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脓疱病的细菌学及病原体的抗菌谱

Bacteriology of pyodermas and antibiograms of pathogens.

作者信息

Singh G, Bhattacharya K

出版信息

Indian J Dermatol. 1989 Jun;34(2):25-31.

PMID:2632374
Abstract

One hundred and seventy six cases of various clinical types of pyodermas were investigated to find the causative organism of the disease. Folliculitis formed the largest clinical group followed by infectious eczematoid dermatitis, secondary infection, furuncles, impetigo, ecthyma and carbuncle in descending order of frequency. A total of 189 micro-organisms were isolated from the specimens examined. A single infecting organism was isolated from 74.43% and more than one type of organism from 16.48% of cases. Coagulase positive staphylococcus (73.02%) was the predominant species followed by beta-haemolytic streptococcus (26.98%). Coagulase positive staphylococcus was isolated from 109 (61.93%), beta-haemolytic streptococcus from 22 (12.5%) and both these organisms from 29 (16.48%) cases. The antibiotic resistance pattern showed maximum resistance to penicillin followed by ampicillin. None of the strain was found to be resistant to kanamycin. Low percentage of strains were found to be resistant to streptomycin, oxytetracycline, trimethoprim, cloxacillin, erythromycin, chloramphenicol, cephalexin, gentamycin and neomycin.

摘要

对176例各种临床类型的脓疱病进行了调查,以找出该病的病原体。毛囊炎是最大的临床类型组,其次是传染性湿疹样皮炎、继发感染、疖、脓疱疮、深脓疱疮和痈,其出现频率依次递减。从所检查的标本中共分离出189种微生物。74.43%的病例分离出单一感染病原体,16.48%的病例分离出一种以上病原体。凝固酶阳性葡萄球菌(73.02%)是主要菌种,其次是β-溶血性链球菌(26.98%)。109例(61.93%)分离出凝固酶阳性葡萄球菌,22例(12.5%)分离出β-溶血性链球菌,29例(16.48%)同时分离出这两种菌。抗生素耐药模式显示对青霉素耐药性最高,其次是氨苄青霉素。未发现菌株对卡那霉素耐药。发现对链霉素、土霉素、甲氧苄啶、氯唑西林、红霉素、氯霉素、头孢氨苄、庆大霉素和新霉素耐药的菌株比例较低。

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