脓毒症患儿细菌培养与药敏情况分析

Analyse of bacterial culture and drug sensitivity in pyemia children

目的调查分析脓毒症患儿细菌培养及药敏情况。方法选取衡阳市妇幼保健院2015年度收治的脓毒症且细菌培养阳性患儿168例,分析其病原菌构成及药敏情况。结果 36h内病原菌阳性检出率最高,其中革兰阳性菌占71.43%(120/168),革兰阴性菌占25.00%(42/168),真菌占3.57%(6/168)。根据药敏试验发现,革兰阳性菌对青霉素、头孢西丁、红霉素耐药率比较高,革兰阴性菌对呋喃妥因、氨苄西林耐药率比较高。结论应在36h内对脓毒症患儿进行细菌培养,根据药敏试验结果合理选择抗生素,从而提高患儿救治率。

Objective To explore the bacterial culture and drug sensitivity in pyemia children. Methods A total of168 pyemia children of positive bacterial culture were selected in 2015 in Hengyang Maternal and Child Health Care Hospital,the pathogenic bacteria and drug sensitivity test were analyzed. Results The positive rate was the highest in 36 h. Among these bacteriums,gram positive bacteria accounted for 71. 43%( 120 /168),gram negative bacteria accounted for 25. 00%( 42 /168),fungal accounted for 3. 57%( 6 /168). According to the drug sensitivity,gram positive bacterium drug had resistance to penicillin,erythromycin and cefoxitin,gram negative bacteria had resistance to nitrofurantoin and ampicillin. Conclusion Bacterial culture of pyemia children should be cultured in 36 h. We can select antibiotics reasonably according to the results of drug sensitivity,and improve the cure rate of child patients.