407例胆结石患者胆汁细菌培养及药敏分析

目的：分析407例胆结石患者胆汁细菌培养与药敏的结果及意义.方法：对2006年9月-2008年12月我院407例胆结石患者胆汁进行需氧菌培养与药敏试验,分析其结果.结果：有67例细菌培养阳性,总阳性率16.46%.培养出细菌种类15种.其中G-杆菌54株,大肠埃希氏菌占19株;G＋球菌13株,其中肠球菌占7株.3例病人同时检出2种细菌,1例病人同时检出3种细菌.对G-杆菌敏感性最高有亚胺硫霉素、丁胺卡那霉素、氧哌嗪青霉素/Tazo、头孢吡肟,分别为65.7%、62.7%、59.7%、58.2%.其中对G-杆菌敏感性最高有亚胺硫霉素（81.5%）、丁胺卡那霉素（77.8%）、氧哌嗪青霉素/Tazo（74.1%）、头孢吡肟（72.2%）,对G＋球菌敏感性最高的有氨苄青霉素（69.2%）、万古霉素（61.5%）、链霉素增效（61.5%）、青霉素（61.5%）.结论：胆结石胆道感染以G-杆菌为主,抗生素首选丁胺卡那霉素、青霉素、氨苄青霉素等廉价的药物为宜.

Objective analysis 407 ： case as the patient bile bacteria and allergic to medicine, the result and method of september 2006 ： to 2008, the patient 407 example of the heart of the gall to mind the need for training and medicine is tested, analyse its outcome. A result of 67 cases, bacteria to de- velop a positive 16.46%. for the types of bacteria. G- bacilli 54 is, the gens reaches of the tree survived aeschi ; Gusher 13 is, of which the musher of seven summit. 3 patients while the two types of bacteria, a patient while the three species of bacteria, for the G-bacilli was sensitivity to the victims of sulphur tazo, and penicillin. To g musher the highest sensitivity of penicillin （69.2 percent of the mildewed （banko）, 62.5~）, victims of the increased effectiveness （ 62.5% ）, and penicillin （62.5%）. the conclusion as to the word ＂courage infected G- bacilli, antibiotic penicillin, of penicillin for the first cheap drugs to.