儿科899例血液细菌培养和药敏实验结果分析.docVIP

儿科899例血液细菌培养及药敏实验结果分析 摘要：目的 了解儿科败血症患儿病原菌分布及耐药情况。方法 2013年10月1日至2014年9月30日我院儿科住院患儿细菌血液培养阳性标本中病原菌分布及药敏实验结果。病原菌分布实验结果 889份血培养标本中阳性标本126例，阳性率14.17%。其培养成病原菌129株，其中G+菌119株，以表皮葡萄球菌、溶血性葡萄球菌、金黄色葡萄球菌为主，G-菌10例，以肺炎克雷伯菌（6株）和洛菲不动杆菌（4株）为主。药敏实验结果：G+球菌未发现对万古霉素的耐药菌株，对替考拉宁，利福平，庆大霉素均较敏感，而对青霉素、红霉素、阿奇霉素的耐药率均大于80%。结论 表皮葡萄球菌，溶血性葡萄球菌，金黄色葡萄球菌、肺炎克雷伯菌是儿科败血症的主要病原菌，且普遍对青霉素、红霉素耐药。 关键词：新生儿败血症； 血培养； 耐药性 899 cases of bacterial culture and drug susceptibility test results analysis of blood in pediatric patients Miao Xianglian, HAN Fang Abstract Objective Investigate the distribution and drug resistance of the pathogenic bacteria in children with septicemia in pediatric cases. Method P athogenic bacteria distribution experiment and drug sensitivity experiment in the cultured positive samples from bacterial blood of hospitalized children in pediatric unit from October 1, 2013 to September 30, 2014.Results Results of pathogenic bacteria distribution: 126 cases of positive specimens were geted from 889 cases of cultured blood specimens , the positive rate was 14.17%, producting 129 strains of cultured pathogenic bacteria ,Including 119 strains of G+ bacteria and 10 strains of G- bacteria. Staphylococcus epidermidis, Staphylococcus haemolyticus, Staphylococcus aureus accounted for the majority of G+ bacteria.The 10 strains of G- bacteria included Klebsiella pneumoniae (6 strains) and Acinetobacter lwoffii (4 strains). The results of drug sensitive experiment: G+ coccus werent found resistant to vancomycin, but very sensitive to teicoplanin, rifampin, gentamycin .And The resistance rates of G+ coccus to penicillin, erythromycin, azithromycin were all above 80%. Conclusion Staphylococcus epidermidis, Staphylococcus haemolyticus, Staphylococcus aureus, Klebsiella pneumoniae are the main pathogenic bacterias of pediatric sepsis and generally resistant to penicillin, erythromycin. Key words neonatal septicemia blood culture antibiotic resistance 为了解我院近年来儿科患者血液细菌培养病原菌的分布及耐药性的特点。我们回顾分析了2013年