摘要
目的:分析小儿细菌性肠炎病原菌及其耐药情况,以指导临床合理用药。方法:对306例细菌性肠炎患儿的标本进行粪便培养,其中阳性50例做药物敏感试验。结果:50例阳性病例,致病菌占52%,条件致病菌占16%,菌群失调占32%。氨苄西林、阿莫西林-克拉维酸、复方新诺明敏感率较低,分别为56.00%、66.67%、63.64%,三代头孢、氨基糖苷类、喹诺酮类敏感率较高。结论:三代头孢可作为小儿细菌性肠炎首选用药,>6岁患儿,可考虑选用氨基糖苷类或喹诺酮类。
Objective: To analyze the distribution of the pathogen in child bacterial enteritis and its resistance to antibiotics, and establish guidelines for rational use of antibiotic. Methods: Culture of feces was performed in 306 cases of bacterial enteritis, 50 of which were discovered positive and tested for antibiotic susceptibility. Results: The bacterium of these 50 cases consisted of 50% disease-causing germs (50%), chance-disease-causing germs (16%) and the lost-balance in intestinal bacterium (32%). The sensitivity rates of aminopenicillin, amoxicillin-clavulanic acid, SMZ-TMP were low, which were 56.00%, 66.67%, 63.64% in turm, The sensitivity rates to the third generation cephalusporins, amino glycosides, quinolones were higher. Conclusions: Considering the limitation of the medicine for child bacterial enteritis, the third generation cephalosporins could be chosen first, For the children ahove 6-year-old , amino glycosides could be used. When all these are not effective enough , quinolones could be used.
出处
《儿科药学杂志》
CAS
2006年第1期26-27,共2页
Journal of Pediatric Pharmacy
关键词
小儿
细菌性肠炎
病原菌
Child
Bacterial enteritis
Bacterium