国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
8期
1113-1115
,共3页
黄诚花%李林祖%莫伟雄%吕波%何俊君%黄天然
黃誠花%李林祖%莫偉雄%呂波%何俊君%黃天然
황성화%리림조%막위웅%려파%하준군%황천연
肺炎链球菌%耐药性
肺炎鏈毬菌%耐藥性
폐염련구균%내약성
Streptococcus pneumoniae%Drug resistance
目的 了解我院住院患儿感染肺炎链球菌的耐药性状况.方法 收集儿科2010年1月至2012年1月患儿连续3次痰培养肺炎链球菌进行耐药分析.采用纸片扩散法(K-B法),药敏试验结果按NCCL200版判断标准,对照质控菌株判断敏感、中介、耐药.结果 所有菌株对万古霉素敏感,耐药率为0,左氧氟沙星敏感率率较高,耐药率为3.3%,菌株对红霉素的耐药率最高,其次为克林霉素.红霉素、克林霉素耐药率为90.2%和89.3%,对复方新诺明、青霉素的敏感率有下降趋势.青霉素G耐药率为82.7%,阿莫西林克拉维酸钾、美洛西林舒巴坦的耐药率13.1%和16.4%,头孢呋辛和头孢噻肟的耐药率分别为18.9%和19.7%.结论 儿科冬季下呼吸道感染.肺炎链球菌多见,以婴幼儿多见,早期用药效果欠佳,易出现并发症,并发脓胸、肺脓肿、肺炎、心肌炎,甚至并发感染性休克,应动态监测肺炎链球菌的耐药情况.指导临床合理选择抗生素,提高治愈,减少并发症.
目的 瞭解我院住院患兒感染肺炎鏈毬菌的耐藥性狀況.方法 收集兒科2010年1月至2012年1月患兒連續3次痰培養肺炎鏈毬菌進行耐藥分析.採用紙片擴散法(K-B法),藥敏試驗結果按NCCL200版判斷標準,對照質控菌株判斷敏感、中介、耐藥.結果 所有菌株對萬古黴素敏感,耐藥率為0,左氧氟沙星敏感率率較高,耐藥率為3.3%,菌株對紅黴素的耐藥率最高,其次為剋林黴素.紅黴素、剋林黴素耐藥率為90.2%和89.3%,對複方新諾明、青黴素的敏感率有下降趨勢.青黴素G耐藥率為82.7%,阿莫西林剋拉維痠鉀、美洛西林舒巴坦的耐藥率13.1%和16.4%,頭孢呋辛和頭孢噻肟的耐藥率分彆為18.9%和19.7%.結論 兒科鼕季下呼吸道感染.肺炎鏈毬菌多見,以嬰幼兒多見,早期用藥效果欠佳,易齣現併髮癥,併髮膿胸、肺膿腫、肺炎、心肌炎,甚至併髮感染性休剋,應動態鑑測肺炎鏈毬菌的耐藥情況.指導臨床閤理選擇抗生素,提高治愈,減少併髮癥.
목적 료해아원주원환인감염폐염련구균적내약성상황.방법 수집인과2010년1월지2012년1월환인련속3차담배양폐염련구균진행내약분석.채용지편확산법(K-B법),약민시험결과안NCCL200판판단표준,대조질공균주판단민감、중개、내약.결과 소유균주대만고매소민감,내약솔위0,좌양불사성민감솔솔교고,내약솔위3.3%,균주대홍매소적내약솔최고,기차위극림매소.홍매소、극림매소내약솔위90.2%화89.3%,대복방신낙명、청매소적민감솔유하강추세.청매소G내약솔위82.7%,아막서림극랍유산갑、미락서림서파탄적내약솔13.1%화16.4%,두포부신화두포새우적내약솔분별위18.9%화19.7%.결론 인과동계하호흡도감염.폐염련구균다견,이영유인다견,조기용약효과흠가,역출현병발증,병발농흉、폐농종、폐염、심기염,심지병발감염성휴극,응동태감측폐염련구균적내약정황.지도림상합리선택항생소,제고치유,감소병발증.
Objective To learn about the drug resistance condition of streptococcus pneumoniae in children patients in our hospital.Methods We analyzed the drug resistance status of streptococcus pneumoniae isolated in children' s sputum for 3 consecutive times from Jan 2010 to Jan 2012.The disc diffusion method (K-B method) was used,the results of susceptibility testing was according to NCCL200 version control quality control standard of judgment,judging intermediary,resistance and sensitive.Statistical analysis used SPSS 13.0 statistical software,data of each group was compared with Chi-squared methods.Results All strains were sensitive to vancomycin,followed by levofloxacin (drug resistance rate 3.3%),strains of erythromycin resistance rates was the highest (90.2%),followed by clindamycin (89.3%).Cotrimoxazole,penicillin (82.7%) sensitive rates were on a downward treud.And drug resistance rates of amoxicillin potassium clavulanate,mezlocillin sulbactam,cefuroxime and cefotaxime were 13.1%,16.4%,18.9% and 19.7% respectively.Conclusion For pediatric winter respiratory infections,streptococcus was very common especially in infants and young children,early drug use was ineffective and prone to complications,concurrent empyema,lung abscess,pneumonia,myocarditis,and even septic shock,it is necessary to carry out dynamic monitoring in drug resistance of streptococcus pneumoniae to guide clinical selection of antibiotics,to improve the cure rate and reduce complications.