刘俊, 夏强, 裘正军, 李克, 彭志海. 肝移植术后细菌感染的常见病原菌及其耐药性[J]. 实用临床医药杂志, 2003, (1): 31-32,46. DOI: 10.3969/j.issn.1672-2353.2003.01.008
引用本文: 刘俊, 夏强, 裘正军, 李克, 彭志海. 肝移植术后细菌感染的常见病原菌及其耐药性[J]. 实用临床医药杂志, 2003, (1): 31-32,46. DOI: 10.3969/j.issn.1672-2353.2003.01.008
THE DISTRIBUTION OF PATHOGENS AND THEIR ANTIBIOTIC RESISTANCE IN THE PATIENTS AFTER LIVER TRANSPLANTATION[J]. Journal of Clinical Medicine in Practice, 2003, (1): 31-32,46. DOI: 10.3969/j.issn.1672-2353.2003.01.008
Citation: THE DISTRIBUTION OF PATHOGENS AND THEIR ANTIBIOTIC RESISTANCE IN THE PATIENTS AFTER LIVER TRANSPLANTATION[J]. Journal of Clinical Medicine in Practice, 2003, (1): 31-32,46. DOI: 10.3969/j.issn.1672-2353.2003.01.008

肝移植术后细菌感染的常见病原菌及其耐药性

THE DISTRIBUTION OF PATHOGENS AND THEIR ANTIBIOTIC RESISTANCE IN THE PATIENTS AFTER LIVER TRANSPLANTATION

  • 摘要: 目的探讨肝移植术后细菌感染的常见病原菌及其耐药性,为肝移植术后细菌感染的经验性防治提供用药依据.方法对24例肝移植、肝肾联合移植患者1个月内胆汁、引流液、咽拭子等标本培养阳性的细菌种类、耐药性及其发生时间进行分析.结果肝移植术后细菌感染以金黄色葡萄球菌、阴沟杆菌、溶血性葡萄球菌、屎肠球菌最常见,对临床常用的抗生素耐药性高,革兰阳性菌对万古霉素敏感性高,革兰阴性菌对替考拉宁和泰能敏感性高.结论肝移植早期积极的细菌培养对临床抗生素的应用有指导意义.肝移植术后细菌感染以金黄色葡萄球菌、阴沟杆菌、溶血性葡萄球菌、屎肠球菌最常见,临床可疑细菌感染而尚未获得培养结果可经验性加用泰能或万古霉素、替考拉宁.

     

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