首页|140例感染性肺炎患儿痰液细菌培养病原菌的分布特征与耐药性

140例感染性肺炎患儿痰液细菌培养病原菌的分布特征与耐药性

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目的 分析140例小儿感染性肺炎痰培养病原菌分布特征和耐药性。方法 采集2022年6月至2023年6月于河南省南阳市中心医院进行诊治的140例肺炎患儿痰液细菌培养检查的标本,并进行细菌及药敏实验。对140例感染性肺炎患儿病原菌分布、构成情况进行分析,分析流感嗜血杆菌、卡他莫拉菌、肺炎链球菌等对抗菌药物的耐药性。结果 140例患儿痰液细菌培养检查结果显示阳性60例,阳性率42。9%,共分离出68株病原菌,其中革兰阴性菌、革兰阳性菌、真菌的株数分别为40、26、2株,分别占比58。8%、38。2%、2。9%,所有病原菌株中,流感嗜血杆菌、肺炎链球菌、卡他莫拉菌、金黄色葡萄球菌的株数分别为22、20、11、4株,检出率分别为15。7%、14。3%、7。9%、2。9%,因肺炎链球菌导致的感染性肺炎患儿,对青霉素、左氧氟沙星耐药率低(11。1%,5。6%),流感嗜血杆菌、卡他莫拉菌导致的感染性肺炎患儿,对头孢噻肟、阿莫西林耐药率低(7。1%,22。7%,0)。结论 140例感染性肺炎患儿的主要致病菌为流感嗜血杆菌、卡他莫拉菌、肺炎链球菌等,对于因肺炎链球菌导致的感染性肺炎患儿,可采用青霉素、左氧氟沙星等治疗,而对流感嗜血杆菌、卡他莫拉菌等导致的感染性肺炎患儿,可采用头孢噻肟、阿莫西林等治疗。
Distribution characteristics and drug resistance of pathogenic bacteria cultured in sputum of 140 children with infectious pneumonia
Objective To analyze the distribution and drug resistance of pathogenic bacteria in sputum culture of 140 children with infectious pneumonia.Methods We collected sputum bacterial culture specimens form 140 children with pneumonia who were treated at Nanyang Central Hospital from June 2022 to June 2023,and then conducted bacterial and drug sensitivity experiments.An analysis was conducted to determine the distri-bution and composition of pathogenic bacteria in 140 children with infectious pneumonia.Furthermore,the resis-tance of antibiotics such as Haemophilus influenzae,Moraxella catarrata,and Streptococcus pneumoniae were an-alyzed.Results The sputum bacterial culture of 140 children showed that 60 cases(42.9%)were positive.A total of 68 strains of pathogenic bacteria were isolated,among which the number of gram-negative bacteria,gram-positive bacteria and fungi were 40,26 and 2,accounting for 58.8%,38.2%and 2.9%,respectively.Among all pathogenic strains,there were 22,20,11 and 4 strains of Haemophilus influenzae,Streptococcus pneumoniae,Moraxella catarrhalis and Staphylococcus aureus,with the detection rates of 15.7%,14.3%,7.9%and 2.9%,respectively.For children with infectious pneumonia caused by streptococcus pneumoniae nave a low rate of resistance to penicillin and levofloxacin(11.1%,5.6%).Children with infective pneumonia caused by Haemophilus influenzae and Moraxella catarrhal have alow rate of resistance to cefotaxime and amoxicillin(7.1%,22.7%,0).Conclusion The main pathogenic bacteria of 140 children with infectious pneumonia were Haemophilus influenzae,Moraxella catarrhal,Streptococcus pneumoniae,etc.For children with infectious pneumonia caused by streptococcus pneumoniae,penicillin and levofloxacin can be used for treatment,while for children with infectious pneumonia caused by Haemophilus influenzae and Moraxella catarrhal,cefotaxime and amoxicillin can be used for treatment.

ChildPneumoniaPhlegm culturePathogensDrug resistance

代锦文、周成

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南阳市中心医院西药科,河南南阳 473000

儿童 肺炎 痰培养 病原菌 抗药性

2024

中国药物与临床
中国医院协会

中国药物与临床

影响因子:0.846
ISSN:1671-2560
年,卷(期):2024.24(3)
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