【摘要】 本文报告由硝酸盐阴性杆菌引起的各种感染,包括肺炎、尿路感染、伤口感染、胆囊炎和败血症,均系院内感染,部分患者有原发病和明显诱发因素。药敏试验(纸片法)示庆大霉素、卡那霉素、羧苄青霉素、多粘菌素E和多粘菌素B对本菌有一定抗菌活性。治疗大多采用氨基甙类抗生素,有重症感染如败血症、肺炎或合并其他革兰氏阴性杆菌的混合感染者,联合应用氨基甙类抗生素和羧苄青霉素。扩创引流或去除导管等有利于恢复。更多还原

【Abstract】 This article reports a wide variety of infections, including pneumonia, urinary tract infection, wound infection, cholangitis and septicemia caused by Acinetobacter calcoaceticus. All were nosocomial infections, some of the patients had serious underlying diseases. Use of adrenal corticosteroids, cytotoxic agents or antibiotics were considered as predisposing factors. Antimicrobial susceptibility tests (disc method) showed that most of the strains were susceptible to polymyxin B and E as well as to gentamicin and carbenicillin. Surgical debridement and/or drainage of the infection focus and removal of the catheter were important supplementary measures in some of the patients.更多还原