[1]任继欣,岳美玉,郭彦言.危重患者尿液分离类香味菌属的临床实验室特点及耐药性分析[J].现代检验医学杂志,2019,34(03):124-127.[doi:10.3969/j.issn.1671-7414.2019.03.031]
　REN Ji-xin,YUE Mei-yu,GUO Yan-yan.Clinical Laboratory Characteristics and Drug Resistance Analysisof Aroma-like Bacteria Isolated from Urine of Critical Patients[J].Journal of Modern Laboratory Medicine,2019,34(03):124-127.[doi:10.3969/j.issn.1671-7414.2019.03.031]
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危重患者尿液分离类香味菌属的临床实验室特点及耐药性分析()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第34卷
期数:
2019年03期
页码:
124-127
栏目:
研究简报·实验技术
出版日期:
2019-06-20

文章信息/Info

Title:
Clinical Laboratory Characteristics and Drug Resistance Analysisof Aroma-like Bacteria Isolated from Urine of Critical Patients
文章编号:
1671-7414(2019)03-124-04
作者:
任继欣1; 岳美玉1; 郭彦言2
(1.唐山市丰润区中医医院检验科,河北唐山 064000; 2.唐山市工人医院检验科,河北唐山 063000)
Author(s):
REN Ji-xin1; YUE Mei-yu1; GUO Yan-yan2
(1.Department of Clinical Laboratory,Traditional Chinese Medicine Hospital ofFengrun District in Tangshan City,Hebei Tangshan 064000,China; 2.Departmentof Clinical Laboratory,Tangshan Workers Hospital,Hebei Tangshan 063000,China)
关键词:
类香味菌;  耐药性;  抗生素
分类号:
R378; R446.5
DOI:
10.3969/j.issn.1671-7414.2019.03.031
文献标志码:
A
摘要:
目的 对基层医院尿液分离类香味菌属患者的临床实验室特点及菌株的耐药性进行回顾性分析,为临床精准治疗提供依据,减少抗生素滥用。方法 采用法国梅里埃全自动VITEK2 compact及配套试剂对2018年1～12月期间住院患者送检的尿液培养标本进行定量培养、鉴定及药敏分析。结果2018年度住院患者送检尿液培养标本953份,占全部微生物送检标本(13 239份)的7.20%,检出病原菌300株,阳性率为31.5%,其中分离类香味菌属13株,占阳性标本的4.3%,标本来源:均为危重患者的留置导尿标本,药敏结果显示仅对四环素类药物敏感性较好,对其余多种抗生素高度耐药。结论 该基层医院危重导尿患者尿液标本类香味菌属的分离率及耐药率均较高,应该引起临床高度重视,应合理分析其致病性及临床意义,精准诊断精准治疗,减少抗生素滥用。
Abstract:
Objective To retrospectively analyze the clinical laboratory characteristics and drug resistance of Aromatic bacteria isolated from urine in primary hospitals,so as to provide basis for precise clinicaltreatment and reduce the abuse of antibiotics.Methods Quantitative culture,identification and drug susceptibility analysis of urine culture specimens of inpatients from January to December 2018 were carried out byfull automatic VITEK 2 compact and kit reagents from Meriere,France.Results 953 urine culture specimens were sent to inpatients in 2018,accounting for 7.20% of all microbial samples(13 239 specimens).300 pathogenic bacteria were detected,with a positive rate of 31.5%.Among them,13 fragrant bacteria were isolated,accounting for 4.3% of the positive specimens.The source of specimens were all detained urinary catheter specimens from critically ill patients.The drug sensitivity results showed that only tetracyclines were sensitive to them.Many other antibiotics were highly resistant.Conclusion The isolation rate and drug resistance rate of Aromatic bacteria in urine specimens of critical catheterization patients in this grass-roots hospital were high,which should be paid great attention to in clinic.The pathogenicity and clinical significance of aromatic bacteria should be analyzed scientifically and reasonably,and the accurate diagnosis and treatment should be strived for,and reduce the abuse of antibiotics.

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备注/Memo

备注/Memo:
作者简介:任继欣(1977-),女,本科学历,副主任技师,研究方向:临床微生物与院感,E-mail:rjx779240@163.com。 收稿日期:2019-03-07 修回日期:2019-04-17
更新日期/Last Update: 2019-06-20