361例菌(败)血症病原学分析

The Etiological Analysis of 361 Bacteremia Cases

本文对我院1984年10月～1990年4月,经血培养证实为菌(败)血症的361例病原学进行了分析,血培养共分离32种细菌、389株,其中G^+球菌212株、占54.4％;G^-杆菌149株、占38.4％;G^+杆菌19株、占4.9％;放线菌2株、占0.5％;真菌7株、占1.8％。复数菌败血症27例、占7.5％。葡萄球菌及G^-杆菌为菌(败)血症的主要致病菌,占全部病原菌的76.9％。丁胺卡那霉素、先锋5号、卡那霉素抗菌谱广,可做为控制G^+菌及G^-菌优选抗生素;氨苄青霉素、吡哌酸、磷霉素,由于多种G^-杆菌对其耐药,需在我院暂停使用或严格选用,以减低上述抗生素对G^-杆菌的压力。

The etiology of 361 bacteremia cases that were proved from Oct. 1984-Apr. 1990 in our hostital by hemocultures was analysed, 32 kinds of bacteria, oltogether 389 strains were seperated out from hemjocultures among them, there were 212 strains of G^+cocco-bacteria(54.4%); 149 strains of G^-bacilli(38.4%); 19 strains of G^+bacilli(4.9%)/2 strains of actinomycis (0.5%);7 strains of fungus(1.8%); 27 stains of Polymicobial bacteremia(7.5%) The staphyiococci and G-bacilli were chief pathogenic bacteria(76.9%).