急性阑尾炎患者腹腔渗液的细菌培养及药敏分析

目的研究急性阑尾炎患者腹腔渗液的细菌培养及药物敏感性。方法对100例急性阑尾炎患者腹腔渗出液进行细菌培养、鉴定及药敏试验,对其中培养阳性的51例需氧菌进行分析及药敏结果。结果主要需氧致病菌以大肠埃希菌为主,其药物敏感率由高到低依次为亚胺培南、哌拉西林/他唑巴坦、头孢哌酮/舒巴坦、头孢西丁、氨曲南、阿米卡星、头孢曲松、头孢噻肟、洛美沙星、左旋氧氟沙星和庆大霉素。结论急性阑尾炎继发腹膜炎的主要需氧致病菌为大肠埃希菌,抗生素的选用应以腹腔渗液细菌培养为根据。

Germiculture and Drug Susceptibility Analysis of Abdominal Cavity Drainage in Patients with Acute Appendicitis

Objective To study germiculture and drug sensitivity characteristics of abdominal cavity drainage in patients with acute appendicitis. Methods Germiculture, identification and drug sensitive test were performed. In 100 cases of patients with acute appendicitis peritoneal exudates. 51 cases of aerobe culture positive and drug susceptibility were analyzed furthermore. Results E coli is the main aerobic bacteria. And the drug sensitive rate from high to low respectively is the imipenem, piperacil in/Tazobactam, cefoperazone/sulbactam, cefoxitin, Aztreonam, amikacin, ceftriaxone, cefotaxime, lomefloxacin, levofloxacin and gentamicin. Conclusions Mainly E coli is the main aerobic pathogenic bacterium in acute appendicitis with peritonitis patients. Application of antibiotics should be guided by the abdominal cavity drainage bacteria culture.