1133株泌尿系感染病原菌的总结分析
摘要：目的 分析近年来泌尿系统感染患者的病原菌分布及耐药性变化，为临床合理用药提供依据。方法 收集2012～2013年泌尿系统感染患者尿液标本的细菌培养和药敏检测结果，用SPASS10.0软件进行统计分析研究。结果 共分离菌株1133株，其中革兰阴性杆菌632 株，占总菌株数的55.8%；其中大肠埃希菌398株，占总菌株数的35.1%，革兰阳性球菌301株占总菌株数的26.6%，真菌200株占总菌株数的17.6%。大肠埃希菌对亚胺培南等碳青霉烯类抗生素均敏感，肠球菌属细菌除铅黄肠球菌外对万古霉素均敏感。结论 泌尿系感染病原菌仍以大肠埃希菌为主，真菌感染没有升高的趋势，抗菌药物仍以亚胺培南和万古霉素为首选。
关键词：泌尿系感染；病原菌；耐药性
Analysis of 1133 Strains of Pathogenic Bacteria Infection in Urinary System Summary
WANG Yan-feng
（Tianjin Xiqing Hospital，Tianjin 300380，China）
Abstract：Objective To analysis the current status of the drug-resistance and constitutes of pathogens in patients with urinary tract infections， providing basis for clinical rational drug use. Methods The data of bacteria cultivation and drug susceptibility testing results of Urine specimens from the patients with urinary tract infections during 2012 to 2013 were collected and analyzed by SPASS10.0 statistical analysis software. Results 1133 pathogenic strains were separated， among them， the strains of Gram-negative bacteria， Gram-positive bacteria and fungus accounting for 632 （55.8%）， 301 （26.6%） and 200（17.6%）， respectively. There were 398 strains of E-coli were separated and accounting for 35.1% of the total separated strains. The strains of E-coli were all sensitive to antibiotics of Carbapenems， Enterococcus bacteria strains， except for Enterococcus casseliflavus were all sensitive to Ancomycin. Conclusion E-coli were the main pathogens of Urinary tract infection and Fungal infections had not ascending trend comparing to...
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