86株库克菌的鉴定与抗菌药物敏感性试验

86 strains of Kocuria bacteria identification and antimicrobial susceptibility test

目的对医疗环境中分离的库克菌进行鉴定与抗菌药物敏感性试验,为临床经验治疗库克菌感染提供循证医学证据。方法收集在医院感染卫生学监测中,采集医务人员手、皮肤黏膜、空气、物体表面等样本中离的86株库克菌,应用ATB Expression半自动细菌鉴定药敏分析仪配套ID32Staph鉴定试条和Staph 5药敏试条,进行菌株鉴定和药敏试验。结果 86株库克菌鉴定检出玫瑰库克菌62株、变异库克菌16株、克库克菌8株。库克菌对诺氟沙星(16.3%)和呋喃妥因(20.9%)敏感率较低,对红霉素(69.3%)和庆大霉素(67.4%)敏感率接近70.0%,对青霉素等其他12种抗菌药物敏感度在80.0%以上,甚至为100.0%。结论库克菌对大多数敏感,临床医生和微生物检验人员应加强库克菌临床感染认识和诊治水平,合理使用抗菌药物。

Objective To provide clinical experience in treatment of cook′s fungus infection of evidence-based medical evidence,separation of medical environment of cook′s bacteria identification and antimicrobial susceptibility test.Methods Collected in the hospital infection of hygiene monitoring,collection and medical staff hands,skin and mucous membrane,air and object surface samples from 86 strains of cook,application ATB Expression semi-automatic bacteria identification of susceptibility analyzer supporting article try ID32 Staph identification and drug susceptibility test Staph 5,strain identification and drug sensitive test.Results 86 strains bacteria identification cook 62 strains bacteria,mutation detection rose cook bacteria strains of 16,cook eight strains of bacteria.Cook bacterium of norfloxacin（16.3%）,and with nitrofurantoin low because of the sensitive rate（20.9%）,of erythromycin（69.3%）and gentamycin（67.4%）,the sensitive rate at nearly 70.0%,sensitivity to penicillin and other 12 kinds of antimicrobial agents more than 80.0%,even 100.0%.Conclusion Cook for most still sensitive,clinicians and microorganism inspection personnel should strengthen the cook.