摘要
目的研究肛周脓肿的菌群分布以及对抗生素的耐药情况。方法对35例肛周脓肿脓液进行革兰氏染色、细菌培养及药物敏感试验。结果革兰氏阴性杆菌33例,占94.29%(33/35),革兰氏阳性球菌2例,占5.71%(2/35)。大肠埃希菌26例,占74.29%(26/35),其他细菌(阴沟杆菌、产酸克雷伯菌、普通变形杆菌、产气肠杆菌、肺炎克雷伯菌、奇异变形杆菌、弗劳地枸橼酸杆菌、金黄色葡萄球菌、B型溶血性链球菌各1例)占25.71%(9/35)。产ESBLs株10例,占30.30%(10/33),均为大肠埃希菌。药物敏感试验结果显示细菌平均耐药率为29.14%～60.61%。结论肛周脓肿以大肠埃希菌感染为主,对抗生素耐药率较高,单独使用抗生素治疗肛周脓肿没有价值,应及时手术治疗。
Objective To Study the bacterial distribution and antibiotic resistance in perianal abscess. Methods Gram staining method,bacterial culture and Antimicrobial Susceptibility Test were carried out in 35 cases with perianal abscess. Results The main pathogenic organisms was gram negative bacilli（33 ca- ses）, accounted for 94.29 % （33/35）. Gram positive coccus （ 2 cases） accounted for 5. 71% （ 2/35 ）. Esche- richia coli（26 cases） accounted for 74.29% （26/35）, other pathogenic bacteria accounted for 25.71%（9/ 35 }. ESBLs strains in 10 cases, accounted for 30.30 %（10/33）, all were escherichia coli. The resistance rate was 29.14% to 60.61% on avervage. Conclusion Escherichia coli was the main pathogenic bacteria in peri- anal abscess,had higher resistance to antibiotics. Antibiotics had no value in the treatment of perianal ab- scess only,and the operations should be done timely.
出处
《结直肠肛门外科》
2013年第1期31-33,共3页
Journal of Colorectal & Anal Surgery
关键词
肛周脓肿
细菌培养
药物敏感试验
Perianal abscess
Bacterial culture
Antimicrobial Susceptibility Test
