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住院患者菌尿中的细菌及耐药模式(作者译)

[Bacteria and resistance patterns in bacteriuria of hospitalized patients (author's transl)].

作者信息

Ullmann U

出版信息

Immun Infekt. 1977 Dec;5(6):252-7.

PMID:412776
Abstract

During different periods in 1976 and 1977 the bacteria of hospitalized patients were selected at random in significant bacteriuria. The species determination was carried out exactly and the susceptibility to beta-lactam-and aminoglycoside antibiotics was investigated using the quantitative tube dilution test. The bacterial spectrum of 941 isolated strains is shown in Table I. E. coli was found in 50% only. The spectrum of bacteria is different in the various hospitals, caused by regional phenomenons of nosocomial infections (Table II). The sex distribution (Table III) shows that mostly E. coli and Strept. faecalis are isolated from women, and Klebsiella sp. from men. The difference is significant. May be there exists a sex specificity for some bacteria. The sensitivity tests include the antibiotics Ampicillin, Carbenicillin, Ticarcillin, Mezlocillin, Azlocillin, Cefalotin, Cefamandole, Cefazolin, Gentamicin, Tobramycin and Amikazin (Table IV). Different sensitivity patterns could be established because of the exact species determination.

摘要

在1976年和1977年的不同时期,从有明显菌尿的住院患者中随机选取细菌。进行了精确的菌种鉴定,并使用定量试管稀释试验研究了对β-内酰胺类和氨基糖苷类抗生素的敏感性。941株分离菌株的细菌谱见表I。仅50%的菌株为大肠杆菌。由于医院感染的区域现象,不同医院的细菌谱不同(表II)。性别分布(表III)显示,女性分离出的主要是大肠杆菌和粪链球菌,男性分离出的是克雷伯菌属。差异显著。可能某些细菌存在性别特异性。敏感性试验包括氨苄西林、羧苄西林、替卡西林、美洛西林、阿洛西林、头孢噻吩、头孢孟多、头孢唑林、庆大霉素、妥布霉素和阿米卡星等抗生素(表IV)。由于精确的菌种鉴定,可以建立不同的敏感性模式。

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