【摘要】 目的分析老年急性胆道感染患者胆汁细菌培养的临床特征,为临床合理使用抗菌药提供参考。方法采集189例老年急性胆道感染病人进行细菌培养加药敏试验。结果189株胆汁培养结果,革兰阴性菌128株67.7%,革兰阳性菌56株29.67%,真菌5株(2.6%)。药敏结果表明老年急性胆道感染中主要病原菌对亚胺培南,头孢他啶,阿米卡星耐药率低。对环丙沙星,庆大霉素,呱拉西林,氨苄西林耐药率高。结论老年急性胆道感染中革兰阴性菌居主导地位,对亚胺培南,头孢他啶,阿米卡星有较高敏感性。更多还原

【Abstract】 Objective To analysis bile bacteria culture of senior patients with acute biliary tract infection and study it’s clinical features for the guidance of rational prescription of antibiotics. Methods 189 senior patients with acute biliary tract infection were collected to be performed bacterial cultures and drug susceptibility test. Results 128 strains were Gram-Negative bacillus(67.7%) and 56 were Gram-Positive bacillus (29.67%)in 189 specimens,epiphtel(2.6%).drug susceptibility test indicated: in the senior patients with acute biliary tract infection,the resisrence rates of main pathogenic bacterium to Imipenem Ceftazidime and Amikacin were low,while Ciprofloxacin ,Gentamicin,Piperacillin and Ampicillin were very high. Conclusion Gram-Negative bacillus are main pathogenic bacterium in the senior patients with acute biliary tract infection and high susceptible to Imipenem,Ceftazidime Amikacin.更多还原