复发性尿路感染细菌检验和药敏情况及治疗分析.docVIP

复发性尿路感染细菌检验和药敏情况及治疗分析 　　[摘要] 目的 探究复发性尿路感染临床细菌检验、药敏以及治疗情况。 方法 方便选取2014年8月―2016年8月该院经诊断确诊为复发性尿路感染的患者60例纳为该次参研的对象，对所选患者的临床资料展开回顾性分析，所有研究对象均采取药敏试验以及尿液细菌培养试验，依照试验获得的结果对患者实施对症临床治疗措施。结果 该组60例患者中，尿细菌检验结果显示阳性的患者有21例，在所选患者人数中的占比为35.00%，其中3例（5.00%）粪肠球菌感染，12例（20.00%）大肠埃希菌感染，4例（6.70%）合并支原体感染以及2例（3.30%）肺炎克伯雷菌感染。所有患者经针对性的治疗后有效率为95.00%（57/60）。 结论 在临床治疗复发性尿路感染患者时，通过尿细菌检验对患者长期治疗进行指导存在一定的局限性，情况必要时可与患者药敏试验相互结合，依此选取抗生素，再通过分期治疗的方式开展治疗可提高临床治疗的效果。 　　[关键词] 细菌试验；复发性尿路感染；治疗；药敏试验 　　[中图分类号] R446 [文献标识码] A [文章编号] 1674-0742（2017）09（b）-0180-03 　　[Abstract] Objective This paper tries to explore the clinical and bacteriological examination of recurrent urinary tract infection， drug sensitivity and treatment. Methods 60 patients diagnosed with recurrent urinary tract infection from August 2014 to August 2016 in this hospital were convenient selected as the research objects， clinical data of the selected patients were retrospectively analyzed. All subjects were taken drug sensitivity test and urine bacterial culture test， according to the results， the clinical treatment measures for patients were implemented. Results Among the 60 cases， urine test results showed that 21 cases of positive， accounting for 35.00% of the selected patients； 3 cases （5.00%） of enterococcus faecalis infection， 12 cases （20.00%） of escherichia coli infection， 4 cases （6.70%） with mycoplasma pneumoniae infection and 2 cases （3.30%） of kebolei pneumonia bacteria infection. All the patients underwent the targeted treatment and the curative rate was 95.00% （57/60）. Conclusion In the clinical treatment of patients with recurrent urinary tract infection， there are some limitations by bacteria in the urine test for patients with long-term treatment， when necessary， it can be combined with patients with drug sensitivity test， antibiotics then can be chosen， and the treatment can improve the clinical curative effect by stages. 　　[Key words] Bacteria test； Recurrent urinary tract infection； Treatment； Drug sensitivity test 　　在临床