脊髓损伤患者泌尿系感染病原菌的分布及耐药性分析

Analysis of distribution and drug resistance of the pathogens of urinary tract infections with spinal cord disorders

目的：探讨脊髓损伤患者泌尿系感染的菌群分布及耐药性特点，为临床选用抗菌药物提供依据。方法：对2009年1月，2010年9月本院脊髓损伤患者泌尿系感染情况进行回顾性调查，分析167株病原菌的构成及药敏结果。结果：167株病原菌中，以革兰阴性杆菌为主（占79．6％），其中，大肠埃希菌占41．3％。革兰阳性球菌占16．2％，肠球菌占10．8％。结论：脊髓损伤患者泌尿系感染的主要菌群为肠杆菌科。临床治疗应根据药敏试验结果合理选用抗菌药物，以减少耐药菌的产生。

Objective ：To study the distribution and drug resistance of the pathogens of urinary tract infections in patients with spinal cord disorders and provide a basis for clinical selects antibacterial. Methods：Urinary tract infections with spinal cord disorders were retrospectively studied 167 strains of pathogens in this hospital from Jan 2009 to Sep 2010. Pathogen analysis and drug sensitivity testing were done. Results ：The main pathogens were Gram - negative bacteria （79.6%）of 167 strains. Escheriehia coli was the most prevalent （41.3%）. Other pathogens were Gram - positive bacteria（ 16.2% ） of these. Enterococeus was most prevalent（ 10.8% ）. Conclusion：The main pathogens were Enterobacteriaceae which infected the urinary tract of patients with spinal cord disorders. Antibiotics should selected according to the results of testing the pathogens sensitivity to drugs. Helping to reduce the develop- ment of drug resistant strains.