泌尿系统感染住院患者抗菌药耐药监测以及应用状况调查  

Research on Drug Resistance Monitoring and Survey of Application Conditions of Antibacterial of Inpatients with Urinary System Infection

作　　者：胡琦[1] 李鑫[1] 王武龙[2] 崔鹏[1] 赵星星[1] 汪小军[1] 李海霞[1] 于洋[1] 

机构地区：[1]包头市肿瘤医院泌尿外科,内蒙古包头014030 [2]包头医学院第二附属医院放射治疗科,内蒙古包头014030

出　　处：《中国卫生产业》2016年第25期54-56,共3页China Health Industry

摘　　要：目的对泌尿系统感染住院患者抗菌药耐药监测研究以及应用状况进行调查性研究。方法选取该院2014年6月—2015年5月泌尿系统感染住院患者110例的病历资料,设计调查表获取调查资料,汇总尿液细菌培养镜检结果、主要病原菌对常见抗菌药物的耐药性情况,比较药敏试验组与非药敏试验组之间抗菌使用时间的差异。结果尿液细菌培养镜检结果显示革兰阴性菌、革兰阳性菌、真菌分别占49.19%、35.48%和15.32%;引发泌尿系统感染的病原菌不同,其敏感的抗菌药物不同,药物治疗方法亦不同;药敏试验组抗菌药物的平均使用时间为(9.26±2.74)d,显著低于非药敏试验组,差异具有统计学意义(P<0.05)。结论引发泌尿系统感染的病原菌多样,根据药敏试验结果给予抗菌药物治疗,有助于减少抗菌药物的使用时间。Objective To survey and research the drug resistance monitoring and application conditions of antibacterial of inpatients with urinary system infection. Methods The medical record data of 110 cases of inpatients with urinary system infection in our hospital from June 2014 to May 2015 were selected, and the survey data were obtained by self-design sur-vey table, and the urine bacteria culture microscopic examination results and resistance of main pathogens to common an-tibacterial were summarized, and the difference in the antibiosis use time between the drug-sensitive experiment group and the non-drug-sensitive experiment group was compared. Results The urine bacteria culture microscopic examination results showed that the gram-negative bacteria, gram positive bacteria and fungus were respectively 49.19%, 35.48 and 15.32%, and the pathogenic bacteria leading to the urinary system infection were different, and the antibacterial that the pathogenic bacteria were sensitive to was also different, and the drug treatment methods were also different, and the average use time of antibacterial in the drug-sensitive experiment group was （9.26±2.74） d, which was obviously lower than that in the non-drug-sensitive experiment group, and the difference had statistical significance, P〈0.05. Conclusion The pathogenic bacte-ria leading to the urinary system infection are multiple, and the treatment for antibacterial according to the drug-sensitive experimental results contributes to reducing the use time of antibacterial.

关 键 词：泌尿系统感染 住院患者 耐药监测 抗菌药合理应用 

分 类 号：R446[医药卫生—诊断学]