新生儿脐炎病原菌分析的临床意义研究  

Study the clinical significance of the pathogen of neonatal omphalitiS analysis

作　　者：李科兴[1] 赵世权[1] 陈斌[1] 

机构地区：[1]四川省攀枝花市妇幼保健院,四川攀枝花617000

出　　处：《医学美学美容（中旬刊）》2015年第1期30-30,共1页

摘　　要：目的：探讨新生儿脐炎的病原菌类型和药敏情况，从而为临床上抗生素的使用提供依据。方法：选取我院收治的新生儿脐炎患者150例作为研究对象，采集脐分泌物和血液，在微生物室进行病原苗的培养和分离鉴定，进而检测菌种、进行药敏试验。结果：在150份标本中，病原菌共检出134例，占比89．3％。其中以金黄色葡萄球菌检出率最多，共计41例占比30．6％，其次依次为大肠埃希菌（15．0％）、表皮葡萄球菌（12．7％）、肺炎克雷伯菌（11．2％）、溶血葡萄球菌（7．5％）、木糖葡萄球菌（6．0％）、铜绿假单胞菌（4．5％）、粘质沙雷菌（3．7％）。其中，革兰阳性球菌对苯唑青霉素、原始霉素、褐霉素、万古霉素的敏感性较高；革兰阴性杆菌对亚胺硫霉素、头孢甲氧噻吩、丁胺卡那霉素、环丙氟哌酸的敏感性较高。结论：分析井了解新生儿脐炎的病菌类型和药物敏感状况，有利于医师合理使用抗菌药物，从而提高临床疗效。objective ： to study the neonatal umbilical infection of pathogenic bacteria types and drug susceptibility, to provide the basis for the clinical use of antibiotics. Methods ： select our hospital 150 cases of neonatal umbilical infection patients as the research object, collecting umbilical discharge and blood, in the cultivation of the pathogen and separate identification of microbial room, then test strains, drug sensitive test. Results： among the 150 specimens, pathogenic bacteria were detected 134 cases, accounting for more than 89.3%. With staphylococcus aureus detection rate most, a total of 41 cases accounted for 30.6%, the second order for e. coli （ 15.0% ） and the epidermis staphylococcus （ 12.7 % ）, klebsiella pneumoniac （ 11.2% ）, hemolysis staphylococcus （7.5%）, xylose, staphylovoceus angus （6.0%）, pseudomonas aeruginosa （4.5%）, glue, Mr Charest bacteria （3.7%）. Among them, the gram positive coccus of bensyl penicillin, the sensitivity of the original drug, brown secretion, vancomycin is higher; Gram-negative bacilli of imide sulfide toxin, eephalosporins oxygen thiophene, high sensitivity of amikacin ciprofloxacin. Conclusion： analysis and understanding of neonatal omphalitis types of bacteria and drug sensitive conditions, conducive to the ratianal use of antimicrobial agents, so as to improve clinical curative effect.

关 键 词：新生儿脐炎 病愿菌 药敏试验 抗生素 

分 类 号：R268[医药卫生—中医外科学]