荆州地区肺炎链球菌流行特点的回顾性研究
作者: |
1于会娜,
1付强,
1晏霞,
1周云,
1屈悦,
1王婷,
2周义正,
2杨严
1 荆州市中心医院儿科,湖北 荆州 434000 2 荆州市中心医院检验科,湖北 荆州 434000 |
通讯: |
于会娜
Email: 946419304@qq.com |
DOI: | 10.3978/j.issn.2095-6959.2018.03.018 |
摘要
目的:了解荆州地区肺炎链球菌患儿分离株的流行特点,为临床经验治疗提供依据。方法:2015年1月至2016年12月荆州市中心医院儿科(除外新生儿科)送检痰培养标本3 415例,共检出肺炎链球菌菌株342例,其中男200例(58.48%),女142例(41.52%)。分析肺炎链球菌的临床分布资料及对各种抗菌素的耐药情况。结果:肺炎链球菌女性患儿的检出率和男性患儿差别不大;肺炎链球菌主要感染5岁以下患儿,季节以冬春季节为主;尚未检出耐万古霉素和利奈唑胺的肺炎链球菌;肺炎链球菌对左氧氟沙星、莫西沙星、厄他培南、氯霉素、氧氟沙星、泰利霉素的敏感性较高;对复方新诺明、四环素、红霉素、青霉素的耐药率较高;美罗培南中介;阿莫西林、头孢噻肟、头孢曲松仍有较高的敏感性。结论:在荆州地区,阿莫西林、头孢噻肟、头孢曲松仍可作本地区肺炎链球菌感染的非脑膜炎的临床一线用药,对于高耐药菌株和重症感染时可以使用万古霉素和利奈唑胺。
关键词:
肺炎链球菌;儿童;荆州地区
A retrospective study on the epidemic characteristics of Streptococcus pneumoniae in Jingzhou area
CorrespondingAuthor: YU Huina Email: 946419304@qq.com
DOI: 10.3978/j.issn.2095-6959.2018.03.018
Abstract
Objective: To investigate the epidemiological characteristics of isolates of Streptococcus pneumoniae in Jingzhou area, and to provide evidence for clinical experience. Methods: A total of 3 415 cases of Streptococcus pneumoniae were detected in pediatric pediatric department (except neonates) from January 2015 to December 2016. A total of 342 strains of Streptococcus pneumoniae were detected, including 200 males, accounting for 58.48%; 142 females, accounting for 41.52%. The clinical data of Streptococcus pneumoniae and the resistance to various antibiotics were analyzed. Results: The detection rate of children with Streptococcus pneumoniae was not different from that of male children. Streptococcus pneumoniae mainly infected children under 5 years of age, seasonal distribution mainly in winter and spring; Streptococcus pneumoniae resistant to vancomycin and linezolid has not been detected; Streptococcus pneumoniae was more sensitive to levofloxacin, moxifloxacin, etanilapine, chloramphenicol, ofloxacin and telithromycin; and highly resistant to cotrimoxazole, tetracycline, erythromycin, penicillin; meropenem intermediates; amoxicillin, cefotaxime, ceftriaxone was still a high sensitivity. Conclusion: Amoxicillin, cefotaxime and ceftriaxone can be used as a clinical first-line drug for non-meningitis in Streptococcus pneumoniae infection in Jingzhou area. For high-resistant strains and severe infection, vancomycin and Linezolid.
Keywords:
Streptococcus pneumoniae; children; Jingzhou area