Objective To explore the common pathogenic bacteria and medication in urinary tract infection in the patients with spinal cord injury (SCI). Methods 240 SCI patients were analyzed retrospectively in China Rehabilitation Research Center from January 2009 to October 2010, who were diagnosed as urinary tract infection (UTIs) according to urine culture and bacterial identification. Results The first 3 positions of pathogenic bacteria were Gram-negative bacteria, such as Escherichia coli (53.8％), Enterococcus (8.9％), and Klebsiella pneumonia (8％), while some patients were followed Gram-positive bacteria and fungal infections. Conclusion The clinically selected antibacterial drugs should be based on the bacterial culture and drug susceptibility test to promote the antibacterial drugs use rationally, frequently changing the medicine and continuing the administration of antibacterial drugs for a long period of time should be avoided.%目的 分析脊髓损伤后诱发尿路感染常见的致病菌,并提供有针对性的药物.方法 回顾性分析2009年1月～2010年10月中国康复研究中心住院的240例脊髓损伤并发泌尿系感染患者的细菌培养和抗生素药敏试验资料.结果 泌尿系感染常见的致病菌前3位以大肠埃希菌、肠球菌属、肺炎克雷伯菌等革兰氏阴性菌为主,部分伴有革兰氏阳性菌及真菌感染等.结论 临床选用抗菌药物,应以细菌培养和药敏试验为依据,合理使用抗菌药物,防止频繁更换品种和连续长期使用抗菌药物,减少抗生素耐药.
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