医学检验与临床
醫學檢驗與臨床
의학검험여림상
MEDICAL LATORATORY SCIENCE AND CLINICES
2013年
3期
22-24
,共3页
ICU病房%病原菌分布%耐药性
ICU病房%病原菌分佈%耐藥性
ICU병방%병원균분포%내약성
ICU%pathogenic bacteria%distribution%drug resistance
目的：了解ICU病房病原菌分布及对抗菌药物的耐药状况。方法：对我院ICU病房两年结果阳性病原菌，病原菌药物敏感性进行分析。结果：分离758株病原菌，其中革兰阴性菌占75.5%，革兰阳性菌占24.5%；前5位病原菌为大肠埃希菌、肺炎克雷伯菌、铜绿假单胞菌、金黄色葡萄球菌、鲍曼不动杆菌分别占20.05%、17.55%、13.72%、7.12%、4.88%；细菌产ESBLs的阳性率大肠埃希菌60.3%，肺炎克雷伯菌33.1%，MRCNS78.8%，不动杆菌多重耐药率明显高于铜绿假单胞菌。结论：ICU病房的病原菌耐药严重，检测细菌分布及耐药性变化有利于临床合理使用抗生素。
目的：瞭解ICU病房病原菌分佈及對抗菌藥物的耐藥狀況。方法：對我院ICU病房兩年結果暘性病原菌，病原菌藥物敏感性進行分析。結果：分離758株病原菌，其中革蘭陰性菌佔75.5%，革蘭暘性菌佔24.5%；前5位病原菌為大腸埃希菌、肺炎剋雷伯菌、銅綠假單胞菌、金黃色葡萄毬菌、鮑曼不動桿菌分彆佔20.05%、17.55%、13.72%、7.12%、4.88%；細菌產ESBLs的暘性率大腸埃希菌60.3%，肺炎剋雷伯菌33.1%，MRCNS78.8%，不動桿菌多重耐藥率明顯高于銅綠假單胞菌。結論：ICU病房的病原菌耐藥嚴重，檢測細菌分佈及耐藥性變化有利于臨床閤理使用抗生素。
목적：료해ICU병방병원균분포급대항균약물적내약상황。방법：대아원ICU병방량년결과양성병원균，병원균약물민감성진행분석。결과：분리758주병원균，기중혁란음성균점75.5%，혁란양성균점24.5%；전5위병원균위대장애희균、폐염극뢰백균、동록가단포균、금황색포도구균、포만불동간균분별점20.05%、17.55%、13.72%、7.12%、4.88%；세균산ESBLs적양성솔대장애희균60.3%，폐염극뢰백균33.1%，MRCNS78.8%，불동간균다중내약솔명현고우동록가단포균。결론：ICU병방적병원균내약엄중，검측세균분포급내약성변화유리우림상합리사용항생소。
Objective:To investigate the distribution of pathogenic bacteria and the drug sensitivity of antimicrobial resistance condition in ICU. Methods:The positive pathogens and drug sensitivity of pathogenic bacteria from ICU in our hospital were analyzed.Results:Separate 758 strains of pathogenic bacteria, among whicr the gram negative bacteria accounted for 75.5% and gram positive bacteria accounted for 24.5%. The top 5 pathogens bacteria were Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, Staphylococcus aureus and Acinetobacter baumannii. They were accounted for 20.25%, 17.55%, 13.72%, 7.12%, 4.88%. respectivery The positive rate of ESBLs producing bacteria were Escherichia coli 60.3%, Klebsiella pneumoniae 33.1%, MRCNS 78.8%, the rate of bacteria multiple resistant of acinetobacter is obviously higher than that of Pseudomonas aeruginosa.Conclusions:The problem of the pathogen resistance of ICU were serious. It's very important to understand the change of bacteria distribution and drug resistance, and it is helpful to select antibiotics correctly.
