围生期孕妇阴道分泌物细菌培养及耐药性分析
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曾选

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R181.3+2

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江西省卫生计生委科技计划项目(20165455)


Bacterial culture and drug resistance of vaginal discharge in perinatal pregnant women
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    摘要:

    目的了解围生期孕妇阴道病原菌分布及其药敏情况。方法对10 800例妇女(围生期孕妇和非妊娠期妇女各5 400例)阴道分泌物标本进行细菌培养及药敏试验。结果5 400例围生期孕妇病原菌检出率为26.00%(1 404株),其中真菌759株,革兰阳性球菌611株,革兰阴性杆菌32株,淋病奈瑟菌2株;5 400例非妊娠妇女病原菌检出率为7.87%(425株),其中真菌232株,革兰阳性球菌182株,革兰阴性杆菌5株,淋病奈瑟菌6株。围生期孕妇分离的无乳链球菌对红霉素、克林霉素耐药率为84.85%和80.81%,金黄色葡萄球菌对红霉素耐药率为40.91%,大肠埃希菌对四环素、复方磺胺甲口恶唑耐药率为69.23%和53.85%,淋病奈瑟菌对青霉素、复方磺胺甲口恶唑耐药率100.00%。结论围生期孕妇阴道较非妊娠育龄妇女病原菌感染率更高,加强围生期孕妇阴道病原菌的筛查力度,对保障母婴安全具有重要的临床意义。

    Abstract:

    ObjectiveTo investigate the distribution and drug susceptibility of vaginal pathogens in pregnant women during perinatal period.MethodsVaginal discharge specimens of 10 800 women (5 400 were pregnant women during perinatal period, 5 400 were nonpregnant women) were performed bacterial culture and drug susceptibility testing. ResultsThe isolation rate of pathogens from 5 400 perinatal pregnant women was 26.00% (n=1 404), including 759 strains of fungi, 611 strains of grampositive cocci, 32 strains of gramnegative bacilli, 2 strains of Neisseria gonorrhoeae; among 5 400 nonpregnant women, the isolation rate of pathogens was 7.87% (n=425), including 232 strains of fungi, 182 strains of grampositive cocci, 5 strains of gramnegative bacilli, and 6 strains of Neisseria gonorrhoeae. Resistance rates of Streptococcus agalactiae isolated from perinatal pregnant women to erythromycin and clindamycin were 84.85% and 80.81% respectively,resistance rate of Staphylococcus aureus to erythromycin was 40.91%, resistance rates of Escherichia coli to tetracycline and sulfamethoxazole/trimethoprim were 69.23% and 53.85% respectively, resistance rate of Neisseria gonorrhoeae to penicillin and sulfamethoxazole/trimethoprim was 100.00%. ConclusionVaginal infection rate in perinatal pregnant women is higher than nonpregnant women, screening of vaginal pathogens in perinatal pregnant women should be strengthened, so as to ensure the safety of mothers and infants. 

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曾选,宇翔,陆瑶.围生期孕妇阴道分泌物细菌培养及耐药性分析[J]. 中国感染控制杂志,2017,16(12):1161-1163. DOI:10.3969/j. issn.1671-9638.2017.12.012.
ZENG Xuan, YU Xiang, LU Yao. Bacterial culture and drug resistance of vaginal discharge in perinatal pregnant women[J]. Chin J Infect Control, 2017,16(12):1161-1163. DOI:10.3969/j. issn.1671-9638.2017.12.012.

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  • 收稿日期:2017-03-14
  • 最后修改日期:2017-06-12
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  • 在线发布日期: 2017-11-30
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