Pathogen distribution and drug resistance of biliary tract infection in patients with cholelithiasis
10.3969/j.issn.1005-1678.2017.06.155
- VernacularTitle:胆石症患者胆道感染的病原菌分布与耐药性分析
- Author:
Minjie SHANG
;
Zhiming HU
;
Chengwu ZHANG
;
Weiding WU
;
Zhifei WANG
- Keywords:
cholelithiasis;
biliary tract infection;
pathogen distribution;
drug resistance
- From:
Chinese Journal of Biochemical Pharmaceutics
2017;37(6):407-409
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the pathogen distribution and drug resistance of biliary tract infection in patients with cholelithiasis, and to summarize the clinical experience.Methods160 patients with cholelithiasis were analyzed.The proportion of patients with biliary tract infection was counted.The bile and venous blood were collected and the distribution of pathogens was detected.The patients were also analyzed for the drug resistance.ResultsThe incidence of biliary tract infection was 62.5%, the positive rate of bile culture was 62.5%, and the positive rate of blood test was 37.5% for 160 patients with cholelithiasis.Gram-positive bacteria include Escherichia coli, Enterococcus faecium, Staphylococcus, Gram-negative bacteria, including Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, etc.;Gram-positive bacteria for the large Methicillin and erythromycin resistance is higher, Gram-negative bacteria for ampicillin and levofloxacin higher resistance.ConclusionThe pathogen distribution and drug resistance of biliary tract infection in patients with cholelithiasis are analyzed.The clinical pathogens are widely distributed.At the same time, the pathogens have different resistance to different antimicrobial agents.Therefore, clinical use should be reasonable choice when using antimicrobial agents, With a view to give full play to drug effects.
