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儿童细菌性腹泻诊断中应用病原微生物检验的价值分析

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目的 分析儿童细菌性腹泻诊断中应用病原微生物检验的价值,旨在为儿童细菌性腹泻的诊断和治疗提供有价值的参考依据.方法 选取 90 例儿童细菌性腹泻患儿作为研究对象,对其进行病原微生物检验及药敏试验,统计分析儿童细菌性腹泻病原微生物的检验结果及不同病原微生物的药敏试验结果.结果 90 例患儿中检出 82 株病原微生物,总检出率为 91.1%;引起儿童细菌性腹泻的主要致病菌为沙门菌,检出43株,占52.4%;其次为大肠杆菌,检出25株,占30.5%;第三是金黄色葡萄球菌,检出 9 株,占 11.0%;其他病菌检出 5 株,占 6.1%.药敏试验结果显示,沙门菌对头孢哌酮、头孢他啶、阿莫西林、氨苄西林的耐药性分别为 58.1%、48.8%、65.1%、51.2%;大肠杆菌对头孢哌酮、头孢他啶、阿莫西林、氨苄西林的耐药性分别为 72.0%、48.0%、32.0%、56.0%;金黄色葡萄球菌对头孢哌酮、头孢他啶、阿莫西林、氨苄西林的耐药性分别为 66.7%、44.4%、55.6%、44.4%.结论 引起儿童细菌性腹泻的主要病原微生物为沙门菌、大肠杆菌以及金黄色葡萄球菌,对头孢哌酮、头孢他啶、阿莫西林、氨苄西林等均存在不同程度的耐药性,病原微生物检验和药敏试验结果可为儿童细菌性腹泻的临床诊断和治疗提供有价值的参考依据.
Value analysis of pathogenic microorganism test in the diagnosis of bacterial diarrhea in children
Objective To analyze the value of pathogenic microorganism test in the diagnosis of bacterial diarrhea in children,so as to provide valuable reference for the diagnosis and treatment of bacterial diarrhea in children.Methods 90 cases of children with bacterial diarrhea were selected as research subjects,and pathogenic microorganisms and drug sensitivity tests were performed,and the test results of pathogenic microorganisms in children and the results of drug sensitivity tests of different pathogenic microorganisms were statistically analyzed.Results 90 strains of pathogenic microorganisms were detected in 90 children,with a total detection rate of 91.1%;Salmonella was the main pathogen causing children's bacterial diarrhea,with 43 strains detected,accounting for 52.4%;followed by Escherichia coli,with 25 strains detected,accounting for 30.5%;the third was Staphylococcus aureus,with 9 strains detected,accounting for 11.0%;and 5 strains of other pathogens were detected,accounting for 6.1%.The results of the drug sensitivity test showed that the resistance of Salmonella to cefoperazone,ceftazidime,amoxicillin,and ampicillin were58.1%,48.8%,65.1%,and 51.2%,respectively;the resistance of Escherichia coli to cefoperazone,ceftazidime,amoxicillin,and ampicillin were 72.0%,48.0%,32.0%,and 56.0%,respectively;the resistance of Staphylococcus aureus to cefoperazone,ceftazidime,amoxicillin,and ampicillin were 66.7%,44.4%,55.6%,and 44.4%,respectively.Conclusion Salmonella,Escherichia coli and Staphylococcus aureus are the main pathogens causing bacterial diarrhea in children,which are resistant to cefoperazone,ceftazidime,amoxicillin and ampicillin to varying degrees.The results of pathogenic microorganism test and drug sensitivity test can provide valuable reference for the clinical diagnosis and treatment of bacterial diarrhea in children.

Bacterial diarrhea in childrenPathogenic microorganismDrug sensitivity testDiagnosisTreatment

谭明智、黎相银、罗媚、江静静

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524400 廉江市妇幼保健院检验科

儿童细菌性腹泻 病原微生物 药敏试验 诊断 治疗

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(19)