101例细菌性乳腺炎患者的临床病原分析

摘要

[目的]分析乳腺炎患者的细菌分布及感染状况,为临床用药提供有效的参考价值.[方法]留取乳腺的开放性脓液和封闭脓肿标本,增菌后移种于血平板和麦康凯平板,采用VITEK-2 compact全自动微生物鉴定仪进行菌种的鉴定和药物敏感性测定.[结果]101例细菌培养阳性的标本中G球菌90株,厌氧菌5株,G杆菌4株,G-杆菌2株.G-球菌中以葡萄球菌属细菌为主,其中金黄色葡萄球菌分离最多占61株.金黄色葡萄球菌中40%产β内酰胺酶,对青霉素的耐药率为91%.MRSA检出率为20%,凝固酶阴性葡萄球菌中100%产β-内酰胺酶,对苯唑西林的耐药率为80.6%.[结论]乳腺炎患者以G-球菌检出率最高,尤其以金黄色葡萄球菌为多,对青霉素有较高的耐药性.对利奈唑烷、万古霉素、替考拉宁全部敏感.%[Objective]To analyse bacteria distribution and infection of mastitis, offering reference to clinic. [ Method]Take V ITEK-2 compact full automatic bio authenticator to measure bacteria specialty and drug sensitivity. [Result] In the sample, there' re 90 strains of G- coccus, 5 anaerobe, 4 G' bacillus and 2 G bacillus, mainly Staphylococcus; the MRSA relevance ratio is 20％ ;the drug tolerance to oxacillin is 80. 6 ％. [Conclusion]The G+ coccus relevance ratio is highest, esp. auratus Staphylococcus, with much drug tolerance to pencillin, sensitive to Linezolid, vancomycin and teicoplanin.