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[2006 - 2015年中国北方细菌性角膜炎的病因分析及药物敏感性]

[Etiological analysis and drug sensitivity of bacterial keratitis in northern China in the period of 2006-2015].

作者信息

Zhang Y, Wang Z Q, Sun X G

机构信息

Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Science Key Lab., Beijing 100730, China.

出版信息

Zhonghua Yan Ke Za Zhi. 2017 Sep 11;53(9):662-667. doi: 10.3760/cma.j.issn.0412-4081.2017.09.006.

Abstract

To analyze the etiology and drug sensitivity of bacterial keratitis and their changes, and to provide evidence for treatment and drug selection of bacterial keratitis. Retrospective case series study. From January 2006 to December 2015, corneal specimens suspected of bacterial infection were collected and cultured in Beijing Tongren Eye Center. General information of patients, etiological results and drug sensitivity test results were summarized and analyzed. The Chi-square test and Spearman correlation analysis were performed using SPSS 20.0 software. A total of 6 220 corneal specimens were collected, and 1 133 of them were positive. The positive rate was 18.2%. Among the positive specimens, 673 were from males and 460 were from females, aged from 11 days to 94 years old, with an average age of (45.3±22.1) years old. Among all isolated bacteria, 741 strains of Gram-positive cocci accounted for 62.0%, and 303 strains of Gram-negative bacilli accounted for 25.2%. Three hundred and twenty-one strains of Staphylococcus epidermidis was the most common isolates, accounting for 26.9% of all bacteria isolated, which was followed by 131 Strains of Pseudomonas aeruginosa (11.0%). drug sensitivity test results of 11 antibiotics showed that the sensitivity rate of gatifloxacin was highest, while the sensitivity rate of tobramycin and ceftazidime was lower than the other drugs. Multi-drug resistant bacteria accounted for 29.2% of all bacteria isolated. Bacterial species causing corneal infection are changing over time in northern China within recent 10 years. Staphylococcus epidermidis is the most common bacteria isolated. The sensitivity rate of corneal bacteria to the fourth generation of fluoroquinolone antibiotics represented by gatifloxacin is highest. .

摘要

分析细菌性角膜炎的病因、药敏情况及其变化,为细菌性角膜炎的治疗及药物选择提供依据。回顾性病例系列研究。收集2006年1月至2015年12月在北京同仁眼科中心怀疑有细菌感染的角膜标本并进行培养。总结分析患者的一般资料、病原学结果及药敏试验结果。采用SPSS 20.0软件进行卡方检验和Spearman相关性分析。共收集6220份角膜标本,其中1133份阳性,阳性率为18.2%。阳性标本中男性673例,女性460例,年龄11天至94岁,平均年龄(45.3±22.1)岁。在所有分离出的细菌中,革兰阳性球菌741株,占62.0%;革兰阴性杆菌303株,占25.2%。表皮葡萄球菌321株是最常见的分离菌,占所有分离菌的26.9%,其次是铜绿假单胞菌131株(11.0%)。11种抗生素的药敏试验结果显示,加替沙星的敏感率最高,而妥布霉素和头孢他啶的敏感率低于其他药物。多重耐药菌占所有分离菌的29.2%。近10年来中国北方地区引起角膜感染 的细菌种类随时间发生变化。表皮葡萄球菌是最常见的分离菌。以加替沙星为代表的第四代氟喹诺酮类抗生素对角膜细菌的敏感率最高。

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