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腹膜透析相关感染性腹膜炎致病菌培养方法及致病菌耐药性的研究 被引量：3

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摘要 目的:改进培养方法,提高致病菌培养阳性率及了解本中心致病菌谱及其耐药性。方法:腹膜炎腹腔透出液直接涂片观察细菌及接种于培养瓶(BA组),或离心后再涂片及接种(C-BA组)。观察两组细菌阳性检测率及致病菌培养阳性率。观察致病菌谱及其耐药性。结果:传统涂片组与离心涂片组比较,P<0.01。BA组细菌培养阳性率与C-BA组比较,P<0.01。前2位致病菌株为表皮葡萄球菌和大肠杆菌。表皮葡萄球菌和大肠杆菌对阿米卡星均100%敏感。结论:改进培养方法提高了致病菌培养的阳性率。离心涂片组的细菌阳性率明显比传统涂片组高。对本中心腹膜炎,可使用阿米卡星经验性治疗。
作者 冯明亮 伍国达 张辉 梁小华 郑少莉 陈小荷 梁灼源 韦锋 石晓峰
机构地区 广东省江门市中心医院肾内科 广东省江门市中心医院检验科 广东省江门市中心医院重症医学科
出处 《中国中西医结合肾病杂志》 2012年第4期338-339,共2页 Chinese Journal of Integrated Traditional and Western Nephrology
关键词 腹膜炎 培养方法 耐药性
分类号 R446.5 [医药卫生—诊断学]
  • 相关文献

参考文献9

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二级参考文献6

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共引文献9

同被引文献13

  • 1Masakane I, Tsubakihara Y, Akiba T, et al. The most recent trends of peritoneal dialysis in Japan. Petit Dial Int, 2008,28 (Supp13):27-31.
  • 2Li PK, Szeto CC, Piraino B, et al. Peritoneal dialysis - related in- fections recommendations : 2010 update. Perit Dial Int, 2010,30 (2) :393 -423.
  • 3Piraino B, Bailie GR, Bemardini J, et al. Peritoneal dialysis - re- lated infections recommendations:2005 update. Perit Dial Int, 2005,25 ( 1 ) : 107 - 131.
  • 4Huang ST, Chuang YW, Cheng CH, et al. Evolution of microbio- logical trends and treatment outcomes in peritoneal dialysisrelated peritonitis. Clin Nephrol, 2011,75 ( 5 ) :416 - 425.
  • 5O' Shea S, Hawley CM, McDonald SP, et al. Streptococcal perito- nitis in Australian peritoneal dialysispatients: predictors, treat- ment and outcomes in 287cases. BMC Nephrol,2009,26( 1 ) : 19.
  • 6Shigidi MM, Fituri OM, Chandy SK, et al. Microbial spectrum and outcome of peritoneal dialysis related peritonitis in Qatar. Saudi J Kidney Dis Transpl,2010,21 ( 1 ) : 168 - 173.
  • 7Karageorgopoulos DE, Falagas ME. Current control and treatment of muhidrug - resistant Acinetobacter baumannii infections. Lan- cet Infect Dis,2008,8(12) :751 -762.
  • 8Badve SV, Hawley CM, McDonald SP, et al. Use of aminoglyco- sides for peritoneal dialysis - associated peritonitis does not affect residual renal function. Nephrol Dial Transplant, 2012,27 ( 2 ) : 381 - 387.
  • 9马丽新.难治性腹膜透析相关性腹膜炎致病菌菌谱分析[J].中国临床研究,2011,24(7):573-574. 被引量：8
  • 10晏焕青,李芸,保永军,唐粼,黄鑫,周国秀,朱彤莹.腹膜透析相关性腹膜炎经验用药分析[J].中华肾脏病杂志,2011,27(12):899-902. 被引量：20

引证文献3

二级引证文献10

中国中西医结合肾病杂志
2012年 第4期

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