论文部分内容阅读
目的对肺结核患者肺部感染病原菌进行调查分析,给临床治疗提供参考依据。方法选取2014年8月到2016年8月我院收治的90例肺结核患者感染病菌进行菌种鉴别。结果 90例患者病原菌培养均为阳性,分离出病原菌143株,其中真菌55株,革兰阴性杆菌70株;革兰阳性菌18株。55株真菌中,以白色假丝酵母菌为主,明显高于光滑假丝酵母菌、克柔假丝酵母菌,差异显著,具有显著统计学意义(P<0.05);原发性肺结核、继发型结核、血行播散型肺结核及结核性胸膜炎感染真菌、革兰阳性菌以及革兰阴性菌差异无统计学意义。结论肺结核患者干扰多重病原菌较常见,病原菌主要是革兰阴性杆菌和真菌,必须提高临床重视。
Objective To investigate and analyze the pathogens of pulmonary infection in patients with pulmonary tuberculosis and provide reference for clinical treatment. Methods Eighty-nine patients with pulmonary tuberculosis admitted to our hospital from August 2014 to August 2016 were selected for pathogen identification. Results All the 90 patients were positive for pathogen culture. 143 pathogens were isolated, of which 55 were fungi, 70 were Gram-negative bacilli and 18 were Gram-positive bacteria. Among the 55 fungi, Candida albicans was the major one, which was significantly higher than that of Candida glabrata and Candida krusei, with significant difference (P <0.05). The incidence of primary pulmonary tuberculosis, Hair type tuberculosis, hematogenous disseminated tuberculosis and tuberculous pleurisy fungi, Gram-positive bacteria and Gram-negative bacteria was no significant difference. Conclusion Pulmonary tuberculosis patients interfere with multiple pathogens are more common, the main pathogens are gram-negative bacilli and fungi, clinical importance must be increased.