Bacterial agents associated with bronchopulmonary disorders in eastern Nigeria.

C U Iroegbu, A N Njoku-Obi
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Abstract

Altogether 16,539 sputum specimens were examined microbiologically from 1980 to 1984. Out of these 12,588 were screened by Ziehl-Neelsen's staining technique and 782 were (6.3%) found AFB-positive. Age and sex distributions of the AFB-positive individuals were statistically significant (at 0.05), incidence being most prevalent among those 20 years and above (90.2%) and among males (61.2%). From other specimens cultured, non-AFB organisms were isolated at the following frequencies: coliform-like organisms (15.1%), Streptococcus pneumoniae (55.5%). Klebsiella pneumoniae (5.3%), Streptococcus pyogenes (3.9%), Pseudomonas aeruginosa (3.4%), Haemophilus influenzae (3.0%). Proteus Spp. (0.7%) and Escherichia coli (0.5%). The antibiogram of these isolates revealed a high incidence of multiple antibiotic resistance, a situation that has most probably arisen from the high degree of antibiotic misuse in Nigeria.

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尼日利亚东部与支气管肺疾病相关的细菌制剂。
1980年至1984年共对16539份痰标本进行了微生物学检查。其中12588例经Ziehl-Neelsen染色技术筛选,782例(6.3%)发现afb阳性。afb阳性个体的年龄和性别分布差异有统计学意义(0.05),其中20岁及以上人群发病率最高(90.2%),男性发病率最高(61.2%)。从培养的其他标本中,分离出非afb生物的频率如下:大肠菌群样生物(15.1%),肺炎链球菌(55.5%)。肺炎克雷伯菌(5.3%)、化脓性链球菌(3.9%)、铜绿假单胞菌(3.4%)、流感嗜血杆菌(3.0%)。变形杆菌(0.7%)和大肠杆菌(0.5%)。这些分离株的抗生素谱显示多种抗生素耐药的发生率很高,这种情况很可能是由于尼日利亚高度滥用抗生素造成的。
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