化脓性骨髓炎细菌培养及药敏试验结果分析  

Analysis of bacterial culture and drug sensitivity test results of suppurative osteomyelitis

作　　者：尹健[1] 沈玉萍[1] YIN Jian;SHEN Yuping(Clinical Laboratory Center,Affiliated Hospital of Traditional Chinese Medicine,Xinjiang Medical University,Wulumuqi 830000,Xinjiang,China)

机构地区：[1]新疆医科大学附属中医医院临床检验中心,新疆乌鲁木齐830000

出　　处：《医药前沿》2021年第4期5-6,26,共3页Journal of Frontiers of Medicine

摘　　要：目的:对200例化脓性骨髓炎细菌培养以及药敏试验结果进行分析。方法:择取2018年9月—2019年9月在我院进行治疗的化脓性骨髓炎患者共200例,对所有患者骨髓炎细菌进行培养以及药敏试验,统计细菌培养结果,分析细菌药敏试验结果。结果:在200例标本中,阳性标本177例,占88.50%,阴性标本23例,占11.50%,其中最多为金黄色葡萄球菌79例,占44.63%,其次为铜绿色假单胞菌29例,占16.38%;对所有致病菌使用十种抗生素进行药敏试验,其中敏感率最高丁胺卡那霉素,敏感率为75.71%,其次为环丙沙星感敏率为61.58%,敏感率最低为青霉素,敏感率为9.60%。结论:在化脓性骨髓炎中,出现细菌种类较多,需要进行细菌培养,分析出致病菌,同时进行药敏试验,根据药敏试验结果选择多种抗生素进行联合治疗,可提高临床治疗效果。Objective To analyze the bacterial culture and drug sensitivity test of 200 cases of suppurative osteomyelitis.Methods A total of 200 patients with suppurative osteomyelitis who were treated in our hospital from September 2018 to September 2019 were selected.The osteomyelitis bacteria of all patients were cultured and drug sensitivity test was conducted.The bacterial culture results were counted and the bacterial drug sensitivity test results were analyzed.Results Among the 200 samples,177 cases were positive,accounting for 88.50%,and 23 cases were negative,accounting for 11.50%.Staphylococcus aureus was the most prevalent,accounting for 44.63%,followed by Pseudomonas ceruginosa,29 cases,accounting for 16.38%.Ten kinds of antibiotics were used for drug sensitivity test of all pathogenic bacteria,among which the sensitivity rate of amikacin was the highest(75.71%),followed by ciprofloxacin(61.58%),and the sensitivity rate of penicillin was the lowest(9.60%).Conclusion There are many kinds of bacteria in suppurative osteomyelitis,so it is necessary to conduct bacterial culture,analyze pathogenic bacteria,and conduct drug sensitivity test at the same time.Combined treatment with multiple antibiotics according to the results of drug sensitivity test can improve the clinical treatment effect.

关 键 词：化脓性骨髓炎 细菌培养 药敏试验 

分 类 号：R681.2[医药卫生—骨科学]