Copyright
©The Author(s) 2018.
世界华人消化杂志. 2018-03-28; 26(9): 550-556
在线出版 2018-03-28. doi: 10.11569/wcjd.v26.i9.550
在线出版 2018-03-28. doi: 10.11569/wcjd.v26.i9.550
病原菌 | n | 构成比 |
革兰阴性菌 | 97 | 66.90 |
大肠埃希菌 | 46 | 31.72 |
ESBLs+ | 30 | 20.69 |
ESBLs- | 16 | 11.03 |
肺炎克雷伯菌 | 35 | 24.14 |
ESBLs+ | 17 | 11.72 |
ESBLs- | 18 | 12.41 |
铜绿假单胞菌 | 11 | 7.59 |
鲍氏不动杆菌 | 5 | 3.45 |
革兰阳性菌 | 44 | 30.34 |
金黄色葡萄球菌 | 23 | 15.86 |
粪肠球菌 | 12 | 8.28 |
屎肠球菌 | 5 | 3.45 |
表皮葡萄球菌 | 2 | 1.38 |
溶血葡萄球菌 | 2 | 1.38 |
真菌 | 4 | 2.76 |
白色念珠菌 | 2 | 1.38 |
光滑念珠菌 | 2 | 1.38 |
抗生素 | 耐药性 | 金黄色葡萄球菌 | 肠球菌属 |
红霉素 | S | 43.48 | 29.41 |
I | 21.74 | 0 | |
R | 34.78 | 70.59 | |
氯霉素 | S | 52.17 | 29.41 |
I | 26.09 | 0 | |
R | 21.74 | 70.59 | |
氨苄青霉素 | S | 21.74 | 41.18 |
I | 4.35 | 11.76 | |
R | 73.91 | 47.06 | |
万古霉素 | S | 100 | 100 |
I | 0 | 0 | |
R | 0 | 0 | |
环丙沙星 | S | 34.78 | 17.65 |
I | 13.04 | 0 | |
R | 52.17 | 82.35 | |
左氧氟沙星 | S | 43.48 | 17.65 |
I | 8.7 | 0 | |
R | 47.83 | 82.35 | |
利福平 | S | 69.57 | 58.82 |
I | 8.7 | 5.88 | |
R | 21.74 | 35.29 | |
复方新诺明 | S | 78.26 | 82.35 |
I | 4.35 | 0 | |
R | 17.39 | 17.65 |
抗生素 | 耐药性 | 大肠埃希菌 | 肺炎克雷伯菌 | 铜绿假单胞菌 | ||||
合计 | ESBLs+ | ESBLs- | 合计 | ESBLs+ | ESBLs- | |||
头孢曲松 | S | 28.26 | 16.67 | 50 | 57.14 | 35.29 | 77.78 | 27.27 |
I | 17.39 | 3.33 | 6.25 | 14.29 | 23.53 | 5.56 | 36.36 | |
R | 54.35 | 80 | 43.75 | 28.57 | 41.18 | 16.67 | 36.36 | |
头孢哌酮/舒巴坦 | S | 78.26 | 66.67 | 100 | 85.71 | 70.59 | 100 | 54.55 |
I | 4.35 | 6.67 | 0 | 5.71 | 11.76 | 0 | 27.27 | |
R | 17.39 | 26.67 | 0 | 8.57 | 17.65 | 0 | 18.18 | |
哌拉西林/他唑巴坦 | S | 97.83 | 96.67 | 100 | 88.57 | 76.47 | 100 | 27.27 |
I | 0 | 0 | 0 | 5.71 | 11.76 | 0 | 45.45 | |
R | 2.17 | 3.33 | 0 | 5.71 | 11.76 | 0 | 27.27 | |
左氧氟沙星 | S | 30.43 | 13.33 | 62.5 | 77.14 | 58.82 | 94.44 | 63.64 |
I | 21.74 | 23.33 | 18.75 | 8.57 | 11.76 | 5.56 | 18.18 | |
R | 47.83 | 63.33 | 18.75 | 14.29 | 29.41 | 0 | 18.18 | |
亚胺培南/西司他丁 | S | 97.83 | 96.67 | 100 | 80 | 58.82 | 100 | 72.73 |
I | 2.17 | 3.33 | 0 | 8.57 | 17.65 | 0 | 0 | |
R | 0 | 0 | 0 | 11.43 | 23.53 | 0 | 27.27 | |
头孢他啶 | S | 63.04 | 56.67 | 75 | 71.43 | 58.82 | 83.33 | 27.27 |
I | 4.35 | 3.33 | 6.25 | 11.43 | 17.65 | 5.56 | 27.27 | |
R | 32.61 | 40 | 18.75 | 17.14 | 23.53 | 11.11 | 45.45 | |
头孢吡肟 | S | 50 | 30 | 87.5 | 80 | 23.53 | 94.44 | 36.36 |
I | 4.35 | 6.67 | 0 | 5.71 | 11.76 | 0 | 9.09 | |
R | 23.91 | 36.67 | 12.5 | 14.29 | 64.71 | 5.56 | 45.45 | |
阿米卡星 | S | 97.83 | 96.67 | 100 | 88.57 | 76.47 | 100 | 27.27 |
I | 0 | 0 | 0 | 5.71 | 11.76 | 0 | 9.09 | |
R | 2.17 | 3.33 | 0 | 5.71 | 11.76 | 0 | 63.64 |
因素 | B | 标准误 | Wald | P值 | OR | 95%CI | |
下限 | 上限 | ||||||
MDR | 0.465 | 0.312 | 4.754 | 0.027 | 1.36 | 1.026 | 1.923 |
ESBLs+ | 0.891 | 0.408 | 5.321 | 0.010 | 1.45 | 1.093 | 2.113 |
发热至培养时间 | 0.512 | 0.532 | 5.683 | 0.000 | 1.25 | 1.032 | 1.867 |
引文著录: 魏寒松. 腹腔感染患者腹腔引流液中病原菌分布及其耐药性情况观察. 世界华人消化杂志 2018; 26(9): 550-556