[1]郑礼杰a,陈建国a,张 金b,等.胆道感染患者胆汁和血培养主要病原菌一致性研究[J].现代检验医学杂志,2020,35(02):124-127.[doi:10.3969/j.issn.1671-7414.2020.02.034]
 ZHENG Li-jiea,CHEN Jian-guoa,ZHANG Jinb,et al.Preliminary Study on Pathogenic Bacteria in Bile and Blood Culture ofPatients with Biliary Tract Infection[J].Journal of Modern Laboratory Medicine,2020,35(02):124-127.[doi:10.3969/j.issn.1671-7414.2020.02.034]
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胆道感染患者胆汁和血培养主要病原菌一致性研究()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第35卷
期数:
2020年02期
页码:
124-127
栏目:
检验与临床
出版日期:
2020-05-24

文章信息/Info

Title:
Preliminary Study on Pathogenic Bacteria in Bile and Blood Culture ofPatients with Biliary Tract Infection
文章编号:
1671-7414(2020)02-124-04
作者:
郑礼杰a 陈建国a张 金b李 节a
(江苏大学附属人民医院a. 检验科;b. 呼吸内科,江苏镇江 212002)
Author(s):
ZHENG Li-jiea CHEN Jian-guoa ZHANG Jinb LI Jiea
(a. Department of Clinical Laboratory; b. Department of Respiratory Medicine, People’s Hospital Affiliated to JiangsuUniversity, Jiangsu Zhenjiang 212002, China)
关键词:
胆道感染病原菌一致性
分类号:
R575.7;R446.5
DOI:
10.3969/j.issn.1671-7414.2020.02.034
文献标志码:
A
摘要:
目的 探讨胆道感染患者胆汁培养和血培养主要病原菌的一致性。方法 回顾性分析2016 年1 月~ 2019 年6 月江苏大学附属人民医院胆汁和血培养同时阳性的114 例胆道感染患者的资料,比较胆汁和血液两种类型标本中病原菌的分布,采用Kappa 检验分析其一致性。结果 116 份胆汁标本共检出148 株菌,革兰阴性菌占71.62%,革兰阳性菌占27.03%,真菌占1.35%。126 份血液标本共检出129 株菌,革兰阴性菌占82.95%,革兰阳性菌占16.28%,真菌占0.78%。有45 例患者(39.47%)的胆汁和血标本分别只检出一种菌,且相同;28 例(24.56%)的胆汁和血标本检出病原菌至少一种相同;41 例(35.96%)的胆汁和血标本检出病原菌完全不同。胆汁和血培养检出大肠埃希菌的总符合率为61.40%。胆汁和血标本检出菌至少一种相同的患者中,大肠埃希菌检出率在两种标本类型中表现出较高的一致性(Kappa 值=0.784),符合率为89.3%。结论 胆道感染患者的胆汁和血培养病原菌以革兰阴性杆菌为主,其中大肠埃希菌占比最高。两种标本类型在大肠埃希菌检出率上具有较高一致性。

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备注/Memo

备注/Memo:
作者简介:郑礼杰(1984-),女,硕士,主治医师,研究方向:细菌耐药监测及机制,E-mail:zhenglijie0537@126.com。通讯作者:李节(1978-),女,本科,副主任检验技师,研究方向:临床微生物,E-mail:zhanfangzhong@126.com。收稿日期:2019-10-31修回日期:2020-01-12
更新日期/Last Update: 2020-04-30