CAJ | 학술논문

目的：分析201例多重耐药菌（ MDRO）致尿路感染患者的病原菌分布特点、耐药情况及病因。方法2013年1月～2014年12月201例多重耐药菌致尿路感染患者的病原菌分布特点、耐药情况及病因分析。结果201株MDRO菌株中革兰氏阴性菌为主，占总菌株88．06％，最常见的是大肠埃希氏菌，其次为铜绿假单胞菌和肺炎克雷伯杆菌；革兰氏阳性球菌中以粪肠球菌为主。病因以泌尿系结石为主，占31．34％。结论加强病原菌检测及耐药性监测，合理规范使用抗生素对有效控制尿路感染和避免耐药菌株的产生尤为关键。
목적：분석201례다중내약균（ MDRO）치뇨로감염환자적병원균분포특점、내약정황급병인。방법2013년1월～2014년12월201례다중내약균치뇨로감염환자적병원균분포특점、내약정황급병인분석。결과201주MDRO균주중혁란씨음성균위주，점총균주88．06％，최상견적시대장애희씨균，기차위동록가단포균화폐염극뢰백간균；혁란씨양성구균중이분장구균위주。병인이비뇨계결석위주，점31．34％。결론가강병원균검측급내약성감측，합리규범사용항생소대유효공제뇨로감염화피면내약균주적산생우위관건。
Objective To approach the distribution characteristic、drug resistance status and pathogens in 201 cases for urinary tract infection of Multidrug-Resistant Organism.Methods Review analysis was performed for 201 cases for urinary tract infection of Multidrug-Resistant Organism in our hospital from January 2013 to December 2014.Results Gram-negative bacteria (88.06%) were mainly in 201 examples,the most common was Escherichia coli,the second is Pseudomonas aeruginosa,followed by Klebsiella pneumoniae;Enterococcus were the majority in Gram positive bacteria.Urinary calculi is the first cause.Conclusions Enhancing detection of pathogens and rational use of antibiotics were very important to control urinary tract infection.