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中国防痨杂志 ›› 2006, Vol. 28 ›› Issue (3): 170-173.

• 论著 • 上一篇    下一篇

广东省广州市2001—2004年分枝杆菌初步菌种鉴定与药物敏感性试验结果分析

吴龙章;黄洁玲;张院良;蔡杏珊;关平   

  1. 广东省广州市胸科医院 广州 510095
  • 出版日期:2006-03-10 发布日期:2006-11-03

Identification of mycobacterium species and analysis of drug susceptibility of mycobacteria isolated from 2001 to 2004 in Guangzhou

Wu Longzhang,Huang Jieling,Zhang Yuanliang,et al.   

  1. Department of Clinical Laboratory,Guangzhou Chest Hospital,Guangzhou 510095,China
  • Online:2006-03-10 Published:2006-11-03

摘要: 目的了解广州市2001—2004年3年间分枝杆菌菌种的分布状态和抗结核药物的耐受性情况,为临床诊断和治疗结核病提供可靠的科学依据。方法对2001年9月—2004年3月从1 459例患者中共分离出的2 154株分枝杆菌进行菌种鉴定,并采用绝对浓度间接法对结核分枝杆菌和部分非结核分枝杆菌进行4种抗结核药物的敏感性试验。结果非结核分枝杆菌的分离率由1998年7月—2001年9月的16.5%上升至20.3%;对2 154株分枝杆菌中的1 703株结核分枝杆菌复合群菌株进行的药物敏感性试验结果显示:原始耐药率由1998年7月—2001年9月的14.4%上升至20.3%。继发耐药率则由原来的35.4%下降至32.3%;而非结核分枝杆菌对抗结核药物基本上呈现高度的原始耐受性。结论对临床分离出的阳性标本,有必要进行分枝杆菌的菌种鉴定和药物敏感性试验。

关键词: 分枝杆菌,结核, 药物耐受性, 分枝杆菌,非结核

Abstract: Objective To study mycobacterium species and drug susceptibility of mycobacteria isolated from 2001 to 2004 in Guangzhou,and to provide reliable scientific support for clinical diagnosis and therapy of tuberculosis.Methods 2154 mycobacterial strains isolated from 1459 patients from Sep 2001 to Mar 2004 were identified the species and the susceptibilities to 4 antituberculosis drugs by absolute concentration methods.Results The positive ratio of nontuberculous mycobacterium increased from 16.5% during Jul 1998 to Sep 2001 to 20.5%.The Results of drug susceptibilities of 1703 Mycobacterium tuberculosis isolates showed that the primary drug resistance rate increased from 14.4% during Jul 1998 to Sep 2001 to 20.1% and the secondary drug resistance rate decreased from 35.4% to 32.6%.However,non-tuberculous mycobacteria showed high primary resistance to antituberculosis drugs.Conclusions It is necessary that mycobacteria isolated from clinical samples should be identified the species and performed drug susceptibility tests.

Key words: Mycobacterium tuberculosis, Drug resistance, Mycobacteria,non-tuberculosis