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目的对铜仁市细菌性痢疾菌型情况及药敏特点进行分析。方法随机选择2012年12月至2015年12月本院收治的细菌性痢疾患者150例作为研究对象,对患者实施细菌鉴定及药敏试验,观察致病菌类型及药敏特点。结果 20岁以下人群发病率为64.67%。福氏志贺氏菌占85.33%,宋内氏志贺氏菌占8.00%,鲍氏志贺氏菌占6.67%。福氏志贺氏菌对氨苄西林、复方新诺明耐药(P<0.05),宋内氏志贺氏菌对氨苄西林、头孢噻肟、复方新诺明耐药(P<0.05),鲍氏志贺氏菌对氨苄西林、复方新诺明耐药(P<0.05)。结论细菌性痢疾大多在20岁以下人群中发病,福氏志贺氏菌所占的比例最大,产生耐药性的药物有很多种。
Objective To analyze the bacterium dysentery bacterium type and drug susceptibility in Tongren City. Methods A total of 150 patients with bacterial dysentery treated in our hospital from December 2012 to December 2015 were randomly selected for the study. Bacterial identification and antimicrobial susceptibility tests were performed on the patients. The types of pathogens and drug susceptibility were observed. Results The incidence of under-20s was 64.67%. Shigella flexneri accounted for 85.33%, Shigella sonnei accounted for 8.00% and Shigella flexneri accounted for 6.67%. Shigella flexneri resistance to ampicillin, cotrimoxazole (P <0.05), Shigella sonnei resistance to ampicillin, cefotaxime, cotrimoxazole (P <0.05) Shigella flexneri resistant to ampicillin and cotrimoxazole (P <0.05). Conclusion Bacillary dysentery is mostly found in people under 20 years of age, with Shigella flexneri occupying the largest proportion and many kinds of drugs producing drug resistance.