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复发性尿路感染的细菌检验药敏情况及治疗效果观察(1)
http://www.100md.com 2018年4月23日 《医学信息》 2018年第16期
     摘 要:目的 探讨复发性尿路感染的细菌检验药敏情况及治疗效果。方法 选取我院2017年1月~2018年3月复发性尿路感染患者79例,对其尿液标本实施细菌培养和药敏试验,并根据试验结果对患者进行针对性治疗,分析病原菌情况、药敏试验结果及治疗效果。结果 经尿细菌培养,79例患者中尿检阳性29例,其中大肠埃希菌占68.97%,肺炎克雷伯菌占10.34%,粪肠球菌占20.69%,合并支原体感染占17.24%;治疗总有效率为96.20%,且尿检阳性患者治疗效果与阴性患者比较,差异无统计学意义(P>0.05)。结论 根据细菌检验药敏结果对复发性尿路感染患者进行针对性抗菌药物治疗,可获得较高的治疗效果。

    关键词:复发性尿路感染;细菌检验;药敏情况

    中图分类号:R446.5 文献标识码:B DOI:10.3969/j.issn.1006-1959.2018.16.048
, 百拇医药
    文章编号:1006-1959(2018)16-0152-03

    Observation of Drug Sensitivity and Therapeutic Effect of Bacteriological Test for Recurrent Urinary Tract Infection

    XIONG Xiao-fang1,TANG Jing2

    (1.Anfu County Health and Family Planning Comprehensive Supervision and Law Enforcement Bureau,Anfu 343200,Jiangxi,China;

    2.Department of Clinical Laboratory,Ji'an Central People's Hospital,Ji'an343200,Jiangxi,China)
, 百拇医药
    Abstract:Objective To investigate the susceptibility and therapeutic effect of bacteriological test for recurrent urinary tract infection.Methods 79 patients with recurrent urinary tract infections from January 2017 to March 2018 were selected and their urine samples were cultured and tested for drug sensitivity.According to the test results,the patients were given targeted treatment,and the pathogenic bacteria,drug sensitivity test results and therapeutic effect were analyzed.Results 29 of the 79 patients were positive in urine culture, of which 68.97% were Escherichia coli,10.34% were Klebsiella pneumoniae,20.69% were Enterococcus faecalis,17.24% were complicated with Mycoplasma infection,and the total effective rate was 96.20%.There was no significant difference in the treatment effect between the positive and negative patients(P>0.05).Conclusion According to the results of bacteriological susceptibility test,targeted antimicrobial treatment for patients with recurrent urinary tract infection can obtain a higher therapeutic effect.

    Key words:Recurrent urinary tract infection;Bacteriological test;Drug sensitivity

    復发性尿路感染(recurrent urinary tract infection)是一种常见的泌尿道疾病,是指1年内尿路感染发生次数超过3次,具有病情复杂、控制难度大、难治愈等特点[1]。临床上常需要长期接受抗菌药物治疗,但易产生多种耐药性及不良反应,影响治疗效果。因此,采取有效措施提高治疗的有效性是目前关注的重点问题[2,3]。基于此,本研究对我院79例复发性尿路感染患者展开研究,旨在探讨根据细菌检验药敏情况对复发性尿路感染患者实施长期治疗的效果,为以后治疗方案的选择提供依据。, 百拇医药(熊小芳 唐晶)
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