摘要
目的:探讨医院真菌感染分布及耐药情况,为临床合理用药提供实验室依据。方法:采用回顾性分析,用科玛嘉显色培养基和真菌M-H培养皿进行菌种鉴定,Rosco纸片扩散法进行药敏实验。结果:2009年1月至12月我院分离出281株酵母样真菌,检测率依次是白色假丝酵母菌185株(65.84%)、光滑假丝酵母菌55株(19.57%)、克柔假丝酵母菌19株(6.76%)、热带假丝酵母菌13株(4.63%)、其它9株(3.20%);标本分布情况依次是痰及咽拭子165(58.72)、分泌物54(19.22)、尿液23(8.19)、粪便17(6.05)、血液2(0.71)、其它20(7.11);药物耐药情况是:各类真菌对特比萘芬耐药率最高、对两性霉素B耐药性都低。结论:临床微生物实验室必须重视真菌的培养鉴定和药敏试验,以指导临床合理用药,以达到早期诊断和及时治疗。
Objective:Discuss the hospital fungal infections distribution and drug resistance,for clinical rational drug use providing laboratory basis.Method:A retrospective analysis,with secco manasseh jia colour-display medium and fungi M - H petri dishes are strains identified,Rosco disc diffusion method on antimicrobial susceptibility test.Results:January 2009 to ecember tifert 281 strains isolated yeast sample fungus,detection rates in turn is white candida mycoderma 185 strains (65.84%),smooth candida mycoderma 55 strains (19.57%),gram soft candida mycoderma 6.76%),19 strains (tropical candida mycoderma 13 strains (4.63%),other nine strains (3.20%);Specimen distribution in turn is phlegmy and throat swabs 165 (58.72) and secretion of 54 (19.22),urine,feces 8.19) 23 (17 (6.05),blood 2 (0.71),other 20 (7.11);Drug resistance situation is:all kinds of fungi to tubby naphthalene Finn resistant to the highest,sexes amphotericin B resistance are low.Conclusion:Clinical microbiology laboratory must attach importance to the cultivation of identification and fungi susceptibility test,in order to guide clinical rational drug use,in order to achieve early diagnosis and prompt treatment.
出处
《中国保健营养(下半月)》
2012年第3期282-283,共2页
China Health Care & Nutrition
关键词
真菌
感染
分析
Fungi
Infection
Analysis