中国现代医学杂志2018，Vol.28Issue(1)：61-66,6.DOI:10.3969/j.issn.1005-8982.2018.01.012
泌尿外科导尿管与非导尿管相关性尿路感染病原菌分布及耐药性比较
Distribution and drug resistance of pathogenic bacteria in urinary catheter related and unrelated urinary tract infections in Department of Urology
摘要
Abstract
Objective To investigate the pathogenic bacteria and drug resistance of urinary catheter associated and unassociated urinary tract infections in Department of Urology and to provide evidence for rational use of antibiotics in clinic. Methods The urinary tract infections in our hospital from January 2013 to October 2015 were randomly divided into the urinary catheter associated urinary tract infection group and the catheter unassociated urinary tract infection group. Urine samples were collected. Bacterial culture and drug sensitivity test were carried out. The data were statistically analyzed. Results The pathogenic distribution was statistically different between the catheter associated urinary tract infection group and the catheter unassociated urinary tract infection group (P < 0.05). In the catheter associated urinary tract infection group, the Gram-positive bacteria were mainly Staphylococcus bacteria, especially Staphylococcus aureus; while in the catheter unassociated urinary tract infection group, the Gram-positive bacteria were Enterococcus bacteria. In the catheter associated urinary tract infection group, the Gram-negative bacteria were mainly nonfermenters, while in the catheter unassociated urinary tract infection group the Gram-negative bacteria were mainly Enterobacteriaceae. The drug-resistance rates of Enterobacteriaceae, Acinetobacter baumannii, Staphylococcus aureus and Enterococcus in the catheter associated urinary tract infection group were higher than those in the catheter unassociated urinary tract infection group. Conclusions The distribution of pathogenic bacteria is different between catheter associated urinary tract infections and catheter unassociated urinary tract infections. The drug-resistance rates of urinary catheter associated urinary tract infections are higher than those of urinary catheter unassociated urinary tract infections.关键词
导尿管相关性尿路感染/病原菌/耐药性Key words
urinary catheter associated urinary tract infection/pathogenic bacteria/drug resistance分类
医药卫生引用本文复制引用
谢朝云,熊芸,孙静,杨忠玲,胡阳,杨怀..泌尿外科导尿管与非导尿管相关性尿路感染病原菌分布及耐药性比较[J].中国现代医学杂志,2018,28(1):61-66,6.基金项目
贵州省科技厅联合项目[No:黔科合LH字(2014)7162号] （2014）
