本文關(guān)鍵詞：泌尿外科泌尿系感染大腸埃希菌耐藥性臨床調(diào)查分析，由筆耕文化傳播整理發(fā)布。

泌尿外科泌尿系感染大腸埃希菌耐藥性臨床調(diào)查分析

Investigation and analysis of drug resistance of Escherichia coli causing urinary tract infections in urology department

[1] [2]

WANG Zhong-chen,MU Jin-zhi（Inner Mongolia General Forestry Hospital,Yakeshi,Inner Mongolia 022150,China）

[1]內(nèi)蒙古林業(yè)總醫(yī)院泌尿外科,內(nèi)蒙古牙克石022150; [2]內(nèi)蒙古林業(yè)總醫(yī)院感染監(jiān)控部,內(nèi)蒙古牙克石022150

文章摘要：目的了解醫(yī)院泌尿外科泌尿道感染的主要病原菌及其耐藥性,以指導(dǎo)臨床合理用藥。方法回顧性調(diào)查2011年1-12月所有門診與住院泌尿外科泌尿道感染病原學(xué)檢測患者,對(duì)調(diào)查結(jié)果進(jìn)行統(tǒng)計(jì)分析。結(jié)果 2011年1-12月中段尿標(biāo)本共培養(yǎng)分離109株病原菌,以大腸埃希菌為主,62株占56.9%;62株大腸埃希菌中產(chǎn)ESBLs菌株為24株占38.7%;非產(chǎn)ESBLs菌株為38株占61.3%;產(chǎn)與非產(chǎn)ESBLs大腸埃希菌對(duì)氨芐西林、慶大霉素、左氧氟沙星、磺胺甲噁唑/甲氧芐啶、妥布霉素、環(huán)丙沙星的耐藥率均≥50.0%。結(jié)論根據(jù)泌尿系感染的病原菌分布及耐藥性,有針對(duì)性地選擇用藥,規(guī)范抗菌藥物合理使用,降低泌尿道感染的發(fā)生。

Abstr：OBJECTIVE To observe the drug resistance of the major pathogens causing urinary tract infections in urology department so as to guide the reasonable clinical medication.METHODS A retrospective survey was conducted for the etiology of the patients with urinary tract infections who enrolled the outpatient department and the urology department from Jan to Dec 2011,and the statistical analysis of the results was performed.RESULTS A total of 109 strains of pathogens were isolated from the midstream urine from Jan to Dec 2011,Escherichia coli was the predominant species of pathogens,accounting for 56.9%（62 strains）,there were 24（38.7%） strains of ESBLs-producing E.coli in the 62 strains of E.coli.There were 38（61.3%） strains of non-ESBLs-producing strains.The drug resistance rates of the ESBLs-producing and non-ESBLs-producing strains were all more than 50.0% resistant to ampicillin,gentamicin,levofloxacin,sulfamethoxazole,tobramycin,and ciprofloxacin.CONCLUSION The antibiotics should be used reasonably in accordance with the distribution and drug resistance of pathogens causing urinary tract infections,and the reasonable use of antibiotics can reduce the incidence of urinary tract infections.

文章關(guān)鍵詞：

Keyword：:Urinary tract infection Drug resistance Escherichia coli

  本文關(guān)鍵詞：泌尿外科泌尿系感染大腸埃希菌耐藥性臨床調(diào)查分析，，由筆耕文化傳播整理發(fā)布。