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李波, 王春香, 陈林娜, 刘玲, 周立勤. 泌尿道感染病原菌对多类抗生素耐药性相关分析[J]. 中国公共卫生, 2008, 24(5): 597-599. DOI: 10.11847/zgggws2008-24-05-42
引用本文: 李波, 王春香, 陈林娜, 刘玲, 周立勤. 泌尿道感染病原菌对多类抗生素耐药性相关分析[J]. 中国公共卫生, 2008, 24(5): 597-599. DOI: 10.11847/zgggws2008-24-05-42
LI Bo, WANG Chun-xiang, CHEN Lin-na, . Correlation analysis on resistance of urinary tract infection pathogens to antibacterials in Hubei[J]. Chinese Journal of Public Health, 2008, 24(5): 597-599. DOI: 10.11847/zgggws2008-24-05-42
Citation: LI Bo, WANG Chun-xiang, CHEN Lin-na, . Correlation analysis on resistance of urinary tract infection pathogens to antibacterials in Hubei[J]. Chinese Journal of Public Health, 2008, 24(5): 597-599. DOI: 10.11847/zgggws2008-24-05-42

泌尿道感染病原菌对多类抗生素耐药性相关分析

Correlation analysis on resistance of urinary tract infection pathogens to antibacterials in Hubei

  • 摘要: 目的 分析泌尿道感染(UTI)病原菌对多类抗生素耐药的相关性,为选择有效抗生素提供依据.方法 收集湖北省细菌耐药监测网15所三级甲等医院患者中段尿样分离的病原菌,按统一方法进行药敏试验,用SAS 6.0软件和WHONET 5.3软件进行统计分析.结果 病原菌以革兰阴性菌为主,对不同类抗生素的耐药存在广泛而显著的正相关性,并且对多类抗生素的耐药率不断上升.仅呋喃妥因耐药与其他类抗生素耐药的相关性较弱或无相关性,其耐药率较低而稳定.革兰阴性菌对复方新诺明与环丙沙星、氨苄西林、庆大霉素、氯霉素、四环素耐药,环丙沙星与氨苄西林、庆大霉素耐药呈正相关,其r值在0.32~0.44之间,均P<0.001;革兰阳性菌对环丙沙星、复方新诺明、克林霉素、红霉素、庆大霉素中任2种耐药的均呈正相关r值在0.22~0.39,表明革兰阳性菌对这些药物可能存在连锁耐药.结论 呋喃妥因可成为经验性治疗泌尿道感染的优选药物.

     

    Abstract: Objective To generalize a theoretically scientific basis on empirical antimicrobial selection for ur inar y tract in fectio ns(UT I),we analy zed correlative resistance of uropathogens to antibiotics of types.Methods Uropathogens of U T I patients wer e collected from 15 tert iary grade A hospitals in Hubei Ant imicrobial Resistance Surveillance Networ k,and then antimicrobial susceptibility testing was done o n uniformity project.Related statist ical analysis were made with softwares SAS 6.0 and WHON ET 5.3.Results Gram negative bacteria was the most frequently uropatho gen.There was generally signifi cant positive correlation between resistance to one antibiotic and to another.Moreover,did rise the highresistance rates of either gram negative strains or grampositive ones to many tested antibiotics.Only nitrofur antoin resistance of lowand stable rates had either the faintest or no significant correlation with resistance to any other antibiotic.Conclusion Nitrofur antoin should be the preferred agent for empirical UTI treatment.

     

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