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糖尿病合并尿路感染97例尿细菌培养及药敏试验分析 被引量:3

Urine bacterial culture and suscceptibility tests in diabetics with urinary tract infection:An analysis of 97 cases
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摘要 目的探讨糖尿病合并尿路感染尿细菌培养及药敏试验情况,为临床合理用药提供依据。方法对2008年7月~2010年6月97例糖尿病合并尿路感染患者的清洁中段尿进行细菌分离培养及药敏试验。结果患者尿液革兰阴性杆菌阳性率为72.4%,其中大肠埃氏菌的阳性率为61.2%;革兰阳性球菌阳性率为22.5%,其中肠球菌的阳性率为10.2%;酵母样真菌阳性率5.1%。药敏结果显示:革兰阴性杆菌对亚胺培南与头孢哌酮舒巴坦耐药率较低,革兰阳性球菌对万古霉素最敏感。结论尿路感染治疗前首先进行清洁中段尿细菌培养和药敏试验,然后根据药敏试验结果合理使用抗生素。 Objective To study the effect of urine bacteria culture and susceptibility tests in diabetics with urinary tract infection so as to give guidance of rational use of antibiotics in clinic.Methods 97 cases of diabetic patients with urinary tract infection from 2008 to 2010 underwent urine culture and sensitivity tests.Results The positive rate of the Gram-negative bacilli was 72.4%,of which Escherichia coli was 61.2%;The positive rate of Gram-positive cocci was 22.5%,of which Enterococcus faecalis accounted for 10.2%,and 5.1% were yeast-like fungi.The drug sensitive test result indicated that Gram-negative bacilli had a low drug-resistance rate to imipenem and cefoperazone,while vancomycin was most sensitive to Gram-positive cocci.Conclusion Mid-segment urine culture and susceptibility test should be taken before treatment and antimicrobial therapy should be adjusted reasonably according to the results of susceptibility test.
出处 《淮海医药》 CAS 2011年第5期395-396,共2页 Journal of Huaihai Medicine
关键词 糖尿病 泌尿道感染 细菌培养 微生物敏感性试验 Diabetes Urinary system infection Urine bacterial culture Microbial sensitivity tests
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  • 1王琳,崔恩凤,郑伟,张秀晶,谷常虹.老年糖尿病尿路感染76例临床分析[J].中华医院感染学杂志,2004,14(9):991-992. 被引量:33
  • 2Sudha V,Prasad A,Khare S,et al.Antimicrobial susceptibility testing in India-A status survey[J].Indian J Med Microbiol,2001,19 (4):222-223.
  • 3马藤骧.现代泌尿外科学[M].天津:天津科学技术出版社,2000:672.

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