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中国防痨杂志 ›› 2010, Vol. 32 ›› Issue (04): 204-207.

• 病案报告 • 上一篇    下一篇

深圳市结核病一线抗结核药的耐药监测结果分析

许丽;杨应周;吴清芳;管红云;李明珍   

  1. 深圳市慢性病防治中心;
  • 出版日期:2010-04-20 发布日期:2010-04-20
  • 基金资助:

    国家十一五重大专项“宝安区防治结核病规模化现场流行病学和干预的研究”,课题编号:2009ZX10003-018

XU Li, YANG Ying-Zhou, WU Qing-Fang, GUAN Hong-Yun, LI Ming-Zhen   

  • Online:2010-04-20 Published:2010-04-20

摘要: 目的了解深圳市结核分枝杆菌耐药情况,为深圳市结核病控制提供科学依据。方法依据(WHO/IUALD)结核病耐药指南,将深圳市1999—2008年间所有新涂阳和新登记的复治涂阳的肺结核作为监测对象,对6702例成功分离的结核分枝杆菌菌株,用比例法进行药物敏感实验。结果总耐药率37.8%,初始耐药率22.1%,获得性耐药率37.8%;耐多药率4.7%,初始和获得性耐多药率分别为3.8%和16.3%;初治和复治患者的耐单药率和单药耐药频率均以S和H为主,复治组R的耐单药率显著高于初治组;初治患者含耐R的病例共333例,其中耐HR211例,占60%;复治患者含R耐药的患者共99例,其中耐HR78例,占79%。结论深圳市耐药结核病的发生率较高,耐药现状应该引起高度重视。 更多还原…

关键词: 分枝杆菌,结核, 耐药,细菌, 深圳市;

Abstract: Objective To understand the situation of drug resistance(DR)and multi drug-resistance(MDR-TB)tuberculosis in Shenzhen and provide scientific evidence for TB control in Shenzhen.Methods According to drug resistance TB guidelines issued by WHO/IUALD,all new smear positive cases and new registered retreatment smear positive cases from 1999 to 2008 were included in the surveillance.A total of 6702 strains of Mycobacterium tuberculosis were isolated and drug susceptibility test were performed with t...