糖尿病合并皮肤及软组织感染的病原菌分布及耐药性分析  

Distribution and Drug Resistance of Pathogenic Bacteria in Diabetes with Infection of Skin and Soft Tissue

作　　者：文宏宇[1] 麦婉湘[1] 

机构地区：[1]桂林市中医医院,广西桂林541002

出　　处：《现代临床医学》2014年第4期290-292,共3页Journal of Modern Clinical Medicine

摘　　要：目的:对糖尿病合并皮肤及软组织感染的相关情况进行分析,以了解病原菌的分布及耐药性。方法:对我院确诊糖尿病患者合并皮肤及软组织感染部位分泌物分离出的364株病原菌分布及耐药性进行分析。结果:364株病原菌革兰阳性球菌检出率42.86%,其中主要2种致病菌为金黄色葡萄球菌和表皮葡萄球菌,对青霉素类的耐药率较高;分离出的革兰阴性杆菌检出率47.25%,其中2种主要致病菌为铜绿假单胞菌和克雷伯菌属,对于氨苄西林的耐药率最高,分别为95.5%和87.5%。结论:糖尿病患者合并皮肤及软组织感染率较高,且病原菌耐药性高,应根据药敏结果合理用药。Objective：To analyze the distribution and drug resistance of pathogenic bacteria in diabetes with infections of skin and soft tissue .Methods：Bacteria identification and drug sensitivity test of 364 strains who were separated from infectious skin and soft tissue in hospitalized patients with diabetes were retrospectively analyzed .Results：The number of positive cultures of 364.Gram -positive cocci were for 42.86%,the most bacteria were staphylococcus aureus and staphylococcus epidermidis , the drug resistance rates of penicillin was higher .The Gram -negative cocci were for 47.25%, the most bacteria were pesudomonas aeruginosa and klebsiella , the drug resistance rates of ampicillin were 95.5%and 87.5%respectively .Conclusion：There is a high rate of skin and soft tissue infection in diabetes , and the drug -resistance of pathogens is higher .we should choose sensitive drugs depending on drug sensitivity test .

关 键 词：糖尿病 皮肤 软组织 感染 病原菌 耐药性 

分 类 号：R587.2[医药卫生—内分泌]