妇科老年患者卵巢癌术后尿路感染的病原菌分布及药敏分析

The Pathogen Distribution and Drug Sensitivity Analysis of Urinary Tract Infection Among Senile Gynecologic Patients after Ovarian Cancer Surger

目的探讨妇科老年患者卵巢癌术后尿路感染的病原菌分布及药敏分析。方法选取卵巢癌手术治疗的272例尿路感染者,观察其病原菌分布及耐药性。结果革兰阳性菌主要为金黄色葡萄球菌37.76%;革兰阴性菌主要为大肠埃希菌45.92%;金黄色葡萄球菌对于利福平、青霉素均具有较高耐药性,对替考拉宁敏感性高;大肠埃希菌对头孢唑林、头孢他啶、头孢噻肟、头孢吡肟、庆大霉素均具有较高的耐药性,对于美罗培南、亚胺培南具有较高敏感性。结论金黄色葡萄球菌、大肠埃希菌是妇科老年患者卵巢癌术后尿路感染的主要病原菌,应采用合理药物予以预防治疗。

Objective To investigate the pathogen distribution and drug sensitivity analysis of urinary tract infection among senile gynecologic patients after ovarian cancer surgery.Methods A total of 272 urinary tract infection patients receiving ovarian cancer surgery were selected to observe the pathogen distribution and drug resistance.Results Gram-positive bacteria mainly included staphylococcus aureus(37.76%);gram-negative bacteria mainly included Escherichia coli(45.92%);staphylococcus aureus had relatively high drug resistance towards rifampicin and penicillin,but had no resistance to teicoplanin with high sensitivity;certain resistance to ciprofloxacin was found in staphylococcus aureus,streptococcus and streptocossus faecalis.Escherichia coli had high drug resistance towards cefazolin,ceftazidime,cefotaxime,cefepime and gentamicin,but had no resistance to meropenem and imipenem with high sensitivity.Conclusion Staphylococcus aureus and Escherichia coli are the primary pathogen of urinary tract infection among senile gynecologic patients after ovarian cancer surgery,they are of relatively high drug resistance,where rational drug therapy is to be adopted for prevention and treatment.