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目的:探讨持续性非卧床腹膜透析相关性腹膜炎的病原菌分布及耐药性特点,为诊疗提供依据。方法:以我院收治的169例腹膜透析相关性腹膜炎患者为研究对象,采用实验室检验法检验。结果:患者中,培养结果为阳性占总数33.73%;其中革兰阴性杆菌所占比例明显高于革兰阳性球菌和真菌所占比例(P<0.05),抗药性最差的是阿米卡星。结论:临床治疗腹膜炎患者过程中,要格外重视由革兰阴性杆菌导致的腹膜炎,注重阿米卡星的用药效果,并增强患者透出液的阳性培养。
Objective: To investigate the distribution and drug resistance characteristics of pathogenic bacteria in continuous ambulatory peritoneal dialysis-related peritonitis and provide basis for diagnosis and treatment. Methods: A total of 169 patients with peritoneal dialysis-related peritonitis admitted to our hospital were investigated by laboratory test. Results: Among the patients, the positive results were 33.73%. The proportion of Gram-negative bacilli was significantly higher than that of Gram-positive cocci and fungi (P <0.05), and the worst resistance was amikacin . Conclusion: In the clinical treatment of patients with peritonitis, we should pay special attention to peritonitis caused by Gram-negative bacilli, pay attention to the effect of amikacin, and enhance the positive culture of the patient’s fluid.