感染性眼病的细菌病原学及药物敏感性分析

目的：分析细菌感染性结膜炎，角膜炎及眼内炎的细菌培养及药物敏感试验结果。方法：对1996-2000年间284例眼病感染物进行细菌培养鉴定，并对培养阳性的细菌进行体外药物敏感试验。结果：284例培养标本中，培养出细菌62株，培养阳性率为21.8%，其中以表皮葡萄球菌为主，占35.4%，铜绿假单胞菌占16.1%，敏感药物为喹诺酮类及丁胺卡那霉素，结论：表皮葡萄球菌，铜绿假单胞菌及微球菌是主要角结膜感染菌，喹诺酮类药物应作为首选药物。

Analysis of bacterial culture results in ocular infections

Objective:To study the results of bacterial culture and antibiotics sensitivity test in infectious conjunctivitis,keratitis and endophthalmitis.Methods:Specimens were taken from 284 cases with ocular infections from Jan.1,1996 to Dec.31,2000 for bacterial cultures,and antibiotics sensitivity tests were carried out for the positive specimens.Results:From 284 specimens,62 cases were positive(positive rate 21.8%).The main bacteria was staphylococcus epidermidis(35.4%).The rate of pseudomonas aeruginosa was 16.1%.The sensitive antibiotic was Fluoroquinolone.Conclusions:Staphylococcus epidermidis,pseudomonas aeruginosa and micrococcus were the predominant bacteria in infectious conjunctivitis,keratitis.Fluoroquinolone should be the first choice of antibiotic.