肛周脓肿脓液细菌培养64例临床分析  

Clinical Analysis on the Culture of Pus from Perianal Abscess of 64 Cases

作　　者：张乳艳[1] 蒋峰[1] 高卫卫[1] 温鲁平 王为[1] 

机构地区：[1]江苏省徐州医学院附属医院肛肠科,江苏徐州221000

出　　处：《中国肛肠病杂志》2016年第4期23-25,共3页Chinese Journal of Coloproctology

摘　　要：为了解肛周脓肿脓液细菌培养的致病菌分布及其耐药性，便于指导临床应用抗菌药物，提高疗效，将明确诊断为肛周脓肿患者的脓液送检。结果显示，64例脓液标本，培养共分离出病原菌46株，其中大肠埃希菌分布最多，占73．91％，对亚胺培南、阿米卡星、氨曲南、哌拉西林／他唑巴坦、头孢他啶的敏感性较高，耐药率均〈18％；对氨苄西林、头孢唑林、四环素耐药率较高，均在70％以上。结果表明，肛周脓肿感染的病原菌以大肠埃希菌为主，对氨曲南、头孢他啶敏感，在未得到药敏结果之前，围手术期可以选择使用。In order to understand the distribution and drug-resistance of pathogens in culture of pus from perianal abscess,so as to direct clinically using drugs so that uplift effect, authors sampled the pus from confirmed perianal abscess patients to take laboratory examination.As results,in all 64 specimens 46 strains of pathogen were isolated among which E.Coli was predominant（73.91%）, and high sensitivity to imipen- em, amikacin, aztreonam, piperacillin/tazobactam, ceftazidime, but resistance rate was 〈 18 %, all ; while to ampicillin,cefazolin and tetracycline up to 70%0 and more, all. Results show that the pathogens infected perianal abscess are mainly E. Coli which is sensitive to aztreonam and ceftazidime,therefore before drug- sensitivity results having not been inspected,it may he to choose these two drugs at perioperation.

关 键 词：肛周脓肿 致病菌 耐药性 脓液培养 

分 类 号：R657.15[医药卫生—外科学]