Kristo Branko, Buljan Marko
Department of Otorhinolaryngology, Head and Neck Surgery, County Hospital of Livno, Bosnia and Herzegovina.
Med Glas (Zenica). 2011 Aug;8(2):284-6.
The aim of the study was to determine aetiological agents of chronic suppurative inflammation of the middle ear and their susceptibility to antibiotics, which could lead to better therapeutic decisions and consequently avoidance of appearance of resistance to specific antibiotics. Most frequently isolated agents were Staphylococcus aureus (30.6%), Pseudomonas aeruginosa (22.4%), Klebsiella spp. (10.6%) and Proteus spp. (7.1%). None of the isolates were resistant to ciprofloxacin. High sensitivity rates to gentamycin were noted in Staphylococcus and Klebsiella isolates, and moderate ones in Pseudomonas and Proteus isolates. Pseudomonas spp. has shown low prevalence of resistance to third-generation cephalosporins, as well as to imipenem and piperacillin.
该研究的目的是确定中耳慢性化脓性炎症的病原体及其对抗生素的敏感性，这有助于做出更好的治疗决策，从而避免出现对特定抗生素的耐药性。最常分离出的病原体是金黄色葡萄球菌（30.6%）、铜绿假单胞菌（22.4%）、克雷伯菌属（10.6%）和变形杆菌属（7.1%）。所有分离株对环丙沙星均不耐药。金黄色葡萄球菌和克雷伯菌属分离株对庆大霉素的敏感率较高，而铜绿假单胞菌和变形杆菌属分离株的敏感率中等。铜绿假单胞菌对第三代头孢菌素、亚胺培南和哌拉西林的耐药率较低。
