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慢性中耳炎之細菌學-十年間之回顧

Bacteriology in Chronic Otitis Media - A Ten Year Review

摘要


本報告統計自民國66年至75年十年間,高雄醫學院耳鼻喉科370例慢性中耳炎病例之中耳細菌培養與抗生素感受性試驗結果。其致病菌以Pseudomonas(40%)與Proteus (29%) 為多。Proteus在有膽脂瘤之病例中較常見,且具有統計學上的意義。細菌感受性試驗結果以aminoglycoside, colistin, chloramphenicol, pipril和cephalosporin為最主要的有效藥物。但是Pesudomonas對aminoglycoside之感受性已逐年降低。膽脂瘤患者多有厭氧性及混合性的感染。本報告並討論抗生素較為合理的使用法。以俾醫師臨床上的參考。

關鍵字

細菌學 慢性中耳炎 膽脂瘤

並列摘要


This article deals with the bacteriological study, including antibiotic susceptibility test, of chronic otitis media cases encountered in the ENT department of Kaohsiung Medical Colledge during 1977-1986. The cases totaled 370. It revealed the major pathogenic bacteria were Pseudomonas sp. (40%) and Proteus sp. (29%). The presence of Proteus species was found to be statistically signigicant in the cases with cholesteatoma. Furthermore, mixed infections and the growth of anaerobes in these cases were also found significant. Aminoglycosides, colistin, chloramphenicol, pipril and cephalosporins were the most sensitive antibiotics. But the susceptibility to aminoglycoside decreased gradually year after year.

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