5785例白内障术前结膜囊细菌培养结果分析  

Analysis of the conjunctival bacterial flora of 5785 eyes before cataract sugery

作　　者：刘杰为[1] 张素华[1] 钱军[1] 王瑞姝[1] 

机构地区：[1]山西省眼科医院,太原030002

出　　处：《中国实用眼科杂志》2007年第4期405-407,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的分析近年来我院白内障手术前结膜囊细菌的构成和对药物的敏感性。方法对5785眼白内障手术前结膜囊细菌培养结果和药物敏感实验结果进行分析。结果白内障手术前结膜囊细菌培养的阳性率为2.61%,主要是革兰氏阳性球菌,占99.32%。以表皮葡萄球菌（66.67%）和微球菌（24.49%）为主。92.2%的结膜囊革兰氏阳性球菌对红霉素和青霉素耐药;大多数菌株对妥布霉素、万古霉素、环丙沙星和庆大霉素敏感;对妥布霉素和环丙沙星耐药有上升趋势。结论白内障手术前结膜囊细菌主要由表皮葡萄球菌构成,对红霉素和青霉素耐药;大多数菌株对妥布霉素、万古霉素、环丙沙星和庆大霉素敏感;对妥布霉素和环丙沙星耐药性有上升趋势。Objective To analyze the conjunctival bacterial flora and antibiotic resistance pattern in the patients undergoing cataract surgery. Methods The preoperative conjunctival cultures and antibiotic susceptibility tests of 5785 eyes were studied retrospectively. Results Of 5785 eyes, 158 （2.61%） had positive cultures, Gram-positive cocci（G＋ C） （98.65%）was the most common bacteria isolate, mainly Staphylococcous epidermidis （66.67） and microccoccus （24.49%）, 92.2% of the bacterial isolates were resistant to Erythromycin and Penicillin, and most of them were susceptible to Ciprofloxacin, Tobramycin, Vancocin and Gentamycin. The resistant rate of these bacteria to Tobramycin and Ciprofloxacin increased. Conclusions Staphylococcous epidermidis was the most frequent bacteria isolate in the conjunctival sac of eyes before cataract surgery. Most of them were resistant to Erythromycin and Penicillin￡and sensitive to Ciprofloxacin, Tobramycin, Vancocin and Gentamycin. The resistant rate of these bacteria to Tobramycin and Ciprofloxacin increased.

关 键 词：结膜囊 细菌培养 药物敏感性 白内障 

分 类 号：R722.13[医药卫生—儿科]