成人非特异性慢性泪囊炎的细菌学研究及药敏观察

目的 探讨成人非特异性慢性泪囊炎的细菌谱和细菌对常用性抗生素的敏感性。方法 对158例162只成人非特异性慢性泪囊炎的泪囊分泌物取样进行细菌培养、分离、鉴定和药物敏感试验。结果 162份标本中130份有细菌生长,分离出细菌154株,其中专性需氧菌33株(21.4％),兼性厌氧菌72株(46.8％),厌氧菌49株(31.8％),霉菌1株。前三类细菌都对先锋霉素类药物有较高的敏感性。结论 在成人非特异性慢性泪囊炎中除以往被认定的大部分细菌外,少数细菌已不再占感染的重要位置,相反以前未被认定的厌氧菌已在本病中占有显著地位。药敏试验表明各类细菌都对先锋霉素类药物有较高的敏感性,其它药物作用均较差。

Bacteriological study of chronic dacryocystitis as d the observation of susceptibility to antibiotics

Objectives To investigate the bacterial spectrum of nonspecific chronic acryocystitis in aults and the antibiotic susceptibility. Methods In 158 out - patients with chronic dacryocysitis, we collected 162 eyes dacryocystis secreta specimen for bacterial culture isolation and identification, then for the experiment of drug susceptibility.Results In 162 specimens, we discovered 130 spectrums had bacterial individual: obligat aerobis 33(21. 4%), aeroanaerobes 72(46. 8%) , anaerobes 49(31. 8%) , mold is only one. All the cultured bacterium had high susceptibity to cephalosporium. Conclusions The study suggested that the most of known pathogenic bacteria still play a leading role in this desease. But anaerobic bacteria also occupy important position in the development of chronic dacryocystitis. Susceptibility to antibiotics suggested that cephalosporium has higher efficacy than the other drugs.