中国民康医学
中國民康醫學
중국민강의학
Medical Journal of Chinese People's Health
2015年
18期
1-2,8
,共3页
肺炎克雷伯菌%鲍曼不动杆菌%耐药性%动态变化%差异性
肺炎剋雷伯菌%鮑曼不動桿菌%耐藥性%動態變化%差異性
폐염극뢰백균%포만불동간균%내약성%동태변화%차이성
Klebsiella pneumonia%Acinetobacter baumannii%Drug resistance%Dynamic change%The difference
目的：：研究肺炎克雷伯菌和鲍曼不动杆菌耐药性的动态变化及在不同标本间的差异性。方法：选择收集的血液、胸水、痰、尿液等各类标本。通过药敏试验和细菌分离，对可疑菌落进行鉴定。结果：鲍曼不动杆菌的临床分离株数在3年内呈现出逐年增加的趋势，抗菌药物的耐药率表现为下降的趋势；肺炎克雷伯菌的临床分离株数在3年内呈现出逐年增加的趋势，抗菌药物的耐药率表现为下降的趋势， ICU和呼吸内科标本中分离的肺炎克雷伯菌和鲍曼不动杆菌耐药性均有明显的差异(P<0.05)。结论：肺炎克雷伯菌和鲍曼不动杆菌耐药性因不同的情况而出现动态变化，以及在不同标本间也存在差异。
目的：：研究肺炎剋雷伯菌和鮑曼不動桿菌耐藥性的動態變化及在不同標本間的差異性。方法：選擇收集的血液、胸水、痰、尿液等各類標本。通過藥敏試驗和細菌分離，對可疑菌落進行鑒定。結果：鮑曼不動桿菌的臨床分離株數在3年內呈現齣逐年增加的趨勢，抗菌藥物的耐藥率錶現為下降的趨勢；肺炎剋雷伯菌的臨床分離株數在3年內呈現齣逐年增加的趨勢，抗菌藥物的耐藥率錶現為下降的趨勢， ICU和呼吸內科標本中分離的肺炎剋雷伯菌和鮑曼不動桿菌耐藥性均有明顯的差異(P<0.05)。結論：肺炎剋雷伯菌和鮑曼不動桿菌耐藥性因不同的情況而齣現動態變化，以及在不同標本間也存在差異。
목적：：연구폐염극뢰백균화포만불동간균내약성적동태변화급재불동표본간적차이성。방법：선택수집적혈액、흉수、담、뇨액등각류표본。통과약민시험화세균분리，대가의균락진행감정。결과：포만불동간균적림상분리주수재3년내정현출축년증가적추세，항균약물적내약솔표현위하강적추세；폐염극뢰백균적림상분리주수재3년내정현출축년증가적추세，항균약물적내약솔표현위하강적추세， ICU화호흡내과표본중분리적폐염극뢰백균화포만불동간균내약성균유명현적차이(P<0.05)。결론：폐염극뢰백균화포만불동간균내약성인불동적정황이출현동태변화，이급재불동표본간야존재차이。
Objective:To investigate resistance dynamic changes of Klebsiella pneumonia and Acinetobacter baumannii, and difference among different specimens. Methods:All kinds of specimens were selected, including blood, pleural fluid, sputum, urine and the like. Through the drug sensitive test and bacteria isolation, the suspected colonies were identified. Results:The clinical sepa-rated Acinetobacter baumannii strains and Klebsiella pneumonia strains increased year by year in the three years;however, their antibi-otic resistances decreased year by year in the three years. There were significant differences in the resistances of the specimens of the ICU and department of respiratory medicine (P<0. 05). Conclusions:Klebsiella pneumonia and Acinetobacter baumannii resistances will be dynamically changed because of different conditions, and could be different among different specimens.
