老年阴道感染患者的细菌分布及耐药性分析
[Abstract]:Objective: to provide reference for guiding the formulation of treatment plan for vaginal infection in elderly patients. Methods: from June 2014 to October 2016, 200 elderly patients with vaginal infection in Wuchang Hospital of Wuhan City (hereinafter referred to as "our hospital") were examined by routine examination of leukorrhea, bacterial culture, identification and drug sensitivity test. The incidence of vaginal infectious diseases in patients of all ages was compared, and the bacterial distribution, cleanliness grade and bacterial drug resistance were observed. Results: the types of vaginal infectious diseases in 200 patients included candida vaginalis, trichomonal vaginitis, bacterial vaginitis and nonspecific vaginitis. Among them, the total incidence of vaginal infectious diseases in patients aged 66 years and 70 years old was significantly higher than that in patients aged 60 years and 71 years old, and the total incidence of vaginal infectious diseases in patients aged 60 years and 65 years old was also significantly higher than that in patients aged 71 years and 80 years old. The difference was statistically significant (P 0.05). A total of 205 strains of bacteria were detected, most of which were Gram-positive except Escherichia coli. Streptococcus was the most common, with 76 strains (37.07%), followed by grape bacteria with 48 strains (23.41%). The cleanliness of vaginal secretions was 10, 70, 90 and 90, respectively, and the detection of bacteria increased with the increase of vaginal secretions cleanliness, among which streptococcus and Staphylococcus infection were more common in patients with grade III and IV, respectively. the cleanliness of vaginal secretions was 10, 70 and 90, respectively, and the detection of bacteria increased with the increase of cleanliness of vaginal secretions. The resistance rate of the main bacteria to penicillin, gentamicin and erythromycin was generally higher, and the resistance rate of most bacteria to teicoplanin and linazolamine was low, and all of them were sensitive to vancomycin (the resistance rate was 0). Conclusion: there are many types of vaginal infectious diseases in our hospital, and they are more likely to occur in 66 patients aged 70 years old, and Gram-positive bacteria are the main bacteria, and most of them are Streptococcus. The drugs sensitive to the detected strains included vancomycin, teicoplanin, linazolamine and so on. Antibiotics should be selected reasonably according to drug sensitivity test.
【作者单位】: 武汉市武昌医院妇产科;武汉市红十字会医院妇产科;
【分类号】:R711.31
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