胆囊结石病人胆汁中厌氧菌检测及药敏分析  

Bile anaerobic bacteria detection and antibiotic susceptibility test in patients with gallstone.

作　　者：卢云[1] 石景森[1] 卓健生[1] 

机构地区：[1]西安医科大学第一临床医学院

出　　处：《中国实用外科杂志》1998年第10期604-606,共3页Chinese Journal of Practical Surgery

摘　　要：为探讨胆囊结石胆汁中厌氧菌菌谱及药敏反应，采用微生物自动检测鉴定仪对５９例胆结石病人胆汁行厌氧培养及药敏检测，结果厌氧菌检出率为５２５％（３１／５９），其中４例专性厌氧，厌氧菌株以脆弱类杆菌为主（３７８％）。多数厌氧菌（８１１％）仍对甲硝唑最为敏感，β－内酰胺酶阳性菌采用伊米培能较理想。认为技术的改进是提高检出厌氧菌阳性率的关键；We used microbile automatic detection system to detect bile anaerobic bacteria and susceptibility test in 59 gallstone patients who had cholecystectomygallstone.The ratio of anaerobic bacteria to total patients examinated was 52 5%(31/59),4 cases with anaerobe bile culture positive only were found also.B.fragilis was the main kind of anaerobic bacteria in bile(37 8%).Most of anaerobic bacteria(81 1%) were sensitive to metronidazole,imipenem is suitable to β-lactamase bacteria.This study show culturing at logarithmic phase can improve the positive rate of anaerobic bile cultur;There may have some connection between anaerobic infection and gallstone formation.

关 键 词：胆囊结石 胆汁 厌氧菌 药敏试验 

分 类 号：R657.420.4[医药卫生—外科学]