糖尿病合并尿路感染315例病原菌及耐药分析  

315 cases of diabetes and urinary tract infection pathogens and drug analysis

作　　者：董茹[1] 张磊[1] 

机构地区：[1]常州市武进人民医院内分泌科,江苏213002

出　　处：《齐齐哈尔医学院学报》2013年第22期3355-3357,共3页Journal of Qiqihar Medical University

摘　　要：目的了解糖尿病患者合并尿路感染的常见病原菌分布及其对抗菌药物的耐药情况,指导临床合理使用抗菌药物。方法回顾性分析医院315例糖尿病患者合并尿路感染的中段尿培养及药敏试验结果。结果糖尿病患者合并尿路感染最常见的致病菌是革兰阴性菌,其中以大肠埃希菌占首位,对碳青酶烯类抗菌药物耐药率低,对氨苄青霉素、喹诺酮类抗生素耐药率较高;革兰阳性球菌中以肠球菌、凝固酶阴性葡萄球菌多见,对万古霉素、利奈唑胺100%敏感,对其他抗菌药物均有不同程度的耐药;尿路真菌感染比例较高。结论糖尿病患者尿路感染病原菌耐药形式严重,二重感染增加,应引起重视,尽量根据细菌药敏试验结果选择抗菌药物。Objective To learn diabetic patients with urinary tract infection common pathogens distribution and antimicrobial drug resistance to guide clinical rational use of antimicrobial drugs. Methods Retrospective analysis of hospital 315 cases of diabetic patients with urinary tract infections, urine culture and sensitivity test results. Results Diabetic patients with urinary tract infection is the most common pathogen was Gram-negative bacteria, including Escherichia coli accounted for the first of the carbapenem antibiotic resistance is low, ampicillin, quinolone antibiotic resistance rates higher; Gram-positive cocci in enterococci, coagulase-negative staphylococci common, vancomycin, linezolid 100% sensitive to other antimicrobial drugs have varying degrees of resistance ; A higher proportion of fungal infections of urinary tract. Conclusions Diabetes drug in the form of urinary tract infection serious super infection increased attention should be paid, as far as possible according to the bacterial antimicrobial susceptibility test results selected.

关 键 词：糖尿病 尿路感染 病原菌 耐药性 

分 类 号：R259[医药卫生—中西医结合]