中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
12期
148-150
,共3页
多重耐药菌%分析%管理对策
多重耐藥菌%分析%管理對策
다중내약균%분석%관리대책
Multi-drug resistant bacteria%Analysis%Management counter measures
目的：了解医院多重耐药菌分布及耐药情况，为合理使用抗菌药物、减低医院感染提供依据。方法：收集2010年1月1日-2012年12月31日临床感染药敏资料，统计多重耐药菌及前10位多重耐药菌耐药率。结果：共调查多重耐药标本1049例，其中痰标本447例，占42.61%；其他依次为分泌物、尿、便。革兰氏阳性菌586例，占55.86%，革兰氏阴性菌463例，占54.14%。前五位耐药菌为耐甲氧西林凝固酶阴性葡萄球菌、嗜血杆菌、屎肠球菌、棒状杆菌、肺炎链球菌，均为普通菌。结论：普通菌已成为常见的多重耐药菌，对“非限制使用”、“限制使用”抗菌药物具有普遍耐药性，临床必须根据药敏情况谨慎选择抗菌药物，同时注意药物体内外效应的一致性。加强每个防控细节管理，能够有效防止医院多重耐药菌感染。
目的：瞭解醫院多重耐藥菌分佈及耐藥情況，為閤理使用抗菌藥物、減低醫院感染提供依據。方法：收集2010年1月1日-2012年12月31日臨床感染藥敏資料，統計多重耐藥菌及前10位多重耐藥菌耐藥率。結果：共調查多重耐藥標本1049例，其中痰標本447例，佔42.61%；其他依次為分泌物、尿、便。革蘭氏暘性菌586例，佔55.86%，革蘭氏陰性菌463例，佔54.14%。前五位耐藥菌為耐甲氧西林凝固酶陰性葡萄毬菌、嗜血桿菌、屎腸毬菌、棒狀桿菌、肺炎鏈毬菌，均為普通菌。結論：普通菌已成為常見的多重耐藥菌，對“非限製使用”、“限製使用”抗菌藥物具有普遍耐藥性，臨床必鬚根據藥敏情況謹慎選擇抗菌藥物，同時註意藥物體內外效應的一緻性。加彊每箇防控細節管理，能夠有效防止醫院多重耐藥菌感染。
목적：료해의원다중내약균분포급내약정황，위합리사용항균약물、감저의원감염제공의거。방법：수집2010년1월1일-2012년12월31일림상감염약민자료，통계다중내약균급전10위다중내약균내약솔。결과：공조사다중내약표본1049례，기중담표본447례，점42.61%；기타의차위분비물、뇨、편。혁란씨양성균586례，점55.86%，혁란씨음성균463례，점54.14%。전오위내약균위내갑양서림응고매음성포도구균、기혈간균、시장구균、봉상간균、폐염련구균，균위보통균。결론：보통균이성위상견적다중내약균，대“비한제사용”、“한제사용”항균약물구유보편내약성，림상필수근거약민정황근신선택항균약물，동시주의약물체내외효응적일치성。가강매개방공세절관리，능구유효방지의원다중내약균감염。
Objective:To investigate the distribution and resistance of Multi-drug resistant bacteria,and provide the basis for rational use of antibacterial and reduce the hospital infection.Method:Collected the clinical infection drug sensitivity data from January 1,2010 to December 31,2012,and gathered statistics of the multi-drug resistant bacteria and the resistance rate of the top 10 multi-drug resistant bacteria.Result:A total of 1049 cases of Multi-drug resistant bacteric were investigated,including sputum(447 cases,account for 42.61%),secretions,urine and feces.In those cases that were 586 cases of gram-positive bacteria(account for 55.86%),and gram-negative bacteria were 463 cases(account for 54.14%).The top five multi-drug resistant bacteria were methicillin resistant coagulase negative staphylococcus(MRCNS),haemophilus,enterococcus faecium,corynebacterium,streptococcus pneumonia,which were all common bacteria.Conclusion:Common bacteria have become common in multiple drug-resistant bacteria.For the use of unrestricted and restrict antimicrobial agents,they have universal resistance.And the clinical antimicrobial agents should be chosen carefully on the base of drug sensitivity,while paying attention to the consistency of drugs effects in internal and external.It can effectively prevent multi-resistant infections in hospital by strengthening each detail of prevention and control management.
