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[尿液细菌菌群与化学抗生素耐药性:对法布里亚诺(安科纳)第11地方卫生区门诊患者和住院患者的观察]

[Urine bacterial flora and chemoantibiotic resistance: observations on ambulatory patients and hospitalized patients at the local health district No. 11 of Fabriano (Ancona)].

作者信息

Cipriani S, Pannelli F, Picciola A R, Rocchi T

机构信息

Servizio di laboratorio di analisi cliniche, Presidio ospedaliero-U.S.L. 11, Fabriano, Ancona.

出版信息

Quad Sclavo Diagn. 1988 Jan-Dec;24(1-4):225-37.

PMID:3268917
Abstract

This paper reports the results of a study carried out on 4614 samples of urine from inpatients and outpatients according to the sex. The positive monomicrobic urine specimens were examined and isolated strains were tested against various antimicrobial drugs. Our findings showed that 43.1% of urine specimens examined from inpatients and 38.4% from outpatients proved to be positive. Among the bacterial species more frequently isolated, significant differences among Enterobacter spp. in males and coagulase-negative Staphylococcus spp. in females from general practice, and Pseudomonas spp. in females from the hospital were observed. Statistical analysis reveals that: a) no significant differences were found in antibiotic-resistance among Escherichia coli, Proteus rettgeri, Streptococcus faecalis, Enterobacter spp. and Pseudomonas spp., isolated from inpatients and outpatients as regards males and females; b) Klebsiella spp., Proteus rettgeri and coagulase-negative Staphylococcus strains isolated from females inpatients are more chemo-resistant than those from females outpatients.

摘要

本文报告了一项针对4614份住院患者和门诊患者尿液样本按性别进行研究的结果。对阳性单微生物尿液标本进行了检查,并对分离出的菌株进行了多种抗菌药物测试。我们的研究结果表明,住院患者尿液标本检测阳性率为43.1%,门诊患者为38.4%。在较常分离出的细菌种类中,观察到普通门诊男性患者中肠杆菌属、女性患者中凝固酶阴性葡萄球菌属,以及医院女性患者中假单胞菌属存在显著差异。统计分析显示:a)从住院患者和门诊患者中分离出的大肠埃希菌、雷氏普罗威登斯菌、粪肠球菌、肠杆菌属和假单胞菌属,在男性和女性中,其抗生素耐药性无显著差异;b)从住院女性患者中分离出的克雷伯菌属、雷氏普罗威登斯菌和凝固酶阴性葡萄球菌菌株比门诊女性患者的菌株更具化学抗性。

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