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慢性鼻窦炎的细菌培养及药敏观察 被引量:18

BACTERIOLOGY AND DRUG SENSITIVITY OF STRAINS FROM SECRETION OF SINUS IN CHRONIC SINUSITIS
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摘要  ①目的 了解慢性鼻窦炎的细菌分布及其对常用抗生素的敏感性。②方法 选择 50 例慢性鼻窦炎行鼻内镜手术的病人,术中取鼻窦内分泌物进行细菌培养及药物敏感试验。③结果 70%的标本有细菌生长,其中需氧菌42株,厌氧菌28株。对需氧菌最敏感的抗生素是环丙沙星、头孢哌酮,其次是舒氨西林;对厌氧菌最敏感的抗生素是舒氨西林,其次是甲硝唑。④结论 慢性鼻窦炎治疗应注意厌氧菌感染问题。 Objective To study the distribution of bacteria in chronic sinusitis and their sensitivity to commonly used antibiotics. Methods Bacteria culture and drug sensitivity test were carried out for the secretion of sinus obtained during endosco-pic sinus surgery for 50 patients with chronic sinusitis. Results Bacteria were observed in 70% of the species, including 42 strains of aerobes and 28 strains of anaerobes. Cefoperazone, ciprofloxacin, sulbactam and ampicillin were effective for aerobes, especially cefoperazone and ciprofloxacin. Sulbactam, ampicillin, and metronidazole were sensitive for anaerobes, especially sulbactam and ampicillin. Conclusion Anaerobe infection should be paid special attention in treating chronic sinusitis.
出处 《青岛大学医学院学报》 CAS 2005年第1期27-28,共2页 Acta Academiae Medicinae Qingdao Universitatis
关键词 鼻窦炎 细菌学 微生物敏感性试验 sinusitis bacteriology microbial sensitivity tests
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  • 1中华医学会耳鼻咽喉科学分会 中华耳鼻咽喉科杂志编辑委员会.慢性鼻窦炎鼻息肉临床分型分期及内窥镜鼻窦手术疗效评定标准[J].中华耳鼻咽喉科杂志,1998,33(3):134-134.
  • 2Erkan M, Aslan T, Ozcan M, et al. Bacteriology of antrum in adults with chronic maxillary sinusitis [J]. Laryngoscope, 1994, 104(3):321.
  • 3刘争,高起学,崔永华,陶雁玲.成人慢性上颌窦炎的细菌学研究及药敏观察[J].临床耳鼻咽喉科杂志,1998,12(12):545-548. 被引量:22
  • 4Brook I,Yocum P,Shah K.Aerobic and anaerobic bacteriology of concurrent chronic otitis media with effusion and chronic sinusitis in children[J].Arch Otolaryngol Head Neck Surg,2000,126(2):174.

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