摘要
目的 :了解单发性鼻窦炎细菌分布及对常用抗生素敏感情况。方法 :对 94例上颌窦炎和 41例筛窦炎、蝶窦炎患者行功能性鼻窦内窥镜手术 ,将取出的窦腔分泌物和粘膜进行细菌培养分离和常用抗生素的药敏试验。结果 :135份标本中 ,有菌生长 119份 (88.15 % ) ,共分离细菌 192株 ,混合细菌生长 6 2份 ,厌氧菌 75株。分离菌株对青霉素的总敏感度为 5 3.12 % ,头孢唑啉钠总敏感度为 87.5 0 %。厌氧菌对甲硝唑的总敏感度为 94.6 7%。结论 :就鼻窦炎菌群的敏感性而言 ,青霉素、链霉素和甲硝唑合用 ,磺胺甲基异恶唑与甲硝唑合用 ,以及头孢唑啉钠与甲硝唑合用 ,是在未作药敏的情况下较为有效的联合用药方式。
Objective:To properly understand the bacterial distribution and susceptibility to antibiotics in the sinus of nasal sinusitis.Method:The mucosal and secretione in sinus were taken from 135 patients who suffered with single nasal sinusitis, by functional endoscopic sinus surgery, were cultured for bacteria.Meanwhile the antimicrobial susceptibility was determined for ordinary antibiotics.Result:The bacterial growth was present in 88.15 % of cases,mixed bacterial growth was present in 52.10 % of all bacterial,anaerobe growth was present in 39.06 % of all bacteria.the susceptibility to penicillin was in 53.12 % of all bacteria and cefaolin was in 87.50 %.The susceptibility to metronidazole was in 94.67 % of all anaerobes.Conclusion:We think the method that penicillin in combination with streptomycin and metronidazole, sufameth oxazole united with metronidazole, cefaolin added metronidazole were effective in nasal sinusitis treatment before the antimicrobial susceptive examination had been done.
出处
《临床耳鼻咽喉科杂志》
CSCD
2000年第11期499-500,共2页
Journal of Clinical Otorhinolaryngology
