86例嗜麦芽窄食单胞菌药敏结果分析

Antimicrobial susceptibility test for stenotrophomonas:An analysis of 86 cases maltohpilias

目的:通过分析2006年我院病人中嗜麦芽窄食单胞菌的药敏情况,为临床合理使用抗生素提供可靠的依据。方法:对2006年入住我院的86例感染嗜麦芽窄食单胞菌的病人进行药物敏感试验。结果:敏感率最高的是复方新诺明,其次为替卡西林/克拉维酸等。而对亚胺培南、美洛培南的敏感率为零。结论:临床病人抗感染治疗时应及时做培养,由于细菌培养需一定的时间,若临床医生考虑嗜麦芽窄食单胞菌感染时,应先采用复方新诺明、奎诺酮类和加酶抑制剂的抗生素来治疗,不宜用碳青霉烯类抗生素。

Objective：To provide a credible basis for the proper use of antibiotics by analysis of the antimicrobial susceptibility test for stenotrophomonas maltohpilias in the patients in our hospital in 2006. Method：In 2006, 86 patients in our hospital who infected stenotrophomonas maltohpilias received an antimicrobial susceptibility test. Results：Compound sulfamethoxazole showed the most sensetive,and the next was Ticarcillin/Clarulanate potassium. But the sensitivity of imipenem,meropenem was almost zero. Conclusion ：Clinically, if the patients received anti-- infection treatment,a prompt microbial culture should be carried out. Since germiculture needs a certain time and when the clinical doctor considered the infection as a stenotrophomonas maltohpilia infection, not carbapenems antibiotics but compound sulfamethoxazole, quinolones and the antibiotics adding enzyme inhibitors should be first applied.