| 小儿社区和医院获得性尿路感染病原菌分析 |
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| 引用本文： | 杨帆,都鹏飞.小儿社区和医院获得性尿路感染病原菌分析[J].临床儿科杂志,2009,27(4). |
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| 作者姓名： | 杨帆 都鹏飞 |
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| 作者单位： | 安徽医科大学第一附属医院儿科,安徽合肥,230032 |
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| 摘 要： | 目的 比较小儿社区和医院获得性尿路感染致病菌分布及药敏情况.方法 回顾性分析2000-2007年间,351例门诊及住院尿路感染患儿清洁中段尿培养阳性者的临床资料.结果 共检出菌株386株,社区和医院尿路感染均以革兰阴性菌为主,医院感染中革兰阳性菌所占比例高于社区感染患儿,葡萄球菌和肠球菌比例增加明显;医院感染组分离所得细菌耐药率高于社区感染组,尤以氨苄青霉素和头孢菌素类药物突出;医院感染组埃希菌和克雷伯菌的ESBLs检出率(71.4%,88.9%)高于社区感染组(33.9%,40.0%).结论 小儿尿路感染致病菌以G-杆菌为主,医院感染组G+菌比例较社区感染组高,病原菌耐药情况较社区感染组严莺.应及时总结所在社区与院内尿路感染流行病学资料,以指导临床正确选药.
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| 关 键 词： | 儿童 尿路感染 病原菌 药敏实验 医院获得性感染 社区获得性感染 |
Comparison of pathogens in community acquired and hospital acquired pediatric urinary tract infection |
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| YANG Fan,DU Peng-fei.Comparison of pathogens in community acquired and hospital acquired pediatric urinary tract infection[J].The Journal of Clinical Pediatrics,2009,27(4). |
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| Authors: | YANG Fan DU Peng-fei |
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| Institution: | Department of Pediatrics;The First Affiliated Hospital of Anhui Medical University;Hefei 230032;Anhui;China |
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| Abstract: | Objective To investigate the distribution and alteration of sensitivity to drugs on pathogenic bacterium in children with urinary tract infection(UTI),which was hospital acquired infection(HAI) or community acquired infection(CAI) in the last 8 years.Methods From 2000-2007,351 UTI cases were confirmed by urine culture.The medical records were retrospectively reviewed.Results Total of 386 pathogenic bacteria were isolated.The predominant isolated bacteria were Gram-negative bacilli in both CAI and HAI cases.... |
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| Keywords: | children urinary tract infection pathogenic bacterium drug resistance hospital acquired infection community acquired infection |
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