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下呼吸道感染病原菌分布及耐药性临床分析

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目的 探究下呼吸道感染病原菌的分布及耐药情况,总结临床经验.方法 针对长兴县人民医院从2014年2月~2016年8月下呼吸道感染患者送检的相关标本情况进行分析,统计病原菌的分布情况,并总结其耐药性.结果 本次共计检出100株病原菌,其中真菌27株(27%),革兰阳性菌26株(26%),革兰阴性菌47株(47%).革兰阴性菌所占比例显著高于革兰阳性菌和真菌,差异具有统计学意义(P<0.05).不同病原菌对于常用的抗菌药耐药性不同:真菌中光滑假丝酵母菌对氟康唑的耐药性100.0%;革兰阳性菌中溶血葡萄球菌对复方新诺明耐药性90.0%,对庆大霉素的耐药性100.0%;革兰阴性菌中的大肠埃希菌对左氧氟沙星的耐药性100.0%.结论 革兰阴性菌在下呼吸道感染的病原菌中占比例最高,不同类型的病原菌均对不同抗菌药物具有不同的耐药性,临床中应该加强监测并合理用药,以提高疗效和减少耐药.
Distribution and drug resistance of pathogenic bacteria in lower respiratory tract infection
Objective To explore the distribution of pathogens in lower respiratory tract infection, and to explore the drug resistance, and summarize the clinical experience.MethodsFrom February 2014 to August 2016 in Changxing county people's hospital, the specimens of the patients with lower respiratory tract infection were analyzed.Distribution of pathogenic bacteria was analyzed and its drug resistance was summarized.ResultsA total of 100 strains of bacteria were isolated, including 27(27%) strains of fungi, 26(26%) strains of gram positive bacteria, 47(47%) strains of gram negative bacteria.The proportion of gram negative bacteria was significantly higher than that of gram positive bacteria and fungi, and the difference was statistically significant (P<0.05).Different pathogenic bacteria have different drug resistance to commonly used antibiotics.The resistance of Candida albicans to fluconazole was 100.0%, the resistance of Staphylococcus aureus to compound sulfamethoxazole was 90% and to gentamicin was 100.0%, the resistance of Escherichia coli to levofloxacin was 100.0%.ConclusionGram negative bacteria accounted for the highest proportion in pathogen of lower respiratory tract infection.Different pathogenic bacteria have different resistance to different antibiotics in clinical, and monitoring and rational use of drugs should be strengthened in order to improve the efficacy and reduce drug resistance.

lower respiratory tract infectionpathogenic bacteriadistributiondrug resistance

张亚峰、臧发荣

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长兴县人民医院 呼吸科,浙江 湖州 313100

下呼吸道感染 病原菌 分布 耐药性

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(6)
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