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尿路感染大肠埃希菌的分离鉴定及抗菌药物选择
引用本文:李霞,邢志广,王明永. 尿路感染大肠埃希菌的分离鉴定及抗菌药物选择[J]. 现代预防医学, 2011, 38(8): 1518-1519
作者姓名:李霞  邢志广  王明永
作者单位:1. 新乡医学院第二附属医院,新乡,453002
2. 新乡医学院医学检验系
摘    要:[目的]探讨大肠埃希菌在尿路感染中的流行情况及对常用抗菌药物的敏感性,指导临床合理使用抗菌药物。[方法]对2008年和2009年从尿液标本检出的128株大肠埃希菌,采用K-B纸片扩散法测定其对14种抗菌药物的敏感性,并进行超广谱β-内酰胺酶(ESBL)检测。[结果]1 029例尿标本共检出病原菌355株,其中大肠埃希菌为128株,128株大肠埃希菌共检出ESBL阳性菌65株(50.8%)。亚胺培南对ESBL大肠埃希菌抗菌活性最好(100%),其次为阿米卡星(81.5%)。[结论]大肠埃希菌是尿标本中最常见的临床分离菌,产ESBL大肠埃希菌多重耐药严重,治疗该菌所致尿路感染,亚胺培南应作为首选药物。

关 键 词:尿路感染  大肠埃希菌  ESBL  抗菌药物

ISOLATION AND ANTIMICROBIAL DRUG CHOICE OF ESCHERICHIA COLI IN URINARY TRACT INFECTION
LI Xia,XING Zhi-guang,WANG Ming-yong. ISOLATION AND ANTIMICROBIAL DRUG CHOICE OF ESCHERICHIA COLI IN URINARY TRACT INFECTION[J]. Modern Preventive Medicine, 2011, 38(8): 1518-1519
Authors:LI Xia  XING Zhi-guang  WANG Ming-yong
Affiliation:LI Xia,XING Zhi-guang,WANG Ming-yong.(The Second Affiliated Hospital of Xinxiang Medicial College,Xinxiang 453002,China)
Abstract:[Objective]To understand the epidemic of Escherichia Coli in the urinary tract infection and it's sensitivity to 14 antibiotics,and to provide references for the clinical application of drugs.[Methods]128 strains Escherichia Coli infected urinary samples which were collected from 2008 to 2009 were carried out K-B method susceptibility test and ESBLs test.[Results]A total of 355 strains of the clinical isolates were isolated from 1 029 cases of urine samples.128 strains of them were the E.coli,and 65 produci...
Keywords:ESBL
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