目的 探讨社区老年人尿路感染经验性抗菌药物选择与药敏试验的符合率,以指导临床用药.方法 回顾性分析我院2011年1-12月74例老年人尿路感染患者中段尿标本培养阳性结果,观察抗菌药物的选择与药敏结果的符合情况.结果 抗菌药物使用与药物敏感结果相符合的有25例(占33.8%),不符合的有49例(占66.2%).相符合病例中有效20例,无效5例,有效率为80.0%;不符合病例中有效25例,无效24例,有效率为51.0%,二者间差异有统计学意义(P＜0.05).结论 社区老年人尿路感染病原菌对常用抗菌药物敏感性较差,社区医生选择治疗的药物与药敏试验符合率偏低,应引起重视.%Objective To investigate the accordance of antimicrobial selection for community elderly patients with urinary tract infection with drug sensibility test so as to guide clinical medication. Methods The data of 74 community elderly patients with urinary tract infection in our hospital from January to December of 2011 were retrospectively analyzed about the positivi-ty culture results of middle segment urine samples, investigating the accordance between choice of antibacterial drugs and result of drug sensitivity. Results There were 25 cases ( 33. 8% ) whose use of antibacterial drugs was in accordance with drug sensitivity results, and 49 ( 66.2% ) was not. Among the 25 consistent cases, 20 got effect and 5 did not, with an effective rate of 80. 0% ; while among the 49 non - consistent cases, 25 got effect and 24 did not, with an effective rate of 51. 0% . The difference between the two was statistically significant ( P < 0. 05 ) . Conclusion It needs to pay attention that the pathogenic mi-crobacteria of community elderly patients with urinary tract infection are of poor sensibility to commonly used antibiotics, and the therapeutic drugs prescribed by community doctors are of lower accordance rate to drug sensibility test.
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