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目的观察长航期间舰艇官兵口咽部正常菌群分布情况。方法随机抽取2011年我中国海军长航(105天,航程24600海里)身体健康的舰艇官兵99人,做咽拭子培养,对分离的菌株进行药敏实验。结果 99例咽拭子标本中有79例阳性,共分离出细菌239株,优势菌群为草绿色链球菌和奈瑟菌,57%为革兰阴性杆菌,53%为阳性球菌。肺炎克雷伯菌、金黄色葡萄球菌等条件致病菌对常用抗菌药物均敏感。结论舰艇官兵的呼吸道感染时,可选择第2,3代头孢菌素及喹诺酮类药物。
Objective To observe the distribution of normal flora in oro-pharynx of warships during the long flight. Methods Totally 99 warships from China’s navy (105 days, 24,600 nautical miles) in 2011 were enrolled in this study. Throat swabs were cultured and susceptible strains were isolated. Results Of the 99 pharyngeal swab specimens, 79 were positive. 239 bacteria were isolated. The dominant bacteria were Streptococcus viridans and Neisseria, 57% were gram-negative bacilli and 53% were positive cocci. Klebsiella pneumoniae, Staphylococcus aureus and other conditions on the common antibacterial drugs are sensitive. Conclusions Vessels and officers and soldiers of the respiratory tract infection, can choose the second and third generation cephalosporins and quinolones.