感染中毒症25例临床观察

目的分析25例感染中毒症患者血培养致病菌的种类、耐药谱及预后。方法回顾性分析我院住院诊断为感染中毒症的25例患者的临床资料。结果25例感染中毒症患者血培养共分离出致病菌26株：革兰阳性菌12株，革兰阴性菌10株，真菌4株。大部分菌株对常用抗生素出现多重耐药。25例患者治愈17例（68％），死亡4例（16％），放弃治疗3例。结论革兰阳性菌是感染中毒症的主要菌群，并且呈多重耐药，早期应用抗真菌药物有必要。

Clinical Observation of 25 Cases With Septicemia

Objective To study the bacteria strain and resistance to commonly used antibiotics and prognosis of 46 patients with septicemia.Methods The results of blood cultures and drug sensitive test of 25 patients diagnosed as septicemia in our hospita1 were analysed retrospectively.Results Twenty-six strains of microorganisms were isolated from blood cultures of 25 patients including12 strains of gram positivebacteria,10 strains of gram negative bacteria and 4 strains of fungus.Many strains developed multi-drug resistance to the commonly used antibiotics.Seventeen(68%)cases were cured,4(16%)cases died and the other 3 cases gave up treatment.Conclusion Gram positive bacteria septicemia is the main bacteria and shows a trend of on multi-drug resistance.It is necessary to use antifungal drugs