泌尿外科住院老年男性肾结石合并尿路感染患者病原微生物检验结果及耐药性分析
Pathogenic Microbial Test Results of Elderly Male Patients with Renal Stones And Urinary Tract Infection in Urology Department Hospitalization Analysis of Drug Resistance
刘桐君 1陈艳来1
作者信息
- 1. 新沂市人民医院检验科,江苏新沂 221400
- 折叠
摘要
目的 探讨分析泌尿外科住院老年男性肾结石合并尿路感染患者病原微生物检验结果及耐药性.方法 将新沂市人民医院 2023 年 1 月至 2023 年 12 月期间收治的住院老年男性肾结石合并尿路感染患者 172 例纳入研究,搜集所有患者的尿液样本,并进行病原微生物检验及耐药性分析.结果 172 例患者共检出病原菌 172 株,主要病原菌分类为革兰阴性菌、革兰阳性菌及真菌,占比分别为 63.37%、22.09%、14.53%.大肠埃希菌对头孢呋辛酯、环丙沙星、左氧氟沙星的耐药性最强;肺炎克雷伯菌对头孢呋辛酯、头孢他啶的耐药性最强;肠球菌属对红霉素耐药性最强;凝固酶阴性葡萄球菌对红霉素的耐药性最强.结论 住院老年男性肾结石合并尿路感染患者尿液样本中的病原菌分布广泛,其中以革兰阴性菌占比最高,且耐药性最强.
Abstract
Objective:To investigate and analyze the results and drug resistance of pathogenic microorganisms in eld-erly male inpatients with urinary tract infection in kidney calculi.Methods:172 hospitalized elderly male patients with kidney calculi complicated with urinary tract infection in xinyi city People's Hospital from January 2023 to De-cember 2023 were included in the study.Urine samples of all patients were collected,and pathogenic microorgan-isms were tested and drug resistance was analyzed.Results:A total of 172 strains of pathogenic bacteria were detec-ted in 172 patients,and the main pathogens were classified into gram-negative bacteria、gram-positive bacteria and fungi,accounting for 63.37%、22.09%and 14.53%respectively.Escherichia coli is the most resistant to cefu-roxime axetil,ciprofloxacin and levofloxacin.Klebsiella pneumoniae was the most resistant to cefuroxime axetil and ceftazidime.Enterococcus is the most resistant to erythromycin.Coagulase-negative staphylococci are the most re-sistant to erythromycin.Conclusion:Pathogens in urine samples of hospitalized elderly male patients with urinary tract infection in kidney calculi are widely distributed,among which Gram-negative bacteria account for the highest proportion and have the strongest drug resistance.
关键词
肾结石/尿路感染/住院老年男性患者/病原微生物/耐药性检验Key words
Kidney stones/Urinary tract infection/Hospitalized elderly male patients/Pathogenic microorganisms/Drug resistance testing引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据