伊犁州妊娠期无症状菌尿病原菌与药敏分析

Analysis of pathogenic bacteria and drug susceptibility in asymptomatic bacteriuria during pregnancy in Ili

目的探讨妊娠期无症状菌妇尿液病原菌和药敏结果尿孕,为指导临床治疗和合理应用抗菌药物提供参考依据。方法对2712名尿常规异常的孕妇进行尿培养及药敏试验。结果送检2712份尿液中223份细菌培养阳性,共检出223株病原菌,以革兰阴性菌为主,共159株,占71.30%,其次革兰阳性菌62株占27.80%;革兰阴性菌对头孢唑啉等普遍耐药。结论妊娠期无症状菌尿最常见的细菌种类革兰阴性菌,以大肠埃希菌多见,予以预防性治疗,可以有效减少妊娠不良结局的发生率。

Objective To study the urine pathogenic bacteria and drug sensitivity in asymptomatic women during pregnancy,and to provide reference for clinical treatment and rational application of antimicrobial agents.Methods Urine culture and drug sensitivity test were carried out in 2712 pregnant women with abnormal urine routine.Results?223 of the 2712 urine samples tested were positive for bacterial culture,and 223 strains of pathogenic bacteria were detected,among which the majority were gram-negative bacteria(159 strains,accounting for 71.30%),followed by gram-positive bacteria(62 strains,accounting for 27.80%).Gram-negative bacteria are generally resistant to cefazolin.Conclusion Gram negative bacteria are the most common bacterial species of asymptomatic bacteriuria during pregnancy,most of which are escherichia coli.Preventive treatment can effectively reduce the incidence of adverse pregnancy outcomes.