摘要
目的分析产褥感染患者的病原学特征及耐药性,为临床工作提供参考。方法回顾性分析40例产褥感染患者的临床资料,统计产褥感染患者的病原菌特征及耐药性。结果40例产褥感染患者中共检出24株,革兰阴性菌最常见,共19株(79.17%),其中大肠埃希菌最多见(16株),超广谱β-内酰胺酶(ESBL)阳性7株,ESBL阴性9株。革兰阳性菌5株(20.83%),其中无乳链球菌2株(8.33%)。药敏结果显示,大肠埃希菌对头孢呋辛的耐药率最高,为43.75%。对头孢曲松的耐药率为37.50%,对头孢吡肟的耐药率为31.25%。未发现对亚胺培南、头孢西丁、氨苄西林、哌拉西林他唑巴坦、左氧氟沙星耐药情况。结论本院产褥感染病原菌以革兰阴性菌为主,其中大肠埃希菌最多见,临床中应根据医院药敏特点进行针对性用药,以获得理想收益。
Objective To analyze the etiological characteristics and drug resistance of puerperal infection in our hospital,so as to provide reference for clinical work.Methods The clinical data of 40 patients with puerperal infection were retrospectively analyzed,and the characteristics and drug resistance of pathogenic bacteria in puerperal infection patients were analyzed.Results A total of 24 strains were detected in 40 patients with puerperal infection,of which 19 strains(79.17%)were Gram-negative bacteria,among which 16 strains were Escherichia coli,7 strains were positive for ultra-broad spectrum β-lactamase(ESBL),and 9 strains were negative for ESBL.There were 5 strains of Gram-positive bacteria(20.83%),including 2 strains of Streptococcus agalactiae(8.33%).The drug sensitivity results showed that the drug resistance rate oiEscherichia coli to cefuroxime was the highest(43.75%).The drug resistance rate to ceftriaxone and cefepime was 37.50%and 31.25%,respectively.No resistance to imipenem,cefoxitin,ampicillin,piperacillin,tazobactam and levofloxacin was found.Conclusion The pathogenic characteristics of puerperal infection in our hospital are mainly Gram-negative bacteria,among which Escherichia coli is the most common.In clinical practice,targeted drug use should be carried out according to the characteristics of hospital drug sensitivity in order to obtain ideal income.
作者
乌兰图雅
宫晓玲
金菁
Wu Lantuya;Gong Xiaoling;Jin Jing(Department of Obstetrics and Gynecology,Inner Mongolia Baotou Steel Group Third Workers Hospital,Baotou,Inner Mongolia 014010,China)
出处
《实用妇科内分泌电子杂志》
2021年第30期56-58,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
产褥感染
病原菌
耐药性
Puerperal infection
Pathogenic bacteria
Drug resistance
