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題 名 | 膽道感染之致病菌與抗生素之選用的臨床分析=Clinical Analysis of Causative Bacteria of Biliary Tract Infection and Selection of Antibiotics |
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作 者 | 施壽全; 鄭國祥; 朱正心; 楊圳隆; 林錫泉; 高進祿; 王渭鵬; 周孫衍; 王鴻源; 王蒼恩; 曾莉莉; | 書刊名 | 內科學誌 |
卷 期 | 10:1 1999.02[民88.02] |
頁 次 | 頁1-7 |
分類號 | 415.53 |
關鍵詞 | 膽道感染; 細菌; 抗生素; Biliary tract infection; Bacteria; Antibiotic; |
語 文 | 中文(Chinese) |
中文摘要 | 回朔收集分隔十年的兩個時段(各兩年) ,罹患膽道感染而膽液培養長出細菌的 病例。前後時段分別各有 100 及 101 個病例。我們分析細菌的種類和其對於各種抗生素的 敏感性。 兩時段絕大多數的致病菌均為腸道的格蘭氏陰性菌,以 E coli,Enterococcus, Pseudomonas aeruginosa 及 Klebsiella pneumoniae 最常見。 多菌 (兩種以上 ) 感染在 這兩個時段都相當普遍, 但這個現象和臨床病況及治療的結果並沒有關聯。 經過了十年, Pseudomonas 已對大多數的抗生素產生抗性。不過,piperacillin、chloramphenicol、大 多數 aminoglycoside 和 latamoxef 等, 則對於一些常見菌種,分別仍然保持相當程度的 功效 (敏感性試驗陽性率 80% 以上 )。 我們的結論是,分析最常見的八種細菌,現階段面 對膽道感染病人,一開始先選擇 amikacin 配合 vancomycin 及較新的抗生素 imipenem 及 ciprofloxacin 等來做為經驗性治療 (empirical therapy),固然可以獲得最好的效果。不 過,如果考慮撙節醫療資源,配合不濫用抗生素的大原則,則 gentamicin (或 tobramycin ) 加上 piperacillin 及 chloramphenicol,也是值得推薦的治療方法。 |
英文摘要 | Patients with biliary tract infection with positive bile culture in two time periods separated by 10 years were retrospectively collected. There were 100 cases in the former and 101 cases in the latter period respectively. Most of the bile samples were obtained during laparotomy. We analyzed the types of bacteria and their sensitivity to antibiotics. In both periods, the spectrum and frequency of bacteria identified were similar. Most of them were Gram negative enteric microorganism. The most frequently found strains were E coli, Enterococcus, Pseudomonas aeruginosa and Klebsiella pneumoniae. Polymicrobial infection was fairly common in both period, but this phenomenon did not related to clinical progress and result of treatment. Pseudomonas developed resistance to most of the antibiotics after 10 years. However, piperacillin, chloramphenicol, most aminoglycosides and latamoxef still keep the effect for some common bacteria individually. In conclusion, for biliary tract infection in the current setting, combination of amikacin, vancomycin and a newer antibiotic such as imipenem or ciprofloxacin as empirical therapy will provide the best efficacy. However, taking saving medical expense and avoiding drug abuse into consideration, gentamicin or tobramycin plus piperacillin and chloramphenicol will be a combined therapy deserving recommendation. |
本系統中英文摘要資訊取自各篇刊載內容。