【摘要】 目的:探讨贫困山区脑卒中并泌尿道感染患者的病原菌分布及耐药特性,为临床合理使用抗菌药物提供科学依据。方法:收集住院脑卒中并泌尿道感染患者标本进行尿细菌培养,并做药敏分析。结果:我院脑卒中患者泌尿道感染病原菌以革兰阴性杆菌为主(71.2%),前3位的是大肠埃希菌(46.2%)、肺炎克雷伯菌(12.3%)和粪肠球菌(11.6%)。细菌对多种抗菌药物有不同程度的耐药率,表现为多重耐药。结论:革兰阴性杆菌为脑卒中并泌尿道感染的主要病原菌.对常用抗菌药物耐药率较高,细菌培养和耐药分析对指导临床合理使用抗菌药物,选择有效抗菌药物治疗具有重要意义。更多还原

【Abstract】 Objective:To observe the character of the pathogens distributed in the stroke patient with the complication of urinary tract infection and the resistance to antibiotics.Methods:Collective the specimen of urine from the all the stroke patients who had the complication of urinary tract infection.then the germ culture and susceptibility test had done.Results:The major pathogents in the patient was Gram-negative bacteria,the percent was 71.2%Escherichia coli,Klebsiella pneumoniae and Enterococcus faecalis were the common bacteria in the culture,the percent were 46.2%,12.3%and 11.6%all the bacteria had the multiple resistance to antibiotics. Conclusion:Gram-negative bacteria was the common pathogens with multiple resistance to antibiotics in the stroke patients who had the complication of urinary tract infection,germ culture and susceptibility test was important to select the desired antibiotics for the patients.更多还原