重庆医学2017，Vol.46Issue(33)：4633-4635,4638,4.DOI:10.3969/j.issn.1671-8348.2017.33.009
社区获得性胆道感染细菌谱及耐药性现状分析
Analysis on bacterial spectrum and drug resistance in patients with community-acquired biliary tract infection
摘要
Abstract
Objective To analyze the current status of bacterial spectrum and drug resistance in community-acquired biliary tract infection to provide a basis for clinical medication .Methods The patients with community-acquired biliary tract infection (ex-periment group) and the patients with biliary tract diseases without biliary tract infection (control group) derived from the native ar-ea treated in this hospital from September 2014 to January 2016 were selected .The bile juice was intraoperatively extracted for con-ducting the bacterial culture and drug susceptibility test .Results Thirteen specieses (60 strains) of bacteria were isolated in the ex-periment group .The top 3 specieses were Escherichia coli (35 .0% ) ,Klebsiella pneumonia (21 .7% ) and Enterobacter cloacae (10 .0% ) .Eight specieses (13 strains) of bacteria were isolated in the control group .The top 3 specieses were Escherichia coli (30 .8% ) ,Klebsiella pneumonia(15 .4% ) and Lactococcus garvieae (15 .4% ) .The proportions of drug resistant strains in the two groups were 95 .0% and 84 .6% respectively (P>0 .05) .The proportions of multiple drug resistant strains in the two groups were 30 .0% and 7 .7% respectively(P>0 .05) .The occurrence rates of multiple drug resistance in the top 3 specieses of bacteria in the experiment group were 61 .9% ,7 .7% and 16 .7% respectively .Conclusion The bacterial spectra of community-acquired acute bili-ary tract infection in the native area are dominated by Gram negative bacteria .The total bacterial drug resistance is serious ,but the drug resistance situation in different bacteria pathogens is different .关键词
社区获得性/胆道感染/胆汁培养/细菌谱/药敏试验/耐药性Key words
community-acquired/biliary tract infection/biliary juice culture/Bacterial spectrum/drug sensitivity test/drug resistance分类
医药卫生引用本文复制引用
陈圣开,郑明友,吴晓春,樊大明,李剑波,张涛,黄书明,王淑玲..社区获得性胆道感染细菌谱及耐药性现状分析[J].重庆医学,2017,46(33):4633-4635,4638,4.基金项目
重庆市卫生和计划生育委员会医学科研项目(20143018). （20143018）
