摘要
目的分析静脉导管培养的阳性结果及临床对策。方法用回顾性调查的方法对67例静脉导管培养阳性的结果进行分析。结果最常见的病原体为凝固酶阴性的葡萄球菌和金黄色葡萄球菌,大多数细菌都表现出较强的耐药性,革兰阳性菌最敏感的药物为万古霉素,革兰阴性菌最敏感的药物为碳青霉烯类抗生素。结论对疑似血管内导管相关性血流感染(CRBSI)的病患给以正确的标本留取方案,培养结果结合临床资料,综合分析为临床及时确诊和治疗中的合理用药提供依据。
Objective To analyze the positive results of vein catheter cultures and clinical counterplan. Methods To retrospectively study 67 vein catheter cultures with positive results. Results The most common pathogens were Staphylococcus aureus and coagulase-negative Staphylococcus which demonstrated stronger antibiotic resistance,Gram-positive coccus were most sensitive to vancomycin,Gram-negative bacillus were most sensitive to carhapenem. Conclusion The right measures for getting specimens are taken to the patients with CRBSI. Positive culture results combined with clinical information and comprehensive analysis could provide evidence for clinical diagnosis in time and reasonable drug use in treatment.
出处
《检验医学与临床》
CAS
2009年第20期1711-1714,共4页
Laboratory Medicine and Clinic
关键词
静脉导管
菌血症
感染
vein catheter
bacteremia
infection
