中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
10期
31-32
,共2页
肠球菌%医院感染%耐药性
腸毬菌%醫院感染%耐藥性
장구균%의원감염%내약성
Enterococcus%Nosocomial infection%Antibiotic resistance
目的 了解医院感染肠球菌的分布特点及其药敏情况,供临床参考.方法 对2007年9月至2008年12月期间,从各临床科室送检标本中分离到的肠球菌223株进行分析与药敏实验.结果 分离到的肠球菌中,粪肠球菌和尿肠球菌分离率最高,分别是68.24%和26.61%,,分离出肠球菌最多的标本是尿液、痰和胆汁,分别是88株、45株和36株,粪肠球菌和屎肠球菌对万古霉素敏感率最高达97.48~98.38%,其次呋喃妥因和氨苄西林,敏感率在53.23~84.27%,对环沙星和氧氟沙星6种抗生素敏感率在24.50~53.22%.结论 医院感染肠球菌以泌尿道和呼吸道最为常见,感染的肠球菌对常用抗菌素耐药性高,且呈多重性耐药,并已出现对万古霉素不敏感株,应引起关注.
目的 瞭解醫院感染腸毬菌的分佈特點及其藥敏情況,供臨床參攷.方法 對2007年9月至2008年12月期間,從各臨床科室送檢標本中分離到的腸毬菌223株進行分析與藥敏實驗.結果 分離到的腸毬菌中,糞腸毬菌和尿腸毬菌分離率最高,分彆是68.24%和26.61%,,分離齣腸毬菌最多的標本是尿液、痰和膽汁,分彆是88株、45株和36株,糞腸毬菌和屎腸毬菌對萬古黴素敏感率最高達97.48~98.38%,其次呋喃妥因和氨芐西林,敏感率在53.23~84.27%,對環沙星和氧氟沙星6種抗生素敏感率在24.50~53.22%.結論 醫院感染腸毬菌以泌尿道和呼吸道最為常見,感染的腸毬菌對常用抗菌素耐藥性高,且呈多重性耐藥,併已齣現對萬古黴素不敏感株,應引起關註.
목적 료해의원감염장구균적분포특점급기약민정황,공림상삼고.방법 대2007년9월지2008년12월기간,종각림상과실송검표본중분리도적장구균223주진행분석여약민실험.결과 분리도적장구균중,분장구균화뇨장구균분리솔최고,분별시68.24%화26.61%,,분리출장구균최다적표본시뇨액、담화담즙,분별시88주、45주화36주,분장구균화시장구균대만고매소민감솔최고체97.48~98.38%,기차부남타인화안변서림,민감솔재53.23~84.27%,대배사성화양불사성6충항생소민감솔재24.50~53.22%.결론 의원감염장구균이비뇨도화호흡도최위상견,감염적장구균대상용항균소내약성고,차정다중성내약,병이출현대만고매소불민감주,응인기관주.
Objective To investigate and find the rule of site distribution by Enterococcus in nosocomial infection,and the offer the referrence to clinic.Methods 223 Enterococcus strains were different infection specimens in the hospital from September 2007 to December 2008 were analyzed and performed the drug-sensitivity test.Results In the 223 isolated Enterococcus strains,the isolation rates of E.faecalis and E.faecium were 68.24% and 26.61%.The specimen type with most isolation rates of Enterococcus were urine,sputum and bile,with the number 88 strains,45 strains and 36 strains.In the drug-sensitivity test,E.faecalis and E.faecium were sensitized to,with the rate from 97.48% to 98.38%.The drug-susceptibility rates of Enterococcus to nitrofurantoin and ampicillin were from 53.23% to 84.27%.The drug-susceptibility rates of Enterococcus to ciprofloxacin and Ofloxacin were from 24.50% to 53.22%.Conclusion Enterococcus isolated from nosocomial infection were heavily resistanted to antibiotics and multi-drug resistant.And some Enterococcus strains became resistanted to vancomycin.All above should be paid more attention to.