急性腹泻病原菌及药敏分析  

The situation of pathogenic bacteria and drug sensitivity of acute diarrhea

作　　者：徐少保[1] 吴晓玲[1] 沈强[1] 

机构地区：[1]安徽省立医院感染病科,安徽合肥230001

出　　处：《安徽医药》2007年第8期719-720,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的研究急性腹泻的病原菌及药敏情况,以了解该地区的流行病学状况,并为临床用药提供依据。方法回顾性分析近3年来我院肠道门诊诊治的急性腹泻患者病原菌分布及药敏状况。结果急性腹泻病原菌以志贺菌属为主,其次是沙门菌属,阳性率分别为6.05%和0.67%,其中未成年组的阳性率在两种细菌中分别达14.28%和1.06%,远高于成年组及老年组;在志贺菌属中,福氏志贺菌和宋内志贺菌各占75.1%和22.81%;两组病原菌对复方新诺明、氨苄西林及氯霉素都高度耐药,对头孢他啶敏感性较好。结论志贺菌属是急性腹泻的主要病原菌,其次是沙门菌属;两种细菌对复方新诺明、氨苄西林及氯霉素耐药率都较高,对头孢他啶高度敏感。Aim To study the situation of pathogenic bacteria and their drug sensitivity of acute diarrhea and the epidemic situation in this area in order to offer basis for clinical therapy.Method The situation of pathogenic bacteria and its drug sensitivity of acute diarrhea of outpatients were retrospectively analysed in the last three years.Results The pathogenic bacteria is mainly Shigella,secondly,Salmonella;the positive rate of Shigella and Salmonella is 6.05% and 0.67%,respectively.In minor group,the positive rate of the two kinds of bacterium reaches 14.28% and 1.06%,respectively,which is greatly higher than the adult and aged group.In Shigella,the percentage of Shigella flexneri and Shigella sonnei is 75.1% and 22.81%,respectively.The two kinds of pathogen are highly resistant to trimethoprinm-sulfamethoxazole,ampicillin and chloramphenicol,but are sensitive to ceftazidime.Conclusion The main pathogenic bacteria is Shigella,secondly,Salmonella.The two kinds of pathogen are highly resistant to trimethoprinm-sulfamethoxazole,ampicillin and chloramphenicol,but are sensitive to ceftazidime.

关 键 词：急性腹泻 病原菌 药敏 

分 类 号：R515[医药卫生—内科学]