嗜麦芽窄食单胞菌感染58例临床分析  

Analysis of stenotrophomonas maltophilia infections in 58 cases

作　　者：刘晓民[1] 宋熙瑶[2] 石玉枝[1] 

机构地区：[1]哈尔滨医科大学第一临床医学院呼吸内科,黑龙江哈尔滨150001 [2]哈尔滨医科大学第一临床医学院微生物科,黑龙江哈尔滨150001

出　　处：《中国急救医学》2005年第9期628-630,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的研究住院患者嗜麦芽窄食单胞菌感染的分布、药敏、临床及细菌学疗效。方法回顾性分析58例嗜麦芽窄食单胞菌感染病人的临床情况。结果菌株对大部分抗生素耐药,对亚胺培南的耐药率为100%,临床有效率为70.7%,细菌清除率为69%。结论选择碳青霉烯类药物要慎重,明确的嗜麦芽窄食单胞菌感染要根据药敏选择抗生素,首选药物为三代头孢菌素+酶抑制剂及复方新诺明。Objective To study the distribution, antimicrobial susceptibility, clinical and bacteriological efficacy of stenotrophomonas mahophilia infections.Methods We analysed the clinical efficacy of 58 patients infected with stenotrophomonas maltophilia retrospectively.Results The bacterium was resistant to most antibiotics, the resistant rate to Imipenem was 100%, The clinical effective rate was 70.7% and the bacterial eradication rate was 69% .Conclusios Carbapenems should be carefully selected for the treatment of infections. Antibiotics should be selected according to the results of antimicrobial susceptibility, Cephalosporin of third- generation plus enzymatic depressor and trimethoprim/sulfamethoxazole should be the fast choice.

关 键 词：嗜麦芽窄食单胞菌 感染 耐药性 临床疗效 

分 类 号：R516[医药卫生—内科学]