【摘要】：目的分析感染性角膜炎的病原菌譜特征,提供感染性角膜炎早期診斷及治療的依據(jù)。方法收集云南省第二人民醫(yī)院眼科2011年1月至2015年12月,確診為感染性角膜炎患者的角膜潰瘍刮片或術(shù)中切除的角膜潰瘍組織標(biāo)本資料,對(duì)普通細(xì)菌及真菌培養(yǎng)的結(jié)果進(jìn)行回顧性分析,評(píng)價(jià)感染病原菌譜的分布特征及危險(xiǎn)因素。結(jié)果 1 046例(只眼)的角膜潰瘍標(biāo)本培養(yǎng)陽(yáng)性率為35.3%。分離的病原菌以真菌為主(53.1%),其次是革蘭陽(yáng)性球菌(31.2%)、革蘭陰性桿菌(11.1%)及革蘭陽(yáng)性桿菌(4.6%);而真菌中以鐮刀霉屬構(gòu)成比最高,為69.4%,其次是曲霉屬(21.9%);革蘭陽(yáng)性球菌以凝固酶陰性葡萄球菌為主(50.4%)。結(jié)論該院感染性角膜炎以真菌性角膜炎多見(jiàn),主要病原菌是絲狀真菌,以鐮刀霉屬的感染為主。
[Abstract]:Objective to analyze the characteristics of pathogenic bacteria in infectious keratitis and to provide evidence for early diagnosis and treatment of infectious keratitis. Methods from January 2011 to December 2015, corneal ulcer scraping or excision of corneal ulcer tissue samples from patients with infectious keratitis were collected from the second people's Hospital of Yunnan Province from January 2011 to December 2015. The results of culture of common bacteria and fungi were analyzed retrospectively to evaluate the distribution characteristics and risk factors of pathogenic bacteria. Results the positive rate of corneal ulcer specimen culture in 1 046 cases was 35. 3%. The main pathogens were fungi (53.1%), Gram-positive cocci (31.2%), Gram-negative bacilli (11.1%) and Gram-positive bacilli (4.6%). It was 69.4%, followed by Aspergillus (21.9%), Gram-positive coccus was coagulase negative staphylococcus (50.4%). Conclusion fungal keratitis is the most common infectious keratitis in our hospital. The main pathogen is filamentous fungi and the infection of Fusarium is the main pathogen.
【作者單位】： 云南省第二人民醫(yī)院檢驗(yàn)科;
【分類號(hào)】：R772.21

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