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下呼吸道感染痰标本细菌学检查和耐药菌株的观察 被引量:2

A bacteriological assay of the sputum of lower respiratory tract and observation of their resistant strains
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摘要 目的 :为合理使用抗生素治疗下呼吸道感染提供细菌学指标。方法 :采集痰标本 112 4份 ,其中经涂片染色镜检确定为下呼吸道感染痰标本 346份 ,占总标本数的 31%。采用细菌培养法对 346份痰标本进行病原学鉴定并做药敏试验。 结果 :经鉴定的标本中 ,涂片镜检 2 13份找到细菌 ,2 0 6份培养出细菌 ,鉴定出菌株 2 88株 ,其中2 2份标本分离出两种以上细菌。鉴定出的 G+菌对头孢菌素类、喹诺酮类敏感 ,对青霉素耐药 ;G-菌对氧氟沙星、丁胺卡那霉素敏感 ,对氨苄青霉素、头孢唑啉耐药。 结论 :本实验结果对临床合理使用抗生素有一定指导意义 。 Objective: To provide the bacteriological index for using antibiotics in treating the lower respiratory tract infection reasonably. Methods: Total 1 124 sputum specimens were collected and there were 346 specimens from the lower respiratory tract identified by microscopy, which were 31% in total specimens. All the 346 sputum specimens were cultured for pathogenic assay and antibiotics sensitivity test. Results: Among the tested specimens, 213 were found bacterial growth by culture and 288 defined strains were identified from these specimens. Two or more kinds of bacteria were found in 22 specimens. The result of antibiotics sensitivity test: G\++ bacteria were identified to be sensitive to cefarollin and ofloxacin but resistant to penicilline. G\+- bacteria were identified to be sensitive to ofloxacin and amikacin but resistant to cefarollin and ampicillin. Conclusion: The results of this study have a guilding sense for using antibiotics reasonably and they also suggest that a correct bacteriological assay depends on proper sputum specimen.
出处 《新疆医科大学学报》 CAS 2000年第3期246-247,共2页 Journal of Xinjiang Medical University
关键词 痰标本 下呼吸道感染 药敏试验 细菌学检查 sputum specimens lower respiratory infection antibiotic sensitivity test
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