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目的分析住院患者致病微生物检验结果,为医院感染管理工作提供参考资料。方法应用分离培养鉴定法对开封市中医院2014年1月~2015年12月住院患者送检标本进行检验。结果 2014年住院患者送检标本共分离菌株226株,其中革兰阴性杆菌(G-)87株(38.50%);革兰阳性球菌(G+)67株(29.65%),真菌72株(31.86%)。2015年患者送检标本共分离菌株284株,其中G-杆菌118株(41.55%),G+球菌61株(21.48%),真菌105株(36.97%)。与上年相比,G-杆菌构成比增加,G+球菌构成比减少,真菌构成比增加较为明显。结论住院患者医院感染致病微生物主要为G-杆菌、G+球菌与白色假丝酵母菌,具体微生物构成比例每年有所变化,应按照药敏测试结果科学应用抗菌药物。
Objective To analyze the test results of pathogenic microorganisms in hospitalized patients and provide references for the management of hospital infection. Methods The method of isolation and culture identification was used to examine the specimens of inpatients in Kaifeng Hospital of Traditional Chinese Medicine from January 2014 to December 2015. RESULTS: A total of 226 isolates were isolated from hospitalized patients in 2014, of which 87 were Gram-negative bacilli (G-), 67 (29.65%) were Gram-positive cocci, 72 were Fungal fungi (31.86% ). A total of 284 isolates were isolated from patients in 2015, of which 118 were G-bacteria (41.55%), 61 (21.48%) were G + cocci and 105 (36.97%) were fungi. Compared with the previous year, the composition ratio of G-bacilli increased, the composition ratio of G-coccus decreased, and the composition ratio of fungi increased obviously. Conclusion In hospital patients with pathogenic microorganisms are mainly G-bacteria, G + cocci and Candida albicans, the specific composition of the proportion of microorganisms vary every year, should be in accordance with the drug susceptibility test results of scientific application of antibacterial drugs.