院内肠球菌属尿路感染36例剖析.docVIP

院内肠球菌属尿路感染36例剖析 　　[摘要] 目的：分析肠球菌属尿路感染的临床特点，了解其病原菌的分布及耐药性以指导临床用药。方法：对本院住院患者发生院内肠球菌属尿路感染的36例患者的资料进行回顾性分析。结果：经过对36例患者临床资料的分析，发现肠球菌属分类以粪肠球菌和屎肠球菌为主，二者对抗菌药物均有比较高的耐药性；肠球菌属在泌尿道感染率高达24.3%。结论：肠球菌属是导致泌尿道感染的较常见致病菌，临床表现无明显特异性，临床上重视病原菌的培养及药敏试验，做到及时、有效的治疗尿路感染，可以有效提高院内肠球菌属尿路感染的治愈率。 　　[关键词] 院内；肠球菌属；泌尿道；感染 　　[中图分类号] R691.3 [文献标识码]C[文章编号]1674-4721（2011）07（c）-245-02 　　 　　Analysis of 36 patients with nosocomial enterococcus urinary tract infection 　　DENG Qiongmei 　　Department of Internal Medicine, Civil Aviation Guangzhou Hospital, Guangdong Province, Guangzhou 510405, China 　　[Abstract] Objective: To guide clinical medication by analyzing the clinical features of enterococcus urinary tract infection and understanding the distribution and resistance of pathogens. Methods: Information of 36 hospitalized patients with nosocomial enterococcus urinary tract infection in our hospital was analyzed retrospectively. Results: After analyzed of the clinical information of 36 patients, it was found that the main types of enterococcus were enterococcus faecalis and enterococcus faecium, both of which had relatively high resistance to antimicrobial drugs. The infection rate of enterococcus in urinary tract reached up to 24.3%. Conclusion: Enterococcus is a relatively common pathogen of urinary tract infection, with no significantly specific clinical manifestations. Attachment of clinical importance to the culture and drug sensitive test of pathogens and prompt and effective treatment of urinary tract infection can effectively increase the cure rate of nosocomial enterococcus urinary tract infection. 　　[Key words] Nosocomial; Enterococcus; Urinary tract; Infection 　　 　　尿路感染是临床上常见的感染性疾病，影响患者的身体健康及生活质量[1]。肠球菌属于条件致病菌，当机体抵抗力下降时，可以发生细菌易位引起机体多部位的感染。有研究发现[2]，随着抗菌药物的广泛使用，肠球菌属导致的院内感染不断增加，尿路感染尤为明显，是引起泌尿道感染的主要G+细菌[3]。笔者对本院2008年2月～2010年11月住院患者发生院内肠球菌属尿路感染的36例患者资料进行回顾性分析，旨在了解本院院内肠球菌属尿路感染的情况，现做如下报道： 　　1 资料与方法 　　1.1 一般资料 　　选择本院2008年2月～2010年11月住院期间发生院内肠球菌属尿路感染的36例患者资料。36例患者均经实验室及临床证实存在有肠球菌属尿路感染，诊断标准，①院