【摘要】：目的研究醫(yī)院2013年泌尿系統(tǒng)感染患者病原菌分布及耐藥性,為尿路感染的臨床診斷和合理用藥提供依據(jù)。方法收集2013年1-12月醫(yī)院門(mén)診及住院患者的尿液標(biāo)本,采用VITEK-32型全自動(dòng)細(xì)菌分析系統(tǒng)對(duì)送檢標(biāo)本進(jìn)行菌株鑒定和藥敏試驗(yàn),并對(duì)結(jié)果進(jìn)行分析。結(jié)果 2013年1-12月共收集患者尿液標(biāo)本2 074份,分離出病原菌399株,檢出率為19.2%;其中革蘭陰性菌224株占56.2%,革蘭陽(yáng)性菌113株占28.3%,真菌62株占15.5%;革蘭陰性菌對(duì)氨芐西林的耐藥性較高,耐藥率在73.9%~100.0%,對(duì)頭孢哌酮/舒巴坦、哌拉西林/他唑巴坦、頭孢替坦、厄他培南、亞胺培南等較敏感,耐藥率0~17.1%;革蘭陽(yáng)性菌對(duì)青霉素G、氨芐西林/舒巴坦、頭孢替坦、氨曲南、克林霉素等高度耐藥,耐藥率96.00%,對(duì)利奈唑胺、萬(wàn)古霉素、替加環(huán)素高度敏感,耐藥率1.30%;真菌對(duì)抗真菌藥物敏感性相對(duì)較好。結(jié)論泌尿系統(tǒng)感染病原菌以革蘭陰性菌為主,革蘭陰性菌和革蘭陽(yáng)性菌的耐藥性較嚴(yán)重,臨床治療應(yīng)盡早進(jìn)行病原學(xué)檢測(cè)和藥敏試驗(yàn),減少經(jīng)驗(yàn)性用藥,合理選用抗菌藥物,有效控制泌尿系統(tǒng)感染。
[Abstract]:Objective to study the distribution and drug resistance of pathogenic bacteria in patients with urinary tract infection in hospital in 2013, and to provide evidence for clinical diagnosis and rational drug use of urinary tract infection. Methods urine samples from outpatients and inpatients in hospital from January to December 2013 were collected. The strains were identified and tested by VITEK- 32 automatic bacterial analysis system, and the results were analyzed. Results A total of 2074 urine samples were collected from patients from January to December 2013, 399 strains of pathogenic bacteria were isolated, the detection rate was 19.2%, 224 strains of Gram-negative bacteria accounted for 56.2%, 113 strains of Gram-positive bacteria accounted for 28.3%, 62 strains of fungi accounted for 15.5%. Gram-negative bacteria were highly resistant to ampicillin, the resistance rate was 73.9% 鈮，

本文編號(hào)：2496821