微生物致病剂及其抗微生物易感性模式在慢性鼻炎 - 对抗生素预防和治疗的影响
Denis Ferenec1, Ana Gverić Grginić2, Carmen Prohaska Potočnik2
1Department of Othorinolaringology, County Hospital »akovec.
这项研究在经受功能性内镜外科手术 (FESS) 的慢性鼻炎 (CRS) 患者中确定了常见的细菌病原体. 阿莫西西林-克拉夫兰酸是有效的,但对甲尼达的耐药性使其不适合进行手术前的抗生素预防.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 微生物学 微生物学
- 传染性疾病 传染性疾病
背景情况:
- 慢性鼻炎 (CRS) 涉及鼻和鼻炎症,通常需要手术.
- 功能性内镜外科手术 (FESS) 是一种常见的CRS治疗方法.
- 微生物学诊断和适当的抗生素预防对于FESS的成功至关重要.
研究的目的:
- 在接受FESS的CRS患者的鼻腔中识别微生物病原体.
- 为了确定孤立细菌的抗生素敏感性模式.
- 将发现与当前的治疗和预防指南进行比较.
主要方法:
- 在2016-2019年收集的456个样本上进行了回顾性队列研究.
- 对微生物病原体和抗生素敏感性进行分析的样本.
- 与既定临床指南相比较的数据.
主要成果:
- 最常见的病原体: 皮托斯特雷普托科克菌种, 普罗皮奥尼细菌种, 黄金葡萄球菌种, 伪菌种, 菌种, 和 血型流感.
- 阿莫西西林 - 克拉夫兰酸显示出适当的抗生素敏感性.
- 在无氧隔离物中观察到高水平的甲化耐药性.
结论:
- 阿莫西西林-克拉夫兰酸适用于FESS患者的经验性抗生素治疗.
- 由于细菌耐药性,不建议在经验性治疗或预防中使用甲尼达.
- 研究结果支持基于证据的抗生素选择用于CRS管理.
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