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目的 :为了了解临床常见菌感染的分布特点和掌握抗生素的敏感性变化 ,为临床提高感染性疾病的治愈率提供依据。方法 :细菌的分离采用常规方法 ;细菌的鉴定和药敏采用进口仪器法。结果 :5 794份标本共检出 1935株细菌 ,检出率为 33%。大肠艾希氏菌、铜绿色假单胞菌、金黄色葡萄球菌、表皮葡萄球菌、肺炎克雷伯氏菌是近年来临床感染的主要病原菌。细菌对抗生素的敏感性 :阴性杆菌中磺胺类 (复方新诺明 )为 33 % ;青霉素类平均为42 % ;头孢菌素类平均为 46 % ;氨基糖苷类平均为 5 3 % ;喹诺酮类平均为 6 1% ;其它内酰胺类为 6 9%。葡萄球菌中大环内酯类为 2 8% ;头孢菌素类平均为 42 % ;其它内酰胺类为 48% ;喹诺酮类平均为 5 0 % ;青霉素类平均为 5 1% ;氨基糖苷类平均为 5 3% ;其它类为 5 7%。结论 :细菌分布广 ,检出种类多 (10 4种 ) ,耐药性严重。
Objective: In order to understand the distribution of clinical common bacterial infection and to master the changes of the sensitivity of antibiotics, provide a basis for clinically improving the cure rate of infectious diseases. Methods: Bacteria were isolated by conventional methods; bacterial identification and drug susceptibility using imported instrumentation. Results: A total of 1935 strains were detected in 5 794 specimens with a detection rate of 33%. Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, Staphylococcus epidermidis, Klebsiella pneumonia is the main pathogen of clinical infection in recent years. Bacterial sensitivity to antibiotics: sulfanilazans (nifedipine) in negative bacilli was 33%; penicillins averaged 42%; cephalosporins averaged 46%; aminoglycosides averaged 53%; quinolones averaged 6 1%; other lactams 6 9%. Staphylococcus macrocyclic lactones were 28%; cephalosporins averaged 42%; other lactams 48%; quinolones average 50%; penicillins average 51%; aminoglycosides average 5 3%; others were 57%. Conclusion: The bacteria are widely distributed and many kinds (104) are detected, and the drug resistance is serious.