CAJ | 학술논문

目的：对本医院2005年1月—2012年12月血培养阳性标本的病原菌检出及构成分析，为菌血症病原菌分布积累数据资料。方法：回顾经BD 9240和BacT/Alert3D 240血培养系统进行培养，使用Microscan walkaway 40及Vitec2 compact对分离菌株鉴定。数据分析采用WHONET5.6软件。结果：本院8年来送检血培养标本29116份，分离阳性率为6.28%。1829阳性菌株数量居前六位的病原菌依次为大肠埃希菌（28.59%）、凝固酶阴性葡萄球菌（23.84%）、肺炎克雷伯菌（8.47%）、金黄色葡萄球菌（6.34%）、沙门氏菌（4.26%）和铜绿假单胞菌（3.40%）。结论：血培养阳性率较低，分离到的肠杆菌以大肠埃希菌、肺炎克雷伯氏菌、沙门氏菌为主；葡萄球菌以金黄色葡萄球菌及凝固酶阴性葡萄球菌为主；非发酵菌以铜绿假单胞菌为主。
목적：대본의원2005년1월—2012년12월혈배양양성표본적병원균검출급구성분석，위균혈증병원균분포적루수거자료。방법：회고경BD 9240화BacT/Alert3D 240혈배양계통진행배양，사용Microscan walkaway 40급Vitec2 compact대분리균주감정。수거분석채용WHONET5.6연건。결과：본원8년래송검혈배양표본29116빈，분리양성솔위6.28%。1829양성균주수량거전육위적병원균의차위대장애희균（28.59%）、응고매음성포도구균（23.84%）、폐염극뢰백균（8.47%）、금황색포도구균（6.34%）、사문씨균（4.26%）화동록가단포균（3.40%）。결론：혈배양양성솔교저，분리도적장간균이대장애희균、폐염극뢰백씨균、사문씨균위주；포도구균이금황색포도구균급응고매음성포도구균위주；비발효균이동록가단포균위주。
Objective:To investigate the distribution of positive blood culture specimens in the first people's Hospital of Kunming City from 2005 January to 2012 December, and to accumulate the data of the distribution of positive blood culture specimens. Methods:The BD9240 and BacT/Alert3D 240 blood culture systems were used to culture. Microscan walkaway 40 and Vitec2 compact were used to identity .Datas were analyzed by WHONET5.6 software.Results:29116 blood culture samples were selected in the latest 8 years,and the positive rate is 6.28%, The pathogens listed before six were:Escherichia coli(28.59%),coagulase negative Staphylococcus(23.84%), Klebsiella pneumoniae(8.47%), S.aureus(6.34%), Salmonella typhi(4.26%) and Pseudomonas aer uginosa(3.40%),respectively. Conclusions:The positive rate of blord custure is lower, Pathogens predominated with Escherichia coli,coagulase negative Staphylococcus, Klebsiella pneumonia, S.aureus, Salmonella typhi and Pseudomonas aeruginosa,etc.