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网络发布日期:2022-08-20
网络发布日期:2022-08-20
中文摘要: 目的 研究海口地区儿童肺炎流行病学特点及病原菌耐药情况。方法 选择2019年4月至2021年10月海南医学院第二附属医院就诊的427例肺炎患儿,所有患儿均进行病原菌测定及药敏试验,并分析儿童肺炎的流行病学特点。结果 427例肺炎患儿中3~5岁占比较高,男女构成比无差异,春、夏、秋、冬4季构成比相似。427例肺炎患儿中共检出病原菌166例,检出率为38.88%。166例检出病原菌的患儿中,共检出病原菌株257株,其中革兰阴性菌构成比高于革兰阳性菌,革兰阴性菌以肺炎克雷伯菌为主,其次分别为鲍曼不动杆菌及大肠埃希菌;革兰阳性菌以金黄色葡萄球菌、肺炎链球菌为主。肺炎克雷伯菌对氨苄西林的耐药率最高,鲍曼不动杆菌对庆大霉素的耐药率最高,大肠埃希菌对复方磺胺甲噁唑的耐药率最高,金黄色葡萄球菌对青霉素、红霉素的耐药率较高,肺炎链球菌对复方磺胺甲噁唑、四环素、克林霉素、红霉素的耐药率较高。结论 海口地区儿童肺炎病原菌多见于革兰阴性菌,且不同病原菌的耐药情况也有差异,临床应加强对耐药病原菌的检测。
Abstract:Objective To study the epidemiological characteristics and drug resistance of pathogens in children pneumonia in Haikou area. Methods From April 2019 to October 2021, 427 children with pneumonia treated in the Second Affiliated Hospital of Hainan Medical University were selected, all children were tested for pathogenic bacteria and drug sensitivity, and the epidemiological characteristics of children's pneumonia were analyzed. Results Among the 427 children with pneumonia, the proportion of 3-5 years old was relatively high, and the proportions of male and female, the proportions in spring, summer, autumn and winter were similar. A total of 166 pathogenic bacteria were detected in 427 children with pneumonia, with a detection rate of 38.88%. A total of 257 strains of pathogenic bacteria were detected in 166 children with pathogenic bacteria, of which gram-negative bacteria were higher than gram-positive bacteria. Gram negative bacteria were mainly Klebsiella pneumoniae, followed by Acinetobacter baumannii and Escherichia coli respectively. Staphylococcus aureus and Streptococcus pneumoniae were the main gram positive bacteria. Klebsiella pneumoniae has the highest resistance rate to compound sulfamethoxazole, Acinetobacter baumannii has the highest resistance rate to gentamicin, Escherichia coli has the highest resistance rate to ampicillin, Staphylococcus aureus has the higher resistance rate to penicillin and erythromycin, Streptococcus pneumoniae has the higher resistance rate to compound sulfamethoxazole, tetracycline, erythromycin, and clindamycin. Conclusions Pathogenic bacteria of children pneumonia in Haikou area are mostly gram negative bacteria, and the drug resistance of different pathogenic bacteria is also different. Clinical detection of drug-resistant pathogenic bacteria should be strengthened.
keywords: Haikou area Children Pneumonia Epidemiological characteristics Pathogenic bacteria Drug resistance
文章编号: 中图分类号:R563.1 文献标志码:B
基金项目:2020年度海南省卫生计生行业科研项目(20A200095)
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引用文本:
蒋家敏,霍开明,韩栋光,周家仍,古裕鸟,黄学晓.海口地区儿童肺炎流行病学特点及病原菌耐药情况[J].中国临床研究,2022,35(8):1111-1114,1119.
蒋家敏,霍开明,韩栋光,周家仍,古裕鸟,黄学晓.海口地区儿童肺炎流行病学特点及病原菌耐药情况[J].中国临床研究,2022,35(8):1111-1114,1119.