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胆汁标本中病原菌的分布及耐药性分析
引用本文:王明美,张媛媛,俞燕红. 胆汁标本中病原菌的分布及耐药性分析[J]. 中国卫生检验杂志, 2011, 0(6)
作者姓名:王明美  张媛媛  俞燕红
作者单位:宁波奉化市溪口医院;宁波大学医学院附属医院;宁波鄞州人民医院;
摘    要:目的:对胆汁标本中病原菌的检出率及耐药性进行回顾性分析,给临床防治胆道感染提供科学依据。方法:用VITEK-2全自动细菌仪鉴定的772株细菌用配套的药敏检测卡进行药敏分析。结果:772株细菌中革兰阴性菌占67.9%(524/772),革兰阳性菌占20.1%(155/772),真菌占12%(93/772),阴性菌中检出率占前三位的依次为大肠埃希氏23.1%(178/772)、肺炎克雷伯菌9.6%(74/772)铜绿假单胞菌4.9%(38/772),阳性菌中占前两位的为粪肠球菌6.7%(52/772)和屎肠球菌6.7%(52/772),真菌感染以白假丝酵母7.9%(61/772)为主。主要的革兰阴性菌对亚胺培南、阿米卡星耐药率较低,肠球菌对万古霉素、氨苄西林的耐药率较低。结论:胆汁标本中病原菌种类较多,可选用阿米卡星和氨苄西林作为胆道感染的经验用药或根据药敏结果合理选用抗生素。

关 键 词:胆汁  病原菌  耐药性  

Distribution and drug resistance of bacteria isolated from bile
WANG Ming-mei ,ZHANG Yuan-yuan,YU Yan-hong. Distribution and drug resistance of bacteria isolated from bile[J]. Chinses Journal of Health Laboratory Technology, 2011, 0(6)
Authors:WANG Ming-mei   ZHANG Yuan-yuan  YU Yan-hong
Affiliation:WANG Ming-mei 1,ZHANG Yuan-yuan2,YU Yan-hong3(1.Xikou Hospital of Fenghua,Fenhua 315502,China,2.Affiliated Hospital of Medical College,Ningbo University,Ningbo 315010,3.Yinzhou Hospital of Ningbo,China)
Abstract:Objective:To analyze the isolation rate and drug resistance of microorganism isolated from bile,and provide scientific informations for clinical prevention for biliary infections.Methods: Drud sensitive experiment of 772 strains were performed byVITEK-2-AMS.Results: Among the 772 strains isolated,524(67.9%) were Gram negative bacteria,155(20.1%) were Gram positive bacteria and 93(12%) fungi.The top three bacteria of Gram negative bacteria being Escherichia coli,Klebsiella pneumonia,Pseudomonas aeruginosa,th...
Keywords:Bile  Pathogens  Drug resistance  
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