【摘要】 目的:探讨临床感染的病原菌种类及其对抗菌药物的敏感性,指导临床合理应用抗菌药物。方法:收集住院与门诊病人血液、尿液、痰、分泌物等标本,进行细菌分类培养、鉴定,对分离出的主要病原菌做药敏试验。结果:857例病人标本分离出革兰阴性杆菌607株(66.9%)、革兰阳性球菌97株(10.7%)、酵母菌195株(21.5%)、其他阳性菌株9株(1.0%),革兰阴性菌以克雷伯菌属、大肠埃希菌属、铜绿假单胞菌、不动杆菌属、沙雷菌属为主;革兰阳性球菌以表皮葡萄球菌、金黄色葡萄球菌、肠球菌、肺炎链球菌为主。实验亚胺南对革兰阴性杆菌的作用很强;去甲万古霉素对革兰阳性球菌的敏感率达100%,其他抗菌药物存在不同程度的致病性和耐药性。结论:病原菌的种类在发生变迁,耐药性日益严重,提示临床医生要合理应用抗菌药物,加强实验室的感染监控职能,开展耐药监测。更多还原

【Abstract】 Objective:To investigate the variety of clinical infection pathogenic bacterium and that for the sensitivity of antibacterial.To direct clinical reasonable makes use of antibacterial.Methods:Collected the samples of blood,urine,phlegm,and excreta with patients in hospital and outpatients.To carry out bacterium grouping cultivating,appraisement,and did the susceptibility test of main pathogenic bacterium which were isolated.Results:The samples from 857 patients were isolated Gram-Negative bacilli 607 strains(66.9%),Gram-Positive bacilli 97 strains(10.7%),fermentum 195 strains(21.5%) and other positive strains 9 strains(1.0%).Gram-Negative bacilli were mainly of Klebsiella,Escherichia coli,Pseudomonas aeruginosa,Acinetobacter and Serratia.Gram-Positive bacilli were mainly of Staphylococcus epidermidis,Staphylococcus aureus,Enterococci and Streptococcus pneumoniae.Imipenem was make powerful effect for Gram-Negative bacilli;the rate of sensitivity of norvancomycin for Gram-Positive bacilli was 100%,and different degrees of pathogenicity and drug resistance for other antibacterial.Conclusion:The variety of pathogenic bacterium is happen diversely,drug resistance is increasing serious,which hints clinician using antibacterial reasonability.Enhance breadboard infection monitoring functional authority.Develop drug fast monitoring.更多还原