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89例糖尿病肾病合并尿路感染的病原菌特点及药敏分析 被引量:2

The Pathogenic Bacteria Characteristics and Drug-Resistant Analysis in 89 Cases of Diabetic Nephropathy Complicated with Urinary Tract Infection
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摘要 目的探讨糖尿病肾病(diabetic nephropathy,DN)合并尿路感染(urinary tract infection,UTI)的病原菌特点和药敏情况。方法对89例在我院确诊的DN合并尿路感染患者的尿培养、药敏结果进行回顾性分析。结果89例中共培养出97株病原菌,以革兰氏阴性杆菌为主,占79.38%(77/97),革兰氏阳性菌占17.53%(17/97),真菌3.09%(3/97)。致病菌对氨苄青霉素、头孢唑啉、左氧氟沙星、庆大霉素等耐药性明显;革兰氏阴性杆菌对亚胺培南,革兰氏阳性菌对万古霉素耐药率最低。结论DN并UTI的患者病原菌以革兰氏阴性杆菌为主,对传统抗生素耐药性明显,应根据药敏结果合理使用抗生素。 Objective To study the characteristics and drug-resistance of the pathogenic bacteria isolated from patients with diabetic nephropathy (DN) complicated with urinary tract infection (UTI). Method The results of urine culture and drug-resistant analysis in 89 cases with DN complicated with UTI were analyzed retrospectively. Result 97 pathogenic bacteria were isolated from 89 cases, containing 79.38% (77/97) gram negative bacteria, 17,53% (17/97) gram positive bacteria, and 3.09% (3/97) fungi. The pathogenic bacteria were resistant to Ampicillin, Cefazolin, Levofloxacin and Gentamicin, Gram negative bacteria and gram positive bacteria were less resistant to Imipenem and Vancomycin, respectively, Conclusion The DN patients complicated with UTI were mainly infected by gram positive bacteria which were resistant to traditional antibiotic drugs, Appropriate antibiotic drugs should be chosen according to drug-resistant characteristic of the pathogenic bacteria.
出处 《热带医学杂志》 CAS 2008年第8期823-825,共3页 Journal of Tropical Medicine
关键词 糖尿病肾病 尿路感染 病原菌 抗菌素 diabetic nephropathy urinary tract infection pathogenic bacteria antibiotic drug
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