腹腔内感染的细菌谱及耐药性分析

目的探讨腹腔内感染的主要致病菌，并对其耐药性进行分析，为临床合理用药提供参考。方法对2008年2月～2011年2月笔者所在医院住院患者送检的450份腹水标本进行细菌培养。并采用药敏一体化试剂盒进行药敏试验，分析细菌的耐药性。结果共检出46例阳性标本，培养出60株菌株，其中革兰氏阴性菌占51．7％（31／60），革兰氏阳性菌占48．3％（29／60），两者百分比率相似。药敏试验发现，对革兰氏阴性杆菌有效的抗生素为亚胺培南，对革兰氏阳性菌有效的抗生素为克林霉素、万古霉素。结论需不断检测腹腔内感染菌种变化及药物药敏情况，根据药敏试验合理选择抗生素及联合用药治疗。

Infects the bacterium spectrum and the drug resistance analying

Objective In the goal discussion abdominal cavity infects the main pathogenic bacteria, and carried on the analysis to its drug resistance,provided the reference for the clinical reasonable medication. Methods The courtyard in hospital patient delivered 450 ascites specimens which from February 2008 to February 2011 examines to carry on the bacilli- culture, and picked applies drugs the sensitive integrated reagent box to enter takes a walk the sensitive experiment, the analy- sis bacterium＇s drug resistance. Results Altogether picked out 46 example masculine specimen, raised 60 strains, occupied primarily by the Gram - negative bacteria 51.7 % （31/60）, next for the Gelanshi masculine fungus, occupied 48.3 % （29/60） both were similar. South the medicine sensitive experiment discovery,cultivated to the Gelanshi negative bacillus effective anti- biotic for the imines, to Gelanshi masculine fungus effective antibiotic for Kelin mildew element, eternal mildew clement. The conclusion must examine in the abdominal cavity to infect the mold mushroom spawn change and the medicine medicine sensi- tive situation unceasingly, according to medicine sensitive experiment reasonable choice antibiotic and union medication treat- ment.