泌尿系统感染的病原菌临床检验与结果分析

Clinical Examination and Result Analysis of Pathogenic Bacteria in Urinary System Infection

目的:研究分析泌尿系统感染的病原菌临床检验结果。方法:本次研究选择笔者所在医院2017年1月-2018年12月治疗的泌尿系统感染患者653例,取患者晨起中段尿为样本,采用迪尔医学-细菌测定系统对样本中病原菌的分布和敏感性进行检查,对结果进行分析。结果:在分离出来的菌株中占比最大的为大肠埃希菌为50.68%,其次为葡萄球菌以及变形杆菌和粪肠球菌,分别占比14.70%、8.72%、8.72%;大肠埃希菌对氨苄西林、环丙沙星、复方新诺明的耐药性最强,变形杆菌对氨苄西林、复方新诺明和头孢曲松的耐药性最强,肺炎克雷伯菌对氨苄西林、复方新诺明、庆大霉素的耐药性最强;革兰阳性菌主要为葡萄球菌和粪肠球菌,其中葡萄球菌对多种抗菌素均耐药,而粪肠球菌对多种抗菌素敏感。结论:泌尿系统感染在临床治疗过程中应进行致病菌检查,确定致病菌的分布和耐药情况再选择合理的抗生素进行治疗,从而提高临床治疗效果减少滥用抗生素情况的发生。

Objective:To study and analyze the clinical test results of pathogenic bacteria in urinary system infection.Method:A total of 653 patients with urinary tract infection treated in our hospital from January 2017 to December 2018 were selected.The mid-morning urine of patients was taken as samples.The distribution and sensitivity of pathogenic bacteria in the samples were examined by Dill medical-bacterial detection system,and the results were analyzed.Result:Escherichia coli accounted for 50.68%,Staphylococcus,Proteusbacillus Vulgaris and Enterococcus Faecalis accounted for 14.70%,8.72% and 8.72%,respectively.Ampicillin,Ciprofloxacin and Compound Neotamine were the most resistant strains in Escherichia coli,ampicillin,Compound Neotamine and Ceftriaxone were the most resistant strains in Proteus.Among Klebsiella pneumoniae,Ampicillin,Compound Sulfamethoxazole and Gentamicin were the most resistant.Staphylococcus and Enterococcus Faecalis were the main Gram-positive bacteria.Staphylococcus was resistant to many antibiotics,while Enterococcus Faecalis was sensitive to many antibiotics.Conclusion:Pathogenic bacteria should be examined during the clinical treatment of urinary tract infections,the distribution and drug resistance of pathogenic bacteria should be determined,and reasonable antibiotics should be selected for treatment,so as to improve the clinical therapeutic effect and reduce the occurrence of abuse of antibiotics.