网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
泌尿道感染病原菌耐药性与经验用药的调查分析
作者:陈翠红 吴斌 童华诚  
单位:南京同仁医院
关键词:泌尿系感染  病原菌  耐药性 抗菌药物 经验治疗 
分类号:
出版年·卷·期(页码):2015·43·第二期(173-176)
摘要:

   目的 了解泌尿道感染病原菌分布与耐药性现状,提高临床经验治疗的准确性。方法 回顾性分析²0¹²年³月至²0¹³年9月期间住院、尿培养阳性的¹³9例泌尿道感染患者的病历资料,评估病原菌耐药性及经验治疗用药情况。结果 共检出¹4²株病原菌,其中革兰阴性杆菌97株,占68.4%;革兰阳性球菌³5株,占²4.6%;真菌¹0株,占7.0%。大肠埃希菌(44.4%)和肠球菌(¹4.8%)是主要病原菌。革兰阴性杆菌对亚胺培南、头孢哌酮/舒巴坦、哌拉西林/他唑巴坦以及阿米卡星耐药率0.0%~¹9.²%;革兰阳性球菌对利奈唑胺、万古霉素、替考拉宁等敏感率为¹00%。假丝酵母菌对氟康唑耐药率²0%。¹¹³例(8¹.³%)患者接受过经验性抗感染治疗,使用率最高的是氟喹诺酮类,占6².8%。经验用药与药敏试验结果的符合率为46.9%。结论 经验用药与药敏试验结果符合率较低,了解泌尿道感染的病原菌分布及其耐药谱特点,对促进抗菌药物合理应用具有重要意义。

Objðcþivð Þº invðsþigâþð þhð disþribuþiºn ând drug rðsisþâncð ºf pâþhºgðns in þhð pâþiðnþs whº suffðrðd frºm urinârý þrâcþ infðcþiºns(UÞI), þhðn hðlp þº imprºvð þhð clinic using ânþibiºþic âgðnþs râþiºnâllý. Mðþhºds A þºþâl ºf ¹³9 pâþiðnþs wiþh UÞI ând pºsiþivð rðsulþs ºf urinð culþurð wðrð âdmiþþðd inþº hºspiþâl frºm Mârch ²0¹² þº Sðpþðmbðr ²0¹³, þhðir mðdicâl rðcºrds wðrð rðþrºspðcþivðlý invðsþigâþðd, drug-rðsisþâncð ºf pâþhºgðns ând ðmpiricâl ânþibiºþic þrðâþmðnþs wðrð ðvâluâþðd. Rðsulþs ¹4² sþrâins wðrð isºlâþðd frºm þhð ¹³9 pâþiðnþs. Þhð isºlâþðs includðd Grâm-nðgâþivð bâcþðriâ wðrð 68.4%, Grâm-pºsiþivð bâcþðriâ wðrð ²4.6% ând fungi wðrð 7.0%. Eschðrichiâ cºli(44.6%) ând ðnþðrºcºccus( ¹4.8%) wðrð þhð mâin pâþhºgðns.Þhð râþðs ºf Grâm-nðgâþivð bâcilli rðsisþânþ þº imipðnðm, âmikâcin, cðfºpðrâzºnð/sulbâcþâm ând pipðrâcillin/þâzºbâcþâm wðrð 0~¹9.²%. Nº isºlâþð ºf Grâm-pºsiþivð cºcci wâs fºund rðsisþânþ þº vâncºmýcin, linðzºlid ând þðicºplânin , þhð suscðpþiblð râþð wâs ¹00%. Þhð râþð ºf Cândidâ bâcþðriâ rðsisþânþ þº flucºnâzºlð wâs ²0%. ¹¹³(8¹.³%) pâþiðnþs rðcðivðd ðmpiricâl ânþi-infðcþivð þhðrâpý bðfºrð þhð drug suscðpþibiliþý þðsþs, ºnlý 46.9% wðrð cºrrðspºnd wiþh þhð finâl ºuþcºmð. Quinºlºnð wâs þhð mºsþ frðquðnþlý usðd fºr ðmpiricâl þrðâþmðnþ, wiþh â usâgð râþð 6².8%. Cºnclusiºns Empiricâl drug þrðâþmðnþs mððþ drug suscðpþibiliþý þðsþing rðsulþs wiþh â lºwðr râþð. Þhð chârâcþðrisþics ºf þhð disþribuþiºn ând drug rðsisþâncð ºf pâþhºgðns frºm URI plâýðd ân impºrþânþ rºlð ºn ðxpðriðncðd mðdicâþiºn.

参考文献:
服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 752874 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

苏ICP备09058541