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目的了解胆道感染的细菌分布及其药敏实验,为临床合理使用抗生素提供依据。方法回顾性分析156例胆道感染患者胆汁培养的112株细菌的分布及药敏分析结果。结果胆汁培养共鉴定出112株细菌,其中革兰阴性菌73株(65.2%),革兰阳性菌32株(28.5%),真菌7株(6.3%)。亚胺培南、美罗培南、头孢他啶及阿米卡星药物对革兰阴性菌抗菌敏感率较高,而万古霉素、替考拉宁及头孢哌酮对革兰阳性细菌抗菌敏感度较高。结论胆道感染以革兰阴性菌为主,临床应根据细菌培养及药敏实验结果合理的使用相关抗生素。
Objective To understand the bacterial distribution of biliary tract infection and its susceptibility testing to provide a basis for clinical use of antibiotics. Methods The distribution of 112 strains of bacteria cultured in bile of 156 patients with biliary tract infection were analyzed retrospectively. Results A total of 112 strains of bacteria were identified in bile culture, including 73 (65.2%) Gram-negative bacteria, 32 (28.5%) Gram-positive bacteria and 7 (6.3%) fungi. Imipenem, Meropenem, ceftazidime and amikacin were highly sensitive to Gram-negative bacteria, while vancomycin, teicoplanin and cefoperazone had higher antibacterial activity against Gram-positive bacteria. Conclusions Gram-negative bacteria are the main causes of biliary tract infection. Relevant antibiotics should be rationally used according to bacterial culture and drug sensitivity test results.