伤残修养人员泌尿系统感染及药敏试验探讨  

Study on urinary system infection of special-class disabled army men suffering from paraplegia

作　　者：王占华[1] 安蔚[2] 

机构地区：[1]泰安荣军医院,山东泰安271000 [2]泰山医学院,山东泰安271016

出　　处：《泰山医学院学报》2008年第10期821-823,共3页Journal of Taishan Medical College

摘　　要：目的了解特等伤残修养人员患泌尿系统感染情况、特点、病原体种类和对抗生素的敏感状况,为临床用药提供依据。方法通过对652例病人进行调查,收集3860份临床标本,采用通用试剂盒进行细菌培养和药敏试验。结果结果分离出3752株细菌,阳性率为97.2%,包括大肠杆菌2457例(65.5%),凝集阴性葡萄球菌375例(10.0%),金黄色葡萄球菌462例(12.3%),铜绿假单胞杆菌223例(5.9%);在这些标本中还分离出46株真菌,阳性率为1.19%。所分离的细菌具有很强的耐药性。同时伴有老年代谢紊乱的患者,病情较为严重。有时同时伴有多种病菌感染。霉菌感染常常容易被忽略,也是引起死亡的重要因素。结论应重视截瘫修养人员尿液的细菌学检查。Objective： To evaluate the infection and characteristics of urinary system in recuperating men and the drug resistance of the germs cultured. Methods ： 3860 urine samples were collected and cultured. Results ： 3752 stains of bacteria was obtained, and the positive rate was 97.2%. 46 stains of futures was obtained, and the positive rate is 1.19%. This group of patients had a high urinary infection rate. The infection of the history was long. Most of them were chronic. Some of them had a recessive infection. Antibiotics and other killers are not so active. Several experiments should be done at a same time in these cases. The infection was usually serious in case of old man suffering from other diseases as diabetes. Fungus infection is usually overlooked and is fatal. Conclusion： Microbial culture and drug-resistant test are needed for these patients.

关 键 词：泌尿系感染 抗生素 截瘫 修养人员 

分 类 号：R691.3[医药卫生—泌尿科学] R978.1[医药卫生—外科学]