中国医药
中國醫藥
중국의약
CHINA MEDICINE
2014年
10期
1547-1549
,共3页
鲍曼不动杆菌%耐药性%重症监护室
鮑曼不動桿菌%耐藥性%重癥鑑護室
포만불동간균%내약성%중증감호실
Acinetobacter Baumannii%Drug resistance%Intensive care unit
目的 探讨胸外科重症监护室内鲍曼不动杆菌的分布情况及耐药状况.方法 采用回顾性研究方法,根据美国国家临床实验标准对上海交通大学附属胸科医院2011和2012年度胸外科重症监护室鲍曼不动杆菌的感染分布及耐药情况进行分析.结果 2011和2012年度胸外科重症监护室病房共分离出菌株437株,其中鲍曼不动杆菌77株(17.6％).痰液、胸腔积液和中段尿液中检出鲍曼不动杆菌分别为60株(77.9％)、16株(20.8％)和1株(1.3％).鲍曼不动杆菌对多黏菌素敏感,药物敏感率为100.0％;耐药率达100.0％的有氨苄西林、氨曲南、头孢唑林;耐药率较低的为头孢哌酮/舒巴坦(2011年度为57.5％,2012年度为62.2％).结论 鲍曼不动杆菌在重症监护室患者的痰标本中的检出率最高,应加强细菌耐药性监测,合理使用抗感染药物,加强消毒隔离工作,防止严重的医院内感染.
目的 探討胸外科重癥鑑護室內鮑曼不動桿菌的分佈情況及耐藥狀況.方法 採用迴顧性研究方法,根據美國國傢臨床實驗標準對上海交通大學附屬胸科醫院2011和2012年度胸外科重癥鑑護室鮑曼不動桿菌的感染分佈及耐藥情況進行分析.結果 2011和2012年度胸外科重癥鑑護室病房共分離齣菌株437株,其中鮑曼不動桿菌77株(17.6％).痰液、胸腔積液和中段尿液中檢齣鮑曼不動桿菌分彆為60株(77.9％)、16株(20.8％)和1株(1.3％).鮑曼不動桿菌對多黏菌素敏感,藥物敏感率為100.0％;耐藥率達100.0％的有氨芐西林、氨麯南、頭孢唑林;耐藥率較低的為頭孢哌酮/舒巴坦(2011年度為57.5％,2012年度為62.2％).結論 鮑曼不動桿菌在重癥鑑護室患者的痰標本中的檢齣率最高,應加彊細菌耐藥性鑑測,閤理使用抗感染藥物,加彊消毒隔離工作,防止嚴重的醫院內感染.
목적 탐토흉외과중증감호실내포만불동간균적분포정황급내약상황.방법 채용회고성연구방법,근거미국국가림상실험표준대상해교통대학부속흉과의원2011화2012년도흉외과중증감호실포만불동간균적감염분포급내약정황진행분석.결과 2011화2012년도흉외과중증감호실병방공분리출균주437주,기중포만불동간균77주(17.6％).담액、흉강적액화중단뇨액중검출포만불동간균분별위60주(77.9％)、16주(20.8％)화1주(1.3％).포만불동간균대다점균소민감,약물민감솔위100.0％;내약솔체100.0％적유안변서림、안곡남、두포서림;내약솔교저적위두포고동/서파탄(2011년도위57.5％,2012년도위62.2％).결론 포만불동간균재중증감호실환자적담표본중적검출솔최고,응가강세균내약성감측,합리사용항감염약물,가강소독격리공작,방지엄중적의원내감염.
Objective To study the distribution and drug resistance of Acinetobacter Baumannii in intensive care unit (ICU) after thoracic surgery.Methods A retrospective study was performed according to American National Clinical Laboratory standards to examine the infection distribution and drug resistance of Acinetobacter Baumannii,in the ICU of thoracic surgery department.Results Totally 437 strains were isolated.Among which 77 strains were Acinetobacter Baumannii,accounting for 17.6％ of the total strains isolated.60 (77.9％),16 (20.8％) and 1 (1.3％) ofAcinetobacter Baumannii strains were detected in sputum,thoracic fluid and urine respectively.Acinetobacter Baumannii was entirely sensitive to polymixin and completely resistant to Ampicillin,Aztreonam and Cefazolin.Meanwhile,it showed a comparatively low drug resistance rate to Ceforazone/sulbactam (57.5％ in 2011 and 62.2％ in 2012).Conclusions There is a high detection rate of the Acinetobacter Baumannii especially among sputum specimens of the ICU patients.The study suggests the drug resisitance of bacteriae should be monitored; antibiotics or anti-infection drugs should be rationally used and the disinfection and isolation measurements should be reinforced to prevent serious infection within the hospital.
