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胆囊结石病人胆汁中厌氧菌检测及药敏分析 被引量:21

Bile anaerobic bacteria detection and antibiotic susceptibility test in patients with gallstone.
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摘要 为探讨胆囊结石胆汁中厌氧菌菌谱及药敏反应,采用微生物自动检测鉴定仪对59例胆结石病人胆汁行厌氧培养及药敏检测,结果厌氧菌检出率为525%(31/59),其中4例专性厌氧,厌氧菌株以脆弱类杆菌为主(378%)。多数厌氧菌(811%)仍对甲硝唑最为敏感,β-内酰胺酶阳性菌采用伊米培能较理想。认为技术的改进是提高检出厌氧菌阳性率的关键; We used microbile automatic detection system to detect bile anaerobic bacteria and susceptibility test in 59 gallstone patients who had cholecystectomygallstone.The ratio of anaerobic bacteria to total patients examinated was 52 5%(31/59),4 cases with anaerobe bile culture positive only were found also.B.fragilis was the main kind of anaerobic bacteria in bile(37 8%).Most of anaerobic bacteria(81 1%) were sensitive to metronidazole,imipenem is suitable to β-lactamase bacteria.This study show culturing at logarithmic phase can improve the positive rate of anaerobic bile cultur;There may have some connection between anaerobic infection and gallstone formation.
出处 《中国实用外科杂志》 CSCD 北大核心 1998年第10期604-606,共3页 Chinese Journal of Practical Surgery
关键词 胆囊结石 胆汁 厌氧菌 药敏试验 gallstone,bile culture,anaerobic bacteria,antibiotic susceptibility testing
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