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发表于 2013-10-29 21:24:24
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四叶草 发表于 2013-10-30 22:13 
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比如一定多重耐药的不动杆菌定植菌，在国外是不做药敏，而我们都做了，引起了耐药率的“虚高”。
细菌耐 ...
给你附上Mannual of clinical microbiology的权威观点：
In general, the recovery of an NFB in pure culture from a normally sterile site warrants identification and susceptibility testing whereas predominant growth of an NFB from a nonsterile specimen, such as a culture of an endotracheal specimen from a patient with no clinical signs or symptoms of pneumonia, would not be worked up further. Because many NFBs exhibit multiple antibiotic resistance, patients taking antibiotics often become colonized with NFBs.
NFB species isolated in mixed cultures can usually be reported by descriptive identification, e.g., “growth of P. aeruginosa and two varieties of nonfermenting gram-negative bacilli not further identified.” The Gram stain made from the clinical material should be used to guide the laboratory decision on how far to work up the specimen.
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很给力!
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