| 孙霆芳曹桂霞张巧月.小儿呼吸道感染常见病原菌及药敏结果分析[J].,2012,12(20):3894-3896 |
| 小儿呼吸道感染常见病原菌及药敏结果分析 |
| The Analysis of Pathogenic Bacteria of Pediatric Respiratory Tract Infectionin Children and Their Antibiotic Sensitivity |
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| DOI： |
| 中文关键词: 儿童 呼吸道感染 致病菌感染 药敏试验 |
| 英文关键词: Children Respiratory tract infection Pathogenic bacteria infection Drug susceptibility test |
| 基金项目: |
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| 中文摘要: |
| 目的：了解小儿下呼吸道感染的常见病原菌及其对抗菌药物的敏感性。方法：对北京市和平里医院儿科两年来确诊治疗的
156 例小儿呼吸道感染患儿的痰标本进行培养及药敏试验。结果：156 例标本检出致病菌98 株，其中G- 杆菌71 株(72.4%)，G+ 球
菌23 株( 23.5%)，真菌4 株(4.1%)，主要致病菌依次为肺炎克雷伯菌26 株，大肠埃希菌20 株。流感嗜血杆菌13 株，金黄色葡萄球
菌7 株，肺炎链球菌5 株。药敏结果显示，G- 杆菌对亚胺培南均敏感，其次为头孢西丁、庆大霉素，G+ 球菌对万古霉素均敏感，对
头孢西丁、庆大霉素、环丙沙星、阿米卡星有较高的敏感性。结论：革兰阴性杆菌为本地区小儿呼吸道感染的主要致病菌，真菌的
感染率也呈上升趋势，临床上应及时检测，合理用药。 |
| 英文摘要: |
| Objective: To study common pathogenic bacteria of pediatric respiratory tract infection in children and their antibiotic
sensitivity. Methods: 156 sputum samples diagnosed as respiratory tract infection from Beijing Hepingli Hospital during two years were
cultured and tested on drug sensitivity. Results: There were 98 pathogen strains in 156 samples, including 71 G-bacillus strains (72.4 %),
23 G+coccus strains (23.5%) and 4 strains of fungi (4.1%). The main pathogens were Klebsiella pneumonia (26 strains), Escherichia coli
(20 strains), Haemophilus influenza (13 strains), Staphylococcus aureus (7 strains) and Streptococcus pneumonia (5 strains). Drug
susceptibility results showed that G-bacilli was sensitive to imipenem, followed by cefoxitin, gentamicin while G+bacteria was sensitive
to vancomycin but G+bacteria was more sensitive to gentamicin, cefoxitin, ciprofloxacin and amikacin. Conclusion: Gram-negative
bacilli are the main pathogens in the pediatric respiratory tract infection and the fungal infection is also an upward trend, which should be
timely detected clinically and rationally used. |
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