新生儿脐炎病原菌分析及临床意义

Statistics of Bacteria of Neonatal Omphalitis and Clinical Significance

目的:调查新生儿脐炎病原菌分布及药物敏感状况,以利临床医生合理选用抗生素。方法:将128例新生儿脐炎患儿作脐分泌物及血液病原菌分离以及药敏试验,并对药敏试验结果进行分析。结果:128例中共分离出病原菌120株。新生儿脐炎的病原菌主要为金黄色葡萄球菌、表皮葡萄球菌、大肠埃希氏菌、肺炎克雷伯菌。革兰阳性球菌对苯唑青霉素、原始霉素、褐霉素、万古霉素等敏感率较高,革兰阴性杆菌对亚胺硫霉素、头孢噻甲羧肟、头孢甲氧噻吩、丁胺卡那霉素等敏感率较高。结论:统计和分析新生儿脐炎的细菌谱及药物敏感状况,可以指导临床医生合理使用抗生素。

Objective To study the antibiotic susceptibility of bacteria of neonatal omphalitis and offcr reference for clinical treatment. Methods The isolates from navel secretion samples of 128 inpatients with neonatal omphalitis were dealed with antibiotic susceptibility test. The antibiotic susceptibility was analysed. Results A total of 120 bacterial iso lares were collected. Staph. aureus, Staph. epidermidis,Escheichia coli and K. peumoniae were the main microorganism. G^＋ cocci were susceptible to OXA,PRI, FUC, VAN. G-bacilli were susceptible to IMI, CAZ,CXT, AKN, CIP. Conclusion The statistics of bacteria of neonatal omphalltis and its antibiotic susceptibility can instruct the application of antihi otic in the treatment of neonatal omphalitis.