新生儿脐炎92例脐部分泌物病原菌及耐药性分析
【摘要】 目的:了解新生儿脐炎病原菌分布及其耐药性, 为本病提供预防及治疗参考。方法:调查我院2007年1月”2011年9月收治的有完整资料新生儿脐炎114例, 对脐部分泌物所分离到的92株致病菌的种类及药敏状况进行分析。结果:114例中检出92株致病菌，检出率80.7% (92/114)，革兰氏阳性菌60株，占65.2% (60/92)，金黄色葡萄球菌39株，占42.4%（39/92) ，凝固酶阴性葡萄球菌21株，占22.8%（21/92)，革兰氏阴性菌31株, 占33.7% (31/92), 大肠埃希菌9株，占9.8%(9/92)，肺炎克雷伯菌7株，占7.6%（7/92），其它革兰氏阴性菌15株，占16.3%（15/92），真菌1株，占1.1%(1/92)。耐甲氧西林葡萄球菌（MRS）65.0 %(39/60)，产超广谱β-内酰胺酶(ESBLs)大肠埃希菌和肺炎克雷伯菌分别为55.6% (5/9)、57.1% (4/7)。均具有多重耐药性。结论: 新生儿脐炎的病原菌主要为金黄色葡萄球菌、表皮葡萄球菌、大肠埃希菌、肺炎克雷伯菌等，耐甲氧西林葡萄球菌（MRS）及产超广谱β-内酰胺酶(ESBLs)株增多, 加强新生儿脐部护理, 减少新生儿脐炎仍十分必要。
【关键词】脐炎;病原菌;耐药谱
Study on 92 pathogens and drug-resistance of Newborn omphalitisSHEN An-ying. Quan Cai-qiDepartment of Pediatrics, Jinshan Branchofthe Sixth People’s Hospitai of Shanghai Jiaotong University, Shanghai 201500, Zang Jan-Hua the Sixth People’s Hospitai of Shanghai Jiaotong University 200233China
【Abstract】: OBJECTIVETo investigate the distribution of pathogens of neonate navel infection and their drug sensitivity to antibiotics, and to provide basis to choose rational antibiotics for clinical treatment of neonatalomphalitis. METHODSBacteria culture and antibiotic sensitivity test were undertaken for infected navel secretion of 114 newborn cases selected fromJan2007 to Sep 2011 were conducted, the category and antibiotic sensitivity of the obtained 92 pathogens were analyzed. RESULTSAmong the 114 cases, 92 pathogens were isolated. positive strains 80.7%(92/114). The main pathogens were Gram-positive cocci accounted for 65.2%(60/92),...
|
== 试读已结束，如需继续阅读敬请充值会员 ==
|
|
本站文章均为原创投稿，仅供下载参考，付费用户可查看完整且有格式内容！
(费用标准：38元/2月，98元/2年，微信支付秒开通！) |
| 升级为会员即可查阅全文 。如需要查阅全文，请 免费注册 或 登录会员 |
|
