摘要
目的 了解本院住院患者2016年下呼吸道感染患者的痰培养阳性的病原菌分布情况,有利于为临床科室治疗提供相关参考.方法 收集本院2016年1~12月送检标本痰培养中分离出的1 476例痰培养阳性病原菌数据,用Excel和Whonet5.6软件进行数据分析.结果 2016年1~12月,通过痰培养阳性标本中共收集到了1 476株细菌,病原菌的前三位分别是肺炎克雷伯菌、铜绿假单胞菌和鲍曼不动杆菌.在四个季节中,春季的主要病原菌为别是肺炎克雷伯菌、流感嗜血杆菌和大肠埃希菌.夏季的主要病原菌分别是肺炎克雷伯菌、鲍曼不动杆菌和铜绿假单胞菌.秋季的主要病原菌分别是白色念珠菌、铜绿假单胞菌和肺炎克雷伯菌.冬季的主要病原菌分别是肺炎克雷伯菌、白色念珠菌和铜绿假单胞菌.在医院的所有病区中,ICU病区分离出的病原菌前三位分别是鲍曼不动杆菌、铜绿假单胞菌、肺炎克雷伯菌.儿科病区分离出的病原菌前三位分别是大肠埃希菌、肺炎克雷伯菌和流感嗜血杆菌.呼吸科病区（分离出的病原菌前三位分别是白色念珠菌、铜绿假单胞菌和肺炎克雷伯菌.在三个年龄段中,儿童组（0~14岁）的主要病原菌为大肠埃希菌、肺炎克雷伯菌和流感嗜血杆菌.青壮年组（15~65岁）的主要病原菌为铜绿假单胞菌、肺炎克雷伯菌和鲍曼不动杆菌.老年组（〉65岁）的主要病原菌为白色念珠菌、肺炎克雷伯菌和铜绿假单胞菌.不同季节、病区和年龄段,病原菌的分布构成也有一定的差异.结论 革兰阴性杆菌仍然是医院感染的主要致病菌,肺炎克雷伯、铜绿假单胞菌和鲍曼不动杆菌是医院感染的主要菌种.不同月份、病区以及年龄的病原菌分布构成各具特点.
Objective To investigate the distuibution and analysis of pathogen in sputum culture in the affiliated hospial of Zun Yi Medical college in 2016.Methods The date of 1476 strains of pathogens from sputum culture from Jan 1 to Dec 31,2016 were collected.The date were analyzed by WHONET 5.6 and EXCEL software.Results Total 1476 strains of pathogens were isolated in sputum culture in 2016,The top three of pathogenic bacteria were klebsiella pneumoniae,pseudomonas aeruginosa and acinetobacter baumannii.In all the year round,Spring′s main pathogens were klebsiella pneumonia,haemophilus influenzae and e.coli.Summer′s major pathogens were klebsiella pneumoniae,acinetobacter baumannii and pseudomonas aeruginosa.The autumn of the main pathogens were candida albicans,pseudomonas aeruginosa and klebsiella pneumonia.In winter,the main pathogens were klebsiella pneumoniae,pseudomonas aeruginosa and candida albicans.All of the wards in our hospital,The top three pathogenic bacteria isolated from the ICU ward were acinetobacter baumannii,pseudomonas aeruginosa,klebsiella pneumoniae.The top three pathogenic bacteria identified from Pediatric ward were E.coli,klebsiella pneumoniae,and haemophilus influenzae.The top three pathogenic bacteria isolated from Respiratory ward were candida albicans,pseudomonas aeruginosa and klebsiella pneumonia.In the three age groups,the main pathogenic bacteria in children group（0 to 14） were E.coli,klebsiella pneumoniae,and h.influenzae.Young adults（15 to 65） set of main pathogenic bacteria were pseudomonas aeruginosa,klebsiella pneumoniae and acinetobacter baumannii.The main pathogenic bacteria in elderly group（〉 65 years） were candida albicans,klebsiella pneumoniae,and pseudomonas aeruginosa.Different seasons,wards and ages,the distribution of pathogenic bacteria have some differences.Conclusion Gram-negative bacillus are still the main pathogenic bacteria of hospital infection,especially klebsiella pneumonia,pseudomonas aeruginosa and acinetobacter baumannii.Distribution of pathogenic bacteria depends on timing,endemic area and age.
作者
张丽丽
乔森
ZHANG Li-li QIAO Sen(Department of Clinical Laboratory ,First Affiliated Hospital of Zunyi Medical College ,Zunyi,Guizhou 563000,Chin)
出处
《检验医学与临床》
CAS
2017年第A01期1-4,共4页
Laboratory Medicine and Clinic
基金
国家自然科学基金项目（31560325）.
关键词
痰培养
病原菌
分布
sputum culture
pathogens
distribution
