摘要
目的了解临床感染性病原茵的构成比及耐药性，为临床诊治和选择抗茵药物提供帮助。方法回顾性分析了2013年10月-2014年2月临床科室所采集的痰液、血液、胸腹腔积液、胆汁、尿液、前列腺液等标本762份进行的病原茵检测和药敏试验结果。结果培养鉴定出620株病原菌，其中大肠埃希茵处于感染的首位共156株（占25．16％），金黄色葡萄球茵71株（占11．45％），铜绿假单胞菌54株（占8．71％），粪肠球菌40株（占6．45％），白假丝酵母茵35株（占5．65％）。阳性球茵对替考拉宁和万古霉素的敏感性较高，阴性杆菌对哌拉西林／他唑巴坦、头孢哌酮／舒巴坦、亚胺培南的敏感性较高。结论临床送检标本的感染以大肠埃希茵、金黄色葡萄球菌和铜绿假单胞菌最为常见，多数对头孢茵素、青霉素、丁胺卡那霉素耐药，选择抗茵药物时应引起大家的重视。
Objective To understand clinical pathogenic infectious ratio and drug resistance level. Methods Analyzed 762 specimens of sputum, blood, pleural effusion, bile, urine, prostate fluid, etc. These specimens were collected by various departments from 10/2013 to 2/2014. Results The infection of E. coli was still among the top of 156 strains （25.16%）, staphylococcus aureus 71 strains （ 11.45%）, pseudomonas aeruginosa 54 strains （ 8.71%）, enterocoecus 40 strains （6.45%） ,and white candida 35 strains （5.65%）. Positive coccus was highly sensitive to teicoplanin and vancomycin. Negative bacilli was highly sensitive to piperacillin/tazobactam sodium, cefoperazone/sulbactam sodium, and imipenem. Conclusion Clinical infections in E. coli, staphylococcus aureus, and pseudomonas aeruginosa were the most common. There should be reasonable use of antibiotics, control infections within hospitals, and prevent new epidemic strains.
出处
《现代检验医学杂志》
CAS
2015年第6期113-115,118,共4页
Journal of Modern Laboratory Medicine
关键词
病原菌
抗生素
耐药
回顾性分析
pathogens
antibiotics
drug resistance
retrospective analysis
