慢性化脓性中耳炎病原学研究及其临床应用  

Pathogens of chronic suppurative otitis media and their clinical significances

作　　者：朱笑频[1] 楼正才[2] 

机构地区：[1]义乌市中心医院检验科,浙江义乌322000 [2]义乌市中心医院耳鼻咽喉科,浙江义乌322000

出　　处：《山东大学耳鼻喉眼学报》2006年第5期397-398,402,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的:分析慢性化脓性中耳炎的致病菌种类及其药物敏感性。方法:取108例慢性化脓性中耳炎的外耳道深部或中耳脓液作细菌培养及药敏试验。结果:108例中培养分离出9种细菌,其中铜绿假单胞菌占26.85%,金黄色葡萄球菌23.15%,变形杆菌20.37%,其他25.92%,混合感染2.78%。铜绿假单胞菌感染的病例中,亚胺培南和多粘菌素敏感试验均为阳性。结论:为避免产生耐药菌株,应根据药敏试验结果合理应用抗生素。Objective： To analyze the pathogens of chronic suppurative otitis media and to test their antibiotic susceptibility. Methods： Pus from inner external auditory canal or middle ear was collected from 108 patients with chronic suppurative otitis media and cultured for pathogen identification and antibiotic susceptibility test. Results： Nine kinds of microbes were isolated, and their strain number were as follows： pseudomonas aeruginosa, 29 （26.85%）; staphylococcus aureus, 25 （23.15 % ） ; proteus, 22 （20.37%） ; others, 28 （ 25.92% ） ; and combined pathogens, 3（2.78% ）. All isolated pseudomonas aeruginosa were imipenem- and polymyxin-sensitive. Conclusion： Pathogen identification and susceptibility test are essential for appropriate antibiotic therapy in chronic suppurative otitis media.

关 键 词：中耳炎 伴渗出液 细菌培养 微生物敏感性试验 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]