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目的了解我院与西医院间患儿呼吸道分离肺炎支原体及其耐药的区别,探讨中医院预防和控制肺炎支原体感染中存在的问题,并提出有效的措施以供参考。方法对2013年1月~2015年12月我院住院患儿呼吸道标本进行分离培养、细菌鉴定和药敏分析,并收集个人资料。结果我院患儿肺炎支原体检出率显著低于国内西医院;女性患儿肺炎支原体的检出率显著高于男性;3岁以下患儿肺炎支原体的检出率明显多于3岁以上;肺炎支原体对依托红霉素、红霉素、罗红霉素、环丙沙星耐药率较高,对其他大环内酯类、喹诺酮类以及四环素类抗菌药物敏感率较高,对美满霉素敏感率最高。结论与西医院相比,我院患儿检出肺炎支原体较低,抗菌药物耐药率控制较好,后期应着重发挥祖国医学治疗手段在预防和控制医院感染中的作用,可将美满霉素作为首诊用抗菌药物。
Objective To understand the difference of mycoplasma pneumoniae and its drug resistance in children with respiratory tract isolation between our hospital and western hospital, and to explore the existing problems in the prevention and control of Mycoplasma pneumoniae infection in the hospital of Chinese Medicine and put forward effective measures for reference. Methods Respiratory specimens from hospitalized children in our hospital from January 2013 to December 2015 were isolated, cultured, identified by bacteria and drug susceptibility analysis, and personal data were collected. Results The detection rate of Mycoplasma pneumoniae in our hospital was significantly lower than that in the West China Hospital. The detection rate of Mycoplasma pneumoniae in women was significantly higher than that in males. The detection rate of Mycoplasma pneumoniae was significantly higher in children younger than 3 years old than in 3 years old. Mycoplasma relies on erythromycin, erythromycin, roxithromycin, ciprofloxacin higher rates of resistance to other macrolides, quinolones and tetracycline antimicrobial agents higher susceptibility to minocycline The highest sensitivity. Conclusions Compared with Western Hospital, mycoplasma pneumonia is detected in our hospital, and the antimicrobial resistance rate is controlled well. In the later stage, it should give full play to the role of medical treatment of motherland in prevention and control of nosocomial infection. As the first clinic with antibacterial drugs.