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目的:研究我院尿路感染病原菌分布及耐药情况,为临床提供可靠的诊断和治疗依据。方法:对2013年1月-2013年12月间,来我院住院及门诊的泌尿系感染患者的病原菌进行鉴定及耐药分析。结果:273例尿路感染菌株大多为革兰阴性杆菌,尤其以大肠埃希菌为主,占53.1%;其次为革兰阳性球菌肠球菌属为主,占11.7%。革兰阴性杆菌对亚胺培南为100%敏感,对阿米卡星、奈替米星、头孢他啶及加酶抑制剂药物较敏感;万古霉素、替考拉宁,对肠球菌属敏感性为100%,对呋喃妥因敏感性较高。结论:定期对本地区病原菌分布及耐药性进行监测,及时指导临床合理应用抗生素,减少耐药菌的发生。
Objective: To study the distribution and drug resistance of urinary tract infection in our hospital and provide reliable basis for diagnosis and treatment. Methods: The pathogen of urinary tract infection in our hospital and outpatient department from January 2013 to December 2013 was identified and drug resistance analysis. Results: Most of the 273 urinary tract infections were Gram-negative bacilli, especially Escherichia coli, accounting for 53.1%, followed by Gram-positive cocci, accounting for 11.7%. Gram-negative bacilli were 100% sensitive to imipenem, more sensitive to amikacin, netilmicin, ceftazidime and enzyme inhibitors; vancomycin, teicoplanin, and enterococci sensitivity For 100%, nitrofurantoin sensitivity higher. Conclusion: The pathogen distribution and drug resistance in this area are regularly monitored, antibiotics are rationally guided in clinic, and the incidence of drug-resistant bacteria is reduced.