304例化脓性眼内炎细菌培养结果分析

目的 分析化脓性眼内炎的细菌培养结果,寻找治疗有效的抗生素。方法 对３０４例（３０４只眼）经临床诊断为化脓性眼内炎患者的玻璃体液进行细菌培养,同时对培养阳性菌株的种类及药物敏感试验结果进行分析。结果 细菌检出纺为５３％,不同年份的细菌检出率变化不明显（Ｘ＾２＝９．２９,Ｐ〉０．０５）,敏感抗生素为头孢哌酮。结论 经玻璃体腔抽取的玻璃体液标本进行细菌培养有助于指导化脓性眼内炎的治疗。

An analysis of bacterial culture results in infectious endophthalmitis

Objective To study the changes of positive rate of bacterial culture of vitreous specimens from patients with infectious endophthalmitis during the past ten years and search for sensitive antibiotics for its treatment. Methods Vitreous specimens were taken from 304 eyes of 304 cases with clinically diagnosed infectious endophthalmitis for bacterial culture, and drug sensitivity test was carried out for the positive specimens Results Bacterial positive rate was 53% with insignificant changes among the different years Cefoperazone was the most sensitive antibiotic Conclusion Bacterial culture combined with drug sensitivity test of vitreous specimens is important in guiding the treatment of infectious endophthalmitis