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埃塞俄比亚西北部贡德尔大学综合专科医院慢性化脓性中耳炎的细菌谱及抗菌药物敏感性模式

Bacterial profile and antimicrobial susceptibility patterns in chronic suppurative otitis media at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia.

作者信息

Molla Rahel, Tiruneh Moges, Abebe Wondwossen, Moges Feleke

机构信息

Department of Laboratory, University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia.

Department of Medical Microbiology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, P.O. Box: 196, Gondar, Ethiopia.

出版信息

BMC Res Notes. 2019 Jul 15;12(1):414. doi: 10.1186/s13104-019-4452-4.

Abstract

OBJECTIVES

This study aims to determine bacterial profile and antimicrobial susceptibility patterns of chronic suppurative otitis media in the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia.

RESULT

Sixty-two ear swabs were collected and 74 bacterial isolates were identified, of which 48 (77.4%) sample with mono-microbial growth, 11 (17.8%) with polymicrobial growth and the remaining 3 (4.8%) show no growth. The most common isolates were Proteus mirabilis 16 (21.6%), followed by S. aureus 12 (16.2%), Klebsiella spp. 10 (13.5%) and Providencia spp. 11 (14.9%). Proteus mirabilis was 100% susceptible to norfloxacin and ciprofloxacin while 87.5% of the isolates were susceptible to cefixime and gentamicin. S. aureus was 83.3% susceptible to gentamicin and clarithromycin, while 75% of the isolates were susceptible to amoxicillin-clavulanic acid and chloramphenicol, however, 66.7% the isolates were susceptible to ciprofloxacin, norfloxacin and erythromycin. The overall prevalence of multidrug resistance in the current study was 35 (47.3%). In this study P. mirabilis, S. aureus, Providencia spp., and Klebsiella spp. were the most common bacterial isolate and all Gram negative isolates were susceptible to ciprofloxacin and norfloxacin. Amoxicillin-clavulanic acid, gentamicin, chloramphenicol, clarithromycin and tobramycin were relatively effective against Gram positive bacteria.

摘要

目的

本研究旨在确定埃塞俄比亚西北部贡德尔大学综合专科医院慢性化脓性中耳炎的细菌谱及抗菌药物敏感性模式。

结果

共采集62份耳拭子,鉴定出74株细菌分离株,其中48份(77.4%)样本为单微生物生长,11份(17.8%)为多微生物生长,其余3份(4.8%)未生长。最常见的分离株是奇异变形杆菌16株(21.6%),其次是金黄色葡萄球菌12株(16.2%)、克雷伯菌属10株(13.5%)和普罗威登斯菌属11株(14.9%)。奇异变形杆菌对诺氟沙星和环丙沙星的敏感性为100%,而87.5%的分离株对头孢克肟和庆大霉素敏感。金黄色葡萄球菌对庆大霉素和克拉霉素的敏感性为83.3%,而75%的分离株对阿莫西林-克拉维酸和氯霉素敏感,然而,66.7%的分离株对环丙沙星、诺氟沙星和红霉素敏感。本研究中多重耐药的总体患病率为35(47.3%)。在本研究中,奇异变形杆菌、金黄色葡萄球菌、普罗威登斯菌属和克雷伯菌属是最常见的细菌分离株,所有革兰氏阴性分离株对环丙沙星和诺氟沙星敏感。阿莫西林-克拉维酸、庆大霉素、氯霉素、克拉霉素和妥布霉素对革兰氏阳性菌相对有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21ea/6631645/2f7e6d2c828b/13104_2019_4452_Fig1_HTML.jpg

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