210株肠道致病菌的分类及耐药性分析  

210 PATHOGENIC BACTERIAS IN ENTERON:CLASSIFICATION AND RESISTANCE

作　　者：边锋芝[1] 马全萍[1] 刘安荣[1] 苑广盈[1] 

机构地区：[1]济南市第四人民医院检验科,山东济南250031

出　　处：《中国微生态学杂志》2003年第3期163-164,共2页Chinese Journal of Microecology

摘　　要：目的 :探讨本地区肠道致病菌的分类及主要致病菌的耐药性 ,给临床治疗腹泻疾病提供指导。方法 :药敏试验采用K B法 ,用WHONET4软件进行数据分析。结果 :2 10株肠道致病菌中 ,志贺菌属占70 % ,沙门菌属占 3% ,致病性大肠埃希菌占 4 8% ,副溶血弧菌占 3 8% ,阴沟肠杆菌占 3 3% ,鼠伤寒沙门菌占 2 4 % ,霍乱弧菌占 1 9% ,其他占 10 8%等 ;在志贺菌属中 ,福氏占 87% ,宋内占 13%。福氏和宋内志贺菌对三代头孢和IMP较敏感 ,对复方新诺明耐药率较高。结论 :福氏志贺菌是肠道的主要致病菌 ;临床怀疑菌痢时 ,应首选三代头孢、IMP。Objective:To analyze the classificationg and resistance of entropathogens in the district.Methods:Bacterial susceptibility were performs wity K-B method.The data analysis were made with WHONET4 software. Results: Shigella and Salmonlla accounted for 70% and 3%,respectively,and the ofthers such as pathogenic E.coli (4.8%)? V.pqrahaemolyticus (3.8%)? W.cloacae (3.3%)? S.typhimurium (2.4%)? V.cholerae (1.9%),in 210 entropathogenic bacterias. S.flexneri and S.sonnei accouted for 87% and 13%,respectively,and they have low resistance rate to third generation cephalosprins and imipenem,and high resistance rate to trimethoprim sulfamethoxazole.Conclusion: S.flexneri is major in entropathogenic bacterias.When suspecting dysentery,clinical doctor should select third-generation cephalosprins and imipenem firstly.

关 键 词：肠道致病菌 分类 耐药性 抗菌药物 

分 类 号：R378[医药卫生—病原生物学]