Clinical And Etiological Infectious Diarrhea Distribution And Drug Resistance

Objective:Solutions of bacterial diarrhea in the clinical and etiological distribution, based on clinical manifestations and pathogenic characteristics of intestinal bacteria, the pathogenic bacteria and drug resistance monitoring, and then direct the empirical treat- ment of infectious diarrhea and prevent abuse antibiotics, the medical and health resources in the region a more rational use and conservation. Methods:A retrospective analysis in August 2009 to 2010 January and May 2010 to October Second Affiliated Hospital of Xinjiang Medical University, intestinal infectious diarrhea in patients with out-patient clinical and bacteriological characteristics. Detection of pathogens in accordance with drug sensitivity. Statistical methods statistical analysis SPSS 17.0 software, data, count data line test to test with= 0.05 level. Results:183 patients seek treatment because of diarrhea patients,26 cases fecal bacterial culture were positive, including Shigella (14 cases,53.8%), E. coli (5 cases,19.2%), Salmonella (3 cases,11.2%), Klebsiella pneumoniae, Aeromonas hydrophila, Morganella morganii strains, Reid Providencia stuartii infection in 1 case. Patients with diarrhea were common from June to October in each year. The main manifestations of Shigella infection were abdominal pain, diarrhea, nausea, vomit or dehydration. The main manifestations of E.coli infection were fever, abdominal pain and diarrhea. Shigella infection mainly fever, abdominal pain, diarrhea, dehydration may be associated with. E. coli infection mainly as abdominal pain, diarrhea, nausea, vomiting. Salmonella infection mainly diarrhea, abdominal pain, fever based. The incidence of infectious diarrhea in the elderly over 60 years later, the main intestinal bacteria to ampicillin, chloramphenicol, trimethoprim sulfamethoxazole resistance rates higher, from 33.3% to 66.7%, Shigella resistance rate to quinolones has also increased. Conclusions:The bacterial culture positive rate of stool samples from patients with bacterial infectious diarrhea is not high in Second Affiliated Hospital of Xinjiang Medical University, still the main pathogenic bacteria Shigella. Major intestinal pathogens to ampicillin, chloramphenicol, trimethoprim sulfamethoxazole resistance rate was higher Shigella resistance rate to quinolones are increasing year by year, suggesting that multi-drug resistance is gradually formation of a serious abuse of antibiotics.