杜广辉 章咏裳 孙自镛 王洪波 陈忠 杨为民 叶章群 申正义 杜广辉、章咏裳、陈忠、杨为民、叶章群(430030 武汉，同济医科大学附属同济医院泌尿外科)；孙自镛、王洪波、申正义(医院感染科) 中华泌尿外科杂志 1999 0 20 5


    关键词：泌尿系感染,金黄色葡萄球菌,耐药性 期刊 zhmnwkzz 0 论 著 fur -->


    

【摘要 】 目的 了解泌尿系统耐甲氧西林金黄色葡萄球菌(MRSA)感染的现状及其耐药性。 方法 采用NCCLS制订的方法和标准测定从泌尿系统感染标本中分离的282株金黄色葡萄球菌的耐药性，通过WHONET-3统计分析。 结果 本组MRSA占同期金黄色葡萄球菌感染的65.6%，其中以肾盂引流液、血液和伤口分泌物分离的MRSA比例较高。全部MRSA均对青霉素，氨苄青霉素和苯唑西林耐药；对第一、二、三代头孢类抗生素、氨基糖甙类和新型喹诺酮类抗生素均有程度不同的耐药，仅万古霉素和伊米配能对其仍敏感。 结论 对严重MRSA感染应在药敏试验指导下选用敏感抗生素治疗。

A study on the methicillin resistantstaphylococcus infection of the urinary system DUGuanghui ,ZHANG Yongshang ,SUN Ziyong ,et al .Departmentof Urology ,Tongji Hospital ,Tongji Medical University ,Wuhan 430030

【Abstract 】 Objective Tostudy urinary infection caused by methicillin resistant staphylococcus aureus (MRSAs). Methods 282strains of staphylococcus aureus causing urinary infection were analysed using the methodand standard of the National Committee of Clinical Laboratory Standard(NCCLS). Results MRSAwas isolated in 65.6% of the cases,the occurrence being the highest in renal pelvisdrain,blood sample and wound exudate.All MRSA were resistant to penicillin and many ofthem to cephalosporins.All the MRSA were sensitive to vancomycin and imipenem. Conclusions Inthe treatment of MRSA infection,sensitive antiobiotics should be selected with theguidance of drug sensitivity test.

     ......