基尔库克医院菌血症患者细菌的分离诊断及抗生素耐药性研究

A. H. Al-Wandawy, Luma Abdulhady Zwain, Dalia Maher Khidher Maher Khidher, Peter F Farag
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引用次数: 0

摘要

在2022年1月24日至2022年9月10日期间,从菌血症患者收集了313份血液样本,包括从阿扎迪教学医院收集的146份样本(30份来自患者,116份来自门诊患者),从基尔库克综合医院透析室收集的36份样本,从基尔库克省儿童医院收集的126份样本(42份来自住院患者,84份来自门诊患者),以及从基尔库克省妇产医院收集的5份样本。结果:发热患者培养32株(17.87%),透析病房透析患者培养3株(8.33%),烧伤创面患者培养15株(65.21%);分离得到50株细菌,均为革兰氏阳性。以葡萄球菌最多,共分离28株,其中[(11)同质葡萄球菌,(4)表皮葡萄球菌,(2)溶血葡萄球菌和瓦格纳葡萄球菌各分离株,(9)葡萄球菌],粪肠球菌1株。革兰氏阴性菌分别为:(11)铜绿假单胞菌,(5)大肠埃希菌,(2)阴沟肠杆菌,其次为泰瑞氏拉乌尔氏菌、不动杆菌和克雷伯氏菌。研究了葡萄球菌对20种抗生素的耐药性,hominis葡萄球菌对(Oxacillin、苄西林和阿莫西林)100%耐药。而表皮葡萄球菌对氧苄西林、青霉素和阿莫西林100%耐药。溶血链球菌对红霉素、苄青霉素、阿莫西林、阿米卡星、庆大霉素、托拉霉素和四环素的耐药率为100%。瓦尔纳利链球菌对(氧苄西林、青霉素、阿莫西林和杜司迪酸)的耐药率为100%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Isolation and Diagnosis of Bacteria in Bacteremia Patients and Study Their Resistance to Antibiotics in Kirkuk Hospitals
313 blood samples were collected from bacteremia patients, including 146 samples (30 from patients and 116 from outpatients) from Azadi teaching hospital, 36 samples from the dialysis unit at Kirkuk General Hospital, 126 samples (42 from inpatients and 84 from outpatients) from the Children's Hospital, and 5 samples from the Women's and Obstetrics Hospital in Kirkuk province, for the period from January 24, 2022, to September 10, 2022. The study, including the isolation and diagnosis of bacteria and the study of their resistance to antibiotics, The results show that 32 (17.87%) positive growth cultures were obtained from febrile patients, 3 (8.33%) from dialysis patients in the dialysis unit, and 15 (65.21%) from burn and wound patients. Fifty bacterial isolates were obtained, all of which were gram-positive.  Staphylococcus was the highest with 28 isolates, including [(11) S.homoinis, (4) S.epidermidis epidermidis, (2) isolates each of S.haemolyticus and S. Wagner, and (9) Staphylococcus spp.], while Enterococcus faecalis was one isolate. The gram-negative bacteria were [(11) Pseudomonas aeruginosa, (5) Escherichia coli, (2) isolates of Enterobacter cloacae, and followed by one isolate of Raoultella terrigena, Acinetobacter spp., and Klebsiella spp.). Staphylococcus spp. resistance to 20 antibiotics was studied, and the species S.homoinis showed 100% resistance to (Oxacillin, Benzylpenicillin, and Amoxicillin). Whereas S.epidermidis epidermidis was 100% antibiotic-resistant (Oxacillin, Benzylpenicillin, and Amoxicillin). S. hemolyticus was resistant to (erythromycin, benzylbeniclin, amosiclin, amikachin, gentamicin, torramichin, and tetracycline) by 100%. S. warneri was resistant to (oxacillin, benzylpenicillin, amoxicillin, and dusidic Acid) at a rate of one hundred percent.
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