounting for 61 .8% ,followed by gram‐positive bacteria and fungi ,accounting for 23 .5% and 14 .7% respectively .The drug resistance rates of Escherichia coli ,K lebsiellla pneumonia and Pseud‐omonas aeruginosa to ampicillin were 95 .0% ,100 .0% ,and 100 .0% . Enterococcus f aecalis ,Candida albicans and Candida tropicalis were not seriously resistant to any drugs .CONCLUSION Diabetic patients are prone to suffer from urinary tract infections ,and antibiotics should be reasonably used according to drug sensitivity test .