CAJ | 학술논문

目的：调查泌尿系统感染患者抗菌药物的使用状况，并对其细菌耐药性进行监测。方法选取2012年11月-2014年11月在该院门诊就诊的378例泌尿系统感染患者，回顾性分析其临床资料，探究抗菌药物的使用情况，并监测细菌的耐药性。结果泌尿系统感染常见的病原体为大肠埃希菌、金黄色葡萄球菌、变形杆菌、肺炎克雷伯菌、粪肠球菌等；本组中患者常用的抗菌药物为头孢呋辛钠、头孢他啶、阿米卡星、头孢唑肟、头孢曲松等。通过药敏试验，发现大肠埃希菌及肺炎克雷伯菌对头孢呋辛钠比较敏感，粪肠球菌对阿米卡星比较敏感。结论掌握抗菌药物在泌尿系统感染患者中的使用情况，并对其细菌耐药性进行监测，能促进抗菌药物的合理使用，减少细菌耐药现象的产生。
목적：조사비뇨계통감염환자항균약물적사용상황，병대기세균내약성진행감측。방법선취2012년11월-2014년11월재해원문진취진적378례비뇨계통감염환자，회고성분석기림상자료，탐구항균약물적사용정황，병감측세균적내약성。결과비뇨계통감염상견적병원체위대장애희균、금황색포도구균、변형간균、폐염극뢰백균、분장구균등；본조중환자상용적항균약물위두포부신납、두포타정、아미잡성、두포서우、두포곡송등。통과약민시험，발현대장애희균급폐염극뢰백균대두포부신납비교민감，분장구균대아미잡성비교민감。결론장악항균약물재비뇨계통감염환자중적사용정황，병대기세균내약성진행감측，능촉진항균약물적합리사용，감소세균내약현상적산생。
Objective To investigate the status of patients with urinary tract infections use of antimicrobial agents, and monitoring its bacterial resistance. Methods 378 cases of urinary tract infection of November 2012 -November 2014 in our hospital were se-lected, a retrospective analysis of the clinical data, to explore the use of antimicrobial agents, and monitor bacterial resistance. Results Urinary tract infections common pathogens were Escherichia coli, Staphylococcus aureus, Proteus, Klebsiella pneumoniae, Enterococcus faecalis, etc; in this group of patients commonly used antimicrobial agents for cefuroxime, ceftazidime, A Mika star, masonry cefazolin, ceftriaxone. By susceptibility testing found E. coli and Klebsiella pneumoniae to cefuroxime more sensitive,en-terococci sensitive to A Mika star. Conclusion The master of antibiotics in patients with urinary tract infection in usage, and moni-toring its bacterial resistance, can promote the rational use of antibiotics to reduce bacterial resistance phenomenon.