哈尔滨商业大学学报(自然科学版)
哈爾濱商業大學學報(自然科學版)
합이빈상업대학학보(자연과학판)
JOURNAL OF HARBIN UNIVERSITY OF COMMERCE(NATURAL SCIENCES EDITION)
2015年
3期
278-281
,共4页
李玮%熊祝嘉%朱伟%崔翠莲
李瑋%熊祝嘉%硃偉%崔翠蓮
리위%웅축가%주위%최취련
病原菌%抗生素%耐药性%耐药监测
病原菌%抗生素%耐藥性%耐藥鑑測
병원균%항생소%내약성%내약감측
pathogenic bacteria%antibiotics%drug resistance%resistance monitoring
对2012~2014年间某综合医院心脏中心感染性病原菌的构成及细菌耐药性变迁进行回顾性分析,为抗菌药物的合理使用提供依据.以痰液和尿液为主要标本来源,分离出177株病原菌,其中140株革兰氏阴性菌(79.1%),37株革兰氏阳性菌(20.9%).主要革兰氏阴性菌为大肠埃希菌(16.9%)、铜绿假单胞菌(15.3%)、肺炎克雷伯菌(14.1%)和鲍曼不动杆菌(12.4%).主要革兰氏阳性菌为金黄色葡萄球菌(12.4%).MRSA检出率为72.7%.大肠埃希菌和肺炎克雷伯菌对阿米卡星、亚胺培南和美洛培南的敏感性高;铜绿假单胞菌对阿米卡星和美洛培南的敏感性高;不动杆菌属对包括亚胺培南、美罗培南在内的14种抗生素的耐药率均超过30%,金黄色葡萄球菌对青霉素、喹诺酮类、大环内酯类等大多数抗生素耐药,对万古霉素和替考拉宁敏感.2012~2014年我院心脏中心住院患者感染病原菌中革兰氏阴性菌占优势,病原菌主要来自呼吸道细菌耐药性仍然形势严峻,应加强对细菌耐药性监测.
對2012~2014年間某綜閤醫院心髒中心感染性病原菌的構成及細菌耐藥性變遷進行迴顧性分析,為抗菌藥物的閤理使用提供依據.以痰液和尿液為主要標本來源,分離齣177株病原菌,其中140株革蘭氏陰性菌(79.1%),37株革蘭氏暘性菌(20.9%).主要革蘭氏陰性菌為大腸埃希菌(16.9%)、銅綠假單胞菌(15.3%)、肺炎剋雷伯菌(14.1%)和鮑曼不動桿菌(12.4%).主要革蘭氏暘性菌為金黃色葡萄毬菌(12.4%).MRSA檢齣率為72.7%.大腸埃希菌和肺炎剋雷伯菌對阿米卡星、亞胺培南和美洛培南的敏感性高;銅綠假單胞菌對阿米卡星和美洛培南的敏感性高;不動桿菌屬對包括亞胺培南、美囉培南在內的14種抗生素的耐藥率均超過30%,金黃色葡萄毬菌對青黴素、喹諾酮類、大環內酯類等大多數抗生素耐藥,對萬古黴素和替攷拉寧敏感.2012~2014年我院心髒中心住院患者感染病原菌中革蘭氏陰性菌佔優勢,病原菌主要來自呼吸道細菌耐藥性仍然形勢嚴峻,應加彊對細菌耐藥性鑑測.
대2012~2014년간모종합의원심장중심감염성병원균적구성급세균내약성변천진행회고성분석,위항균약물적합리사용제공의거.이담액화뇨액위주요표본래원,분리출177주병원균,기중140주혁란씨음성균(79.1%),37주혁란씨양성균(20.9%).주요혁란씨음성균위대장애희균(16.9%)、동록가단포균(15.3%)、폐염극뢰백균(14.1%)화포만불동간균(12.4%).주요혁란씨양성균위금황색포도구균(12.4%).MRSA검출솔위72.7%.대장애희균화폐염극뢰백균대아미잡성、아알배남화미락배남적민감성고;동록가단포균대아미잡성화미락배남적민감성고;불동간균속대포괄아알배남、미라배남재내적14충항생소적내약솔균초과30%,금황색포도구균대청매소、규낙동류、대배내지류등대다수항생소내약,대만고매소화체고랍저민감.2012~2014년아원심장중심주원환자감염병원균중혁란씨음성균점우세,병원균주요래자호흡도세균내약성잉연형세엄준,응가강대세균내약성감측.
The composition and trends of drug -resistant bacteria in Heart Center of a hospi-tal were investigated to provide a basis for rational use of antimicrobial drugs .Sputum and u-rine was the main sources of specimen , and 177 pathogen strains were isolated , including 140 Gram-negative bacteria ( 79 .1%) and 37 Gram-positive bacteria ( 20 .9%) .The main Gram -negative bacteria were Escherichia coli ( 16.9%) , Pseudomonas aeruginosa (15.3%), Klebsiella pneumonia (14.1%), Acinetobacter baumannii (12.4%).The main Gram-positive bacterium was Staphylococcus aureus ( 12 .4%) , and the MRSA de-tection rate was 72.7%.Escherichia coli and Klebsiella pneumonia showed high sensitive to amikacin, imipenem and meropenem;Pseudomonas aeruginosa showed high sensitive to ami-kacin and meropenem .Acinetobacter had resistance rates of more than 30% to 14 antibiot-ics, including imipenem and meropenem .Staphylococcus aureus had a higher resistance rates to penicillins , fluoroquinolones , macrolides and so on , and was sensitive to vancomycin and teicoplanin .Gram-negative bacteria were dominant in the infection pathogens in Heart Center of China Meitan General Hospital , and mainly came from respiratory pathogens , Bac-terial resistance remains a serious clinical problem , and the monitoring should be strength-ened.