中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
34期
1-3,4
,共4页
陆学安%杨春水%秦文静%王龙安%张治中
陸學安%楊春水%秦文靜%王龍安%張治中
륙학안%양춘수%진문정%왕룡안%장치중
外科感染%病原菌%耐药性%抗菌药物
外科感染%病原菌%耐藥性%抗菌藥物
외과감염%병원균%내약성%항균약물
Surgical infection%Pathogenic bacteria%Drug resistance%Antibacterial agents
目的:了解外科感染常见病原菌分布特点以及对常用抗生素的耐药情况,为临床合理用药提供科学依据。方法采用纸片扩散法(Kirby-Bauer法)对来自外科感染患者的临床分离菌进行药敏试验。按CLSI 2011版标准判断结果。结果临床分离菌共305株,革兰阴性菌183株,革兰阳性菌122株。在各类细菌中,主要分离菌为:革兰阴性菌的大肠埃希菌、铜绿假单胞菌、肺炎克雷伯杆菌;革兰阳性菌的凝固酶阴性葡萄球菌和金黄色葡萄球菌。耐甲氧西林金黄色葡萄球菌(MRSA)和耐甲氧西林凝固酶阴性葡萄球菌(MRCNS)检出率为23.3%和31.3%,都未发现对万古霉素耐药菌株。大肠埃希菌、肺炎克雷伯菌中产超广谱β-内酰胺酶(ESBLs)株检出率分别为34.4%和21.9%。铜绿假单胞菌对亚胺培南的耐药率为5.3%。结论定期分析医院病原菌的耐药性,可以为临床治疗和预防感染提供依据。临床重视病原菌的检查,根据药敏试验选择合理的抗生素,可以减少细菌耐药的发生。
目的:瞭解外科感染常見病原菌分佈特點以及對常用抗生素的耐藥情況,為臨床閤理用藥提供科學依據。方法採用紙片擴散法(Kirby-Bauer法)對來自外科感染患者的臨床分離菌進行藥敏試驗。按CLSI 2011版標準判斷結果。結果臨床分離菌共305株,革蘭陰性菌183株,革蘭暘性菌122株。在各類細菌中,主要分離菌為:革蘭陰性菌的大腸埃希菌、銅綠假單胞菌、肺炎剋雷伯桿菌;革蘭暘性菌的凝固酶陰性葡萄毬菌和金黃色葡萄毬菌。耐甲氧西林金黃色葡萄毬菌(MRSA)和耐甲氧西林凝固酶陰性葡萄毬菌(MRCNS)檢齣率為23.3%和31.3%,都未髮現對萬古黴素耐藥菌株。大腸埃希菌、肺炎剋雷伯菌中產超廣譜β-內酰胺酶(ESBLs)株檢齣率分彆為34.4%和21.9%。銅綠假單胞菌對亞胺培南的耐藥率為5.3%。結論定期分析醫院病原菌的耐藥性,可以為臨床治療和預防感染提供依據。臨床重視病原菌的檢查,根據藥敏試驗選擇閤理的抗生素,可以減少細菌耐藥的髮生。
목적:료해외과감염상견병원균분포특점이급대상용항생소적내약정황,위림상합리용약제공과학의거。방법채용지편확산법(Kirby-Bauer법)대래자외과감염환자적림상분리균진행약민시험。안CLSI 2011판표준판단결과。결과림상분리균공305주,혁란음성균183주,혁란양성균122주。재각류세균중,주요분리균위:혁란음성균적대장애희균、동록가단포균、폐염극뢰백간균;혁란양성균적응고매음성포도구균화금황색포도구균。내갑양서림금황색포도구균(MRSA)화내갑양서림응고매음성포도구균(MRCNS)검출솔위23.3%화31.3%,도미발현대만고매소내약균주。대장애희균、폐염극뢰백균중산초엄보β-내선알매(ESBLs)주검출솔분별위34.4%화21.9%。동록가단포균대아알배남적내약솔위5.3%。결론정기분석의원병원균적내약성,가이위림상치료화예방감염제공의거。림상중시병원균적검사,근거약민시험선택합리적항생소,가이감소세균내약적발생。
Objective To understand the characteristics of distribution of common pathogenic bacteria for surgical infection, and their drug resistance to common antibacterial agents, so as to provide scientific basis for reasonable clinical drug use. Methods Antimicobial susceptibility testing was carried out for the clinical isolated bacteria from patients with surgical infection by Kirby-Bauer method. The results were analyzed according to CLSI 2011 criterion. Results A total of 305 clinical isolated bacteria were collected. Among them, there were 183 strains of gram-negative bacteria, and 122 strains of gram-positive bacteria. The main isolated bacteria were Escherichia coli, pseudomonas aeruginosa, and klebsiella pneumonia in gram-negative bacteria, and coagulase negative staphylococcus and staphylococcus aureus in gram-positive bacteria. The detection rates of methicillin-resistant staphylococcus aureus (MRSA) and methicillin resistant coagulase negative staphylococci (MRCNS) were 23.3%and 31.3%, and no vancomycin resistant bacteria was found. The detection rates of Escherichia coli and klebsiella pneumonia in extended spectyumβlactamase (ESBLs)-producing stains were 34.4%and 21.9%. The drug resistance rate of pseudomonas aeruginosa to imipenem was 5.3%. Conclusion In order to provide reference for clinical treatment and prevention of bacterial infection, the drug resistance of the bacteria should be analyzed regularly. Clinical doctors should pay attention to the detection of pathogens and reasonably use antibiotics according to the result of drug susceptibility testing, so as to reduce the drug resistance of bacteria.