摘要
目的 :了解本地区细菌性腹泻病的病原菌及耐药情况 ;方法 :对 2 0 0 1年 1月—2 0 0 3年 1月我院收治的 3 3 4例腹泻患儿粪便中分离出细菌的 1 74例病历的临床资料、粪便培养及药敏试验结果进行分析 ;结果 :检出细菌 1 68例 (革兰氏阴性杆菌 1 55株 ,革兰氏阳性球菌 1 3株 )、真菌 6例 ,检出率为 52 .1 % ,分属于 1 3属 1 7种 1 74株菌。药敏结果显示 :一线抗菌素耐药率高 ,革兰氏阴性杆菌对亚胺培南、丁胺卡那、氨曲南、第三代头孢菌素、复方青霉素耐药率低 ,革兰氏阳性球菌对呋喃妥因、万古霉素、替考拉宁耐药率低 ,白色假丝酵母菌对制霉菌素均敏感 ;结论 :小儿腹泻病检出细菌谱广 ,脓血便者细菌培养阳性率高 ,致泻性大肠埃希氏菌肠炎为主 ,耐药谱广 ,敏感药物少 ,临床医生可选药谱窄。
Objective:To investigate the pathogen and its drug-resistance of bacterial diarrhea in children.Methods:We reviewed the documents of 174 children with bacterial diarrhea of 334 cases with diarrhea, they had been identified by clinical signs, stool culture and drug sensitivity test from January 2001 to January 2003.Results:The bacteria (155 cases with G bacilii, 13 cases with G cocci) were found in 168 cases, the fungi in 6 cases. The G- bacilii were sensitive to amikacin, imipenem etc. The G+ cocci were sensitive to furantion, vancomycin etc. All the candida albicans were sensitive to nystatin. Conclusion:There are wide pathogenic bacteria in children with diarrhea, specially is in pus-bloody feces.The diarrheagenic escherichia coli enteritis is the main one. The less sensitive drugs could be selected in clinical treatment of bacterial diarrhea in Children.
出处
《青海医药杂志》
2003年第7期11-14,共4页
Qinghai Medical Journal
