【摘要】 目的了解产科剖宫产术后尿路感染病原菌的分布及耐药性,为预防与控制产妇尿路感染提供依据。方法病原菌培养和鉴定按照卫生部《全国临床检验操作规程》进行,药敏试验采用K-B法进行。结果检出病原菌133株,以大肠埃希菌和肠球菌属为主,分别占39.8%、16.5%;病原菌对常用抗菌药物均产生了不同程度的耐药性,但革兰阳性球菌对糖肽类抗菌药物100.0%敏感;革兰阴性杆菌对碳青霉烯类抗菌药物100.0%敏感。结论剖宫产术后尿路感染病原菌的耐药性不断增强,应采取有效措施,遏制细菌耐药性增长的不良趋势。更多还原

【Abstract】 OBJECTIVE To understand the clinical distribution and antimicrobial resistance of pathogens causing urinary tract infection after cesarean section in order to provide scientific evidence for prevention and control of urinary tract infection.METHODS Pathogenic strains were cultured and identified according to the National Guide to Clinical Laboratory Procedures.Drug susceptibility tests were performed by K-B methods recommended by CLSI.RESULTS Among 133 strains of pathogens,most were Escherichia coli(39.8%) and Enterococci(16.5%).Except for 100.0% susceptibility of glycopeptide antibiotics against gram-positive coccus and of carbapenems antibiotics against gram-negative bacilli,pathogens had been resistant to commonly used antibiotics in varying degrees.CONCLUSION The antimicrobial resistance of pathogens causing urinary tract infection after cesarean section is increasing.Effective measures should be taken to restrain the increasing tendency of antimicrobial resistance.更多还原