沈安英, 全彩琪, 张建华. 新生儿脐炎脐部分泌物病原菌及耐药性检测[J]. 上海预防医学, 2012, 24(4): 176-179.
引用本文: 沈安英, 全彩琪, 张建华. 新生儿脐炎脐部分泌物病原菌及耐药性检测[J]. 上海预防医学, 2012, 24(4): 176-179.
SHEN An-ying, QUAN Cai-qi, ZHANG Jian-Hua. Study on 92 pathogens and drug-resistance of Newborn omphalitis[J]. Shanghai Journal of Preventive Medicine, 2012, 24(4): 176-179.
Citation: SHEN An-ying, QUAN Cai-qi, ZHANG Jian-Hua. Study on 92 pathogens and drug-resistance of Newborn omphalitis[J]. Shanghai Journal of Preventive Medicine, 2012, 24(4): 176-179.

新生儿脐炎脐部分泌物病原菌及耐药性检测

Study on 92 pathogens and drug-resistance of Newborn omphalitis

  • 摘要: 目的 了解新生儿脐炎病原菌分布及其耐药性,为本病预防及治疗提供参考。方法 调查我院2007年1月—2011年9月收治的有完整资料新生儿脐炎114例,对脐部分泌物所分离到的92株致病菌的种类及药敏状况进行分析。结果 114例中检出92株致病菌,检出率80.7%(92/114),革兰阳性菌60株,占65.2%(60/92)。金黄色葡萄球菌39株,占42.4%(39/92),凝固酶阴性葡萄球菌21株,占22.8%(21/92);革兰阴性菌31株,占33.7%(31/92),大肠埃希菌9株,占9.8%(9/92),肺炎克雷伯菌7株,占7.6%(7/92),其它革兰阴性菌15株,占16.3%(15/92),真菌1株,占1.1%(1/92)。耐甲氧西林葡萄球菌(MRS)为65.0 %(39/60),产超广谱β-内酰胺酶(ESBLs)大肠埃希菌和肺炎克雷伯菌分别为55.6%(5/9)、57.1%(4/7),均具有多重耐药性。结论 新生儿脐炎的病原菌主要为金黄色葡萄球菌、表皮葡萄球菌、大肠埃希菌、肺炎克雷伯菌等,耐甲氧西林葡萄球菌(MRS)及产超广谱β-内酰胺酶(ESBLs)株增多,加强新生儿脐部护理,减少新生儿脐炎仍十分必要。

     

    Abstract: Objective To investigate the distribution of pathogens of neonate navel infection and their drug sensitivity to antibiotics,and to provide basis to choose rational antibiotics for clinical treatment of neonatalomphalitis.Methods Bacteria culture and antibiotic sensitivity test were undertaken for infected navel secretion of 114 newborn cases selected from Jan 2007 to Sep 2011 were conducted, the category and antibiotic sensitivity of the obtained 92 pathogens were analyzed.Results Among the 114 cases, 92 pathogens were isolated. positive strains 80.7%(92/114).The main pathogens were Gram-positive cocci accounted for 65.2%(60/92),the most of which were S.aureus 42.4%(39/92),coapulase-negative staphylococcus 22.8%(21/92).The Gram-negative bacilli pathogens took up 33.7%(31/92),among which Escherichia coli accounted for (9.8%)(9/92).K.Penumoniae accounted for (7.6%)(7/92),other Gram-negative bacilli pathogens 16.3%(15/92) and fungi 1.1%(1/92).MRS occupied 65.0%(39/60),E. coli and K.Penumoniae of ESBLs accounted for 55.6%(5/9) and 57.1%(4/7).The various bacteria were serous resistance to common antianicrobial agents.Conclusion The main pathogentic bacteria of the newborn omphlitis areS. aureus,S. epidermidis,S. Escherichia coli and K. pneumoniae.There is a trend of the increase of MRS and ESBLs pathogens.The various bacteria were multi-drug resistance to common antianicrobial agents.It is necessary to advise how attend to the newborn in order to decrease the newborn omphlitis.

     

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