CAJ | 학술논문

目的:了解儿科院内感染常见细菌分布并监测其耐药性.方法:收集惠儿标本,进行常规细菌培养及K-B法药敏试验.结果:分离出238株痛原菌,以克雷伯菌属为最多123株(51.7%).其次为凝固酶阴性葡萄球菌(coagulase negative staphylococci,CNS)50株(21.0%);123株克雷伯菌属中产ESBLs的菌株96株(78.0%);19株大肠埃希菌中产ESBLs的菌株12株(63.2%).产ESBLs克雷伯菌属和大肠埃希菌对抗菌药物的耐药率明显高于非产ESBLs的相应细菌.检出41株(80.2%)凝固酶阴性耐甲氧西林葡萄球菌(meahicillin resistant coagulase negative staphylococci,MRCNS),未检出耐甲氧西林的金黄色葡萄球菌(meahicillin resistant staphylococcus aureus,MRSA).凝固酶阴性葡萄球菌和金黄色葡萄球菌对青霉素全部耐药.结论:儿科的院内感染革兰阴性茵以克雷伯菌属最多见,革兰阳性菌以凝固酶阴性葡萄球菌居多,两类痛原菌多重耐药现象比较严重.
목적:료해인과원내감염상견세균분포병감측기내약성.방법:수집혜인표본,진행상규세균배양급K-B법약민시험.결과:분리출238주통원균,이극뢰백균속위최다123주(51.7%).기차위응고매음성포도구균(coagulase negative staphylococci,CNS)50주(21.0%);123주극뢰백균속중산ESBLs적균주96주(78.0%);19주대장애희균중산ESBLs적균주12주(63.2%).산ESBLs극뢰백균속화대장애희균대항균약물적내약솔명현고우비산ESBLs적상응세균.검출41주(80.2%)응고매음성내갑양서림포도구균(meahicillin resistant coagulase negative staphylococci,MRCNS),미검출내갑양서림적금황색포도구균(meahicillin resistant staphylococcus aureus,MRSA).응고매음성포도구균화금황색포도구균대청매소전부내약.결론:인과적원내감염혁란음성인이극뢰백균속최다견,혁란양성균이응고매음성포도구균거다,량류통원균다중내약현상비교엄중.