CAJ | 학술논문

目的了解烧伤科搬迁后新病房的病原菌分布及药敏变化. 方法统计自2010年6月烧伤病房搬迁后送检各类标本中分离出来的菌株情况及药敏试验结果,分为2010年6月-2012年6月和2012年6月-2013年6月两个时间段,并与搬迁前2003年8月-2006年7月的住院患者细菌流行病学调查结果进行比较. 结果 2010年6月-2012年6月金黄色葡萄球菌检出率最高,铜绿假单胞菌与鲍曼不动杆菌分别位列第二、三位；而2012年6月-2013年6月鲍曼不动杆菌检出最多,铜绿假单胞菌和金黄色葡萄球菌位列其后,且铜绿假单胞菌、鲍曼不动杆菌与大肠埃希菌对亚胺培南和头孢他啶等多种抗生素的耐药性明显增强. 结论烧伤病房多重耐药革兰阴性杆菌逐年增加,搬迁后前2年金黄色葡萄球菌检出增多、病原菌菌谱出现较大变迁可能与病房搬迁后环境改变、设备更新等有关.
목적 료해소상과반천후신병방적병원균분포급약민변화. 방법 통계자2010년6월소상병방반천후송검각류표본중분리출래적균주정황급약민시험결과,분위2010년6월-2012년6월화2012년6월-2013년6월량개시간단,병여반천전2003년8월-2006년7월적주원환자세균류행병학조사결과진행비교. 결과 2010년6월-2012년6월금황색포도구균검출솔최고,동록가단포균여포만불동간균분별위렬제이、삼위；이2012년6월-2013년6월포만불동간균검출최다,동록가단포균화금황색포도구균위렬기후,차동록가단포균、포만불동간균여대장애희균대아알배남화두포타정등다충항생소적내약성명현증강. 결론 소상병방다중내약혁란음성간균축년증가,반천후전2년금황색포도구균검출증다、병원균균보출현교대변천가능여병방반천후배경개변、설비경신등유관.
Objective To know the pathogenic bacteria distribution and drug susceptibility variation in the burns ward after the relocation.Methods Bacterial strains separated from all kinds of inspected samples and drug sensitive results were analyzed statistically since the removal of the burns ward in June 2010,including the time periods of June 2010-June 2012 and of June 2012-June 2013.Then a comparison was made with epidemiological results of bacteria involved in the patients hospitalized from August 2003 to July 2006 before the ward removal.Results From June 2010-June 2012,the detection ratio of staphylococcus aureus was the highest,followed by pseudomonas aeruginosa and acinetobacter baumannii; from June 2012-June 2013,acinetobacter baumannii was the most,followed by pseudomonas aeruginosa and staphylococcus aureus.In addition,the drug resistance of pseudomonas aeruginosa,acinetobacter baumannii and escherichia coli against antibiotics like imipenem and ceftazidime had been significantly enhanced.Conclusions There is a gradual growth of MDR gram-negative bacilli in burns units each year,while the presence of staphylococcus aureus is increased in the first two years after the removal of burns ward.Significant variation of pathogen spectrum may be associated with the environmental changes and equipment renewal after the ward removal.