不同人群咽部寄生菌的调查  

Colonization of Bacteria on Pharynx among Different Groups of People

作　　者：司徒俊杰 蔡成华[1] 宋会荣[1] 

机构地区：[1]安康医院检验科,北京101300

出　　处：《中华医院感染学杂志》2009年第22期3073-3074,共2页Chinese Journal of Nosocomiology

摘　　要：目的了解正常人群与药物依赖人群、精神病人群咽部寄生菌及其耐药情况。方法随机抽取医院工作人员组(A组)标本299例,强制戒毒人员组(B组)标本199例,精神病患者组(C组)标本99例,采集咽拭子,分别接种于血琼脂,麦康凯和XV/苯乙醇双联平皿,同时进行普通和厌氧培养,并进行菌株鉴定和药敏试验。结果3组标本均检出流感嗜血菌共29株占14.8%;检出副流感嗜血菌共109株占57.8%、金黄色葡萄球菌等菌株;另外B组检出副溶血嗜血菌、肺炎克雷伯菌臭鼻亚种、铜绿假单胞菌等菌株;分别占1.5%、1.5%、0.5%;C组检出成团泛菌,褪色沙雷菌,A群链球菌不同菌株定植率各组间有差异。结论三组人群咽部寄生菌种类相近,其耐药性方面也有不同,为临床治疗提供可靠依据。OBJECTIVE To understand the pharynx colonization and drug resistance among normal population, drug-dependent people and mentally ill people. METHODS There were 3 groups divded. The health care workers were the randomly selected to group A of forced detoxification 299 specimen from throat swab were collected from the drug dependent people （in stage group B 199 examples）, and the mentally ill people （group C, 99 examples）. The throat swab samples were inoculated into the blood agar, MacConkey and XV/phenylethanol double-plate, and cultured commonly and anaerobic allg at the same time, and the strains were identified and the sensitivity was tested. RESULTS From the three groups, Haemophilus in fluenzae , H. parain f luenzae , Staphylococcus aureus and other strains, were detected out But in group B were detected out Haemophilus paranaemolyticus, Klebsiella pneumoniae subsp ozaenae and Pseudomonas aeruginosa strains. Pantoea agglomerans , Serratia marcescens , and A streptococcus were detected out in group C. CONCLUSIONS In the three group similar types of pharyngeal bacteria were found the colonization rates of different strains among the three groups are different, the resistance is also different, The work is in favor to provide a reliable basis for clinical treatment.

关 键 词：正常人群 药物依赖人群 精神病患者 咽部寄生菌 耐药性 

分 类 号：R378[医药卫生—病原生物学]