CAJ | 학술논문

目的：比较有无导尿管患者之间尿路感染的发生率差异,并检测菌尿中细菌类型,分析细菌耐药情况。方法537例住院患者,根据有无插入导尿管分为有导尿管组90例,无导尿管组447例。E-试验方法检测细菌对庆大霉素、呋喃妥因、环丙沙星和头孢曲松的耐药情况。结果29例阳性标本培养中大肠埃希菌、假丝酵母菌、金黄色葡萄球菌的阳性率分别是72.4%、10.3%和6.9%。大肠埃希菌感染患者中,47.6%对庆大霉素敏感,57.1%对头孢曲松敏感,66.7%对环丙沙星敏感,57.1%对呋喃妥因敏感。结论治疗尿路感染中最敏感的抗生素是环丙沙星、呋喃妥因和头孢曲松。临床医生应该根据抗生素使用指南合理正确的选用抗生素来进行治疗。
목적：비교유무도뇨관환자지간뇨로감염적발생솔차이,병검측균뇨중세균류형,분석세균내약정황。방법537례주원환자,근거유무삽입도뇨관분위유도뇨관조90례,무도뇨관조447례。E-시험방법검측세균대경대매소、부남타인、배병사성화두포곡송적내약정황。결과29례양성표본배양중대장애희균、가사효모균、금황색포도구균적양성솔분별시72.4%、10.3%화6.9%。대장애희균감염환자중,47.6%대경대매소민감,57.1%대두포곡송민감,66.7%대배병사성민감,57.1%대부남타인민감。결론치료뇨로감염중최민감적항생소시배병사성、부남타인화두포곡송。림상의생응해근거항생소사용지남합리정학적선용항생소래진행치료。
Objective To compare incidences of urinary tract infection between patients with or without catheters, to detect bacteria types in bacteriuria, and to analyze bacterial drug resistance. Methods A total of 537 hospitalized patients were divided by catheter insertion into catheter group with 90 cases and non-catheter group with 447 cases. E-test was applied to detect drug resistance of bacteria to gentamicin, macrodantin, ciprofloxacin, and ceftriaxone.Results Positive rates of escherichia coli, candida mycoderma bacteria, and staphylococcus aureus in 29 positive samples were respectively 72.4%, 10.3% and 6.9%. 47.6% of escherichia coli infected patients were sensitive to gentamicin, 57.1% were sensitive to ceftriaxone, 66.7% were sensitive to ciprofloxacin, and 57.1% were sensitive to macrodantin.Conclusion Ciprofloxacin, macrodantin and ceftriaxone are sensitive antibiotics in treating urinary tract infection. Clinicians should follow antibiotic application guide to make rational and correct implement in treatment.